Introduction: Agitation among patients is a frequently cited behavioural problem across a variety of health settings. Objectives: The main objective of the study is to analyse the recognition and management of agitation in acute mental health services. Material and methods: This analytical study was conducted in The Children's Hospital and Institute of Child Health, Lahore during November 2029 to July 2020. Consenting participants were non-randomly assigned to one of four semi-structured focus group interviews. Results: Nurses described various signs and symptoms related to agitation. In every focus group pacing, restlessness and raised voices were identified. Banging on the nurses’ station or slamming doors was mentioned in two groups, while another group said agitated patients could be uncooperative and engage in anti-social behaviour. Conclusion: It is concluded that nurses adopted an individualised approach to management by engaging patients in decisions about their care.