Skip to main content
MedVellum
QuestionsVideosPricing

MedVellum

Fellowship exam preparation across every specialty: source-verified topics, questions in every format, and videos.

Product

  • Specialties
  • Questions
  • Videos
  • Exam tools
  • Pricing

Verification & policy

  • Verified register
  • Editorial policy
  • Privacy
  • Terms

Account

  • Sign in
  • Create account
  • Dashboard
  • Account & billing

© 2026 MedVellum. For education only — not a substitute for clinical judgement.

llms.txtPsychiatry LLM catalogSitemap

Psych CASC / OSCEConsultation-liaison psychiatry — abnormal illness behaviour

Psych CASC / OSCE · Consultation-liaison psychiatry — abnormal illness behaviour

Explain abnormal illness behaviour and a collaborative plan — CASC communication station

MRCPsych/FRANZCP-style communication station: repair alliance after pejorative labelling, explain both–and formulation, outline stepped care without colluding with endless tests, involve partner productively, safety-net red flags and mood.

communication2 min readVerification in progress

Target exams

FRANZCPMRCPsychABPNMD-DNB
On this page
Study tools

Target exams

FRANZCPMRCPsychABPNMD-DNB
Prompt
A 41-year-old medical outpatient is angry after a physician said their symptoms are ‘abnormal illness behaviour.’ They fear being labelled as faking. They have had extensive normal GI investigations, check their abdomen repeatedly, miss work, and want ‘one more scope to be sure.’ PHQ-9 is 12; denies suicide plan. Partner attends and reinforces that ‘something serious is being missed.’

Station brief

Format. Communication station, approximately 7–10 minutes active time. You are the psychiatry registrar in the medical clinic.[2]

Candidate instructions. Acknowledge anger and fear of being called a faker; explain illness behaviour language without pejorative dualism; validate symptoms; outline a collaborative plan (scheduled care, re-investigation thresholds, CBT for health anxiety, mood support); engage partner without colluding with endless scopes; safety-net red flags and low mood.[1][2][3]

Psychiatry Fellowship Pro

Continue reading

You have read the opening of this CASC / OSCE. The complete unit — every section and its primary-source references — is part of the Psychiatry Fellowship fellowship library.

Sign in to continueSee pricing
References5ShowHide
  1. [1]Pilowsky I Abnormal illness behaviour Br J Med Psychol, 1969.PMID 5378602
  2. [2]Henningsen P, Zipfel S, Herzog W Management of functional somatic syndromes Lancet, 2007.PMID 17368156
  3. [3]Barsky AJ, Ahern DK Cognitive behavior therapy for hypochondriasis: a randomized controlled trial JAMA, 2004.PMID 15039413
  4. [4]Tyrer P, Cooper S, Salkovskis P, et al. Clinical and cost-effectiveness of cognitive behaviour therapy for health anxiety in medical patients Lancet, 2014.PMID 24139977
  5. [5]Kirmayer LJ, Young A Culture and somatization: clinical, epidemiological, and ethnographic perspectives Psychosom Med, 1998.PMID 9710287
Psychiatry Fellowship Pro

$29/ monthor $279 / year

The complete Psychiatry Fellowship library, every exam format, one subscription.

  • Complete library for one chosen specialty
  • Timed MCQ mock exams and spaced review
  • Clinical cases & cross-table vivas
See pricingSign in
PreviousExplain a symptom score and negotiate a treatment change — CASC communication stationFoundations — rating scales and measurement-based careNextExplain abscond response and engage family — CASC communication stationEmergency psychiatry — absconding and missing patients