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.
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Target exams
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]
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 atlas.
References5Show ledgerHide ledger
- [1]Pilowsky I Abnormal illness behaviour Br J Med Psychol, 1969.PMID 5378602
- [2]Henningsen P, Zipfel S, Herzog W Management of functional somatic syndromes Lancet, 2007.PMID 17368156
- [3]Barsky AJ, Ahern DK Cognitive behavior therapy for hypochondriasis: a randomized controlled trial JAMA, 2004.PMID 15039413
- [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]Kirmayer LJ, Young A Culture and somatization: clinical, epidemiological, and ethnographic perspectives Psychosom Med, 1998.PMID 9710287