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.
On this page
Study tools
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]
References5ShowHide
- [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