Psych CASC / OSCE · Psychotherapy
Explain ACT and set a values-based action — CASC communication station
MRCPsych/FRANZCP-style CASC: plain-language ACT explanation, control agenda, willingness, one values-linked homework, medication questions, safety-net.
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Target exams
FRANZCPMRCPsychABPNMD-DNB
Prompt
An anxious adult wants thoughts eliminated before living; explain ACT, psychological flexibility, and co-create one committed action without anti-medication messaging or jargon overload.
Station brief
Format. Communication station, approximately 7–10 minutes active time after reading. You are the psychiatry registrar in outpatient clinic. [1]
Candidate instructions. The patient has anxiety and has been waiting to "feel normal" before returning to a valued activity. Explain what ACT is in plain language, introduce willingness versus struggle, link to one valued direction, set one small committed action, and answer whether they must stop their SSRI. Check understanding; avoid promising cure; collaborative tone. [1][3]
References5ShowHide
- [1]Hayes SC, Luoma JB, Bond FW, Masuda A, Lillis J Acceptance and commitment therapy: model, processes and outcomes Behav Res Ther, 2006.PMID 16300724
- [2]Hayes SC, Wilson KG, Gifford EV, Follette VM, Strosahl K Experiential avoidance and behavioral disorders: a functional dimensional approach to diagnosis and treatment J Consult Clin Psychol, 1996.PMID 8991302
- [3]A-Tjak JG, Davis ML, Morina N, Powers MB, Smits JA, Emmelkamp PM A meta-analysis of the efficacy of acceptance and commitment therapy for clinically relevant mental and physical health problems Psychother Psychosom, 2015.PMID 25547522
- [4]Arch JJ, Eifert GH, Davies C, et al. Randomized clinical trial of cognitive behavioral therapy (CBT) versus acceptance and commitment therapy (ACT) for mixed anxiety disorders J Consult Clin Psychol, 2012.PMID 22563639
- [5]Bond FW, Hayes SC, Baer RA, et al. Preliminary psychometric properties of the Acceptance and Action Questionnaire-II: a revised measure of psychological inflexibility and experiential avoidance Behav Ther, 2011.PMID 22035996