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 / OSCEAddiction psychiatry

Psych CASC / OSCE · Addiction psychiatry

Addiction in older adults — CASC communication station

MRCPsych/FRANZCP-style communication station: non-stigmatising engagement, explain age-related harm and falls, reject abrupt stop of zopiclone plus alcohol, negotiate screening and gradual plan, involve family constructively.

communication1 min readVerification in progress

Target exams

FRANZCPMRCPsychABPNMD-DNB
On this page
Study tools

Target exams

FRANZCPMRCPsychABPNMD-DNB
Prompt
A 69-year-old retired teacher attends with her adult son. Since retirement she drinks a bottle of wine most days 'to relax' and takes zopiclone 7.5 mg most nights. She has had two falls. She is insulted by the word 'addiction' and says older people deserve a drink. The son wants everything stopped this week before a cruise.

Station brief

Format. Communication and shared decision-making station, approximately 7–10 minutes after reading time. You are the psychiatry registrar in clinic. [1]

Candidate instructions. Engage without stigma, explain why alcohol plus zopiclone raise falls and cognitive risk in later life, refuse unsafe same-week cold turkey, outline a gradual collaborative plan (screening, sleep alternatives, possible alcohol reduction/pharmacotherapy later), involve the son as support, and safety-net. Do not invent statute numbers. [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]Lehmann SW, Fingerhood M. Substance-Use Disorders in Later Life N Engl J Med, 2018.PMID 30575463
  2. [2]Kuerbis A, Sacco P, Blazer DG, et al. Substance abuse among older adults Clin Geriatr Med, 2014.PMID 25037298
  3. [3]Tannenbaum C, Martin P, Tamblyn R, et al. Reduction of inappropriate benzodiazepine prescriptions among older adults through direct patient education: the EMPOWER cluster randomized trial JAMA Intern Med, 2014.PMID 24733354
  4. [4]Glass J, Lanctôt KL, Herrmann N, et al. Sedative hypnotics in older people with insomnia: meta-analysis of risks and benefits BMJ, 2005.PMID 16284208
  5. [5]Schonfeld L, King-Kallimanis BL, Duchene DM, et al. Screening and brief intervention for substance misuse among older adults: the Florida BRITE project Am J Public Health, 2010.PMID 19443821
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
NextBenzodiazepine dependence counselling — CASC communication stationAddiction psychiatry