Psych CASC / OSCE · Child and adolescent psychiatry — neurodevelopmental
Explain adult ADHD diagnosis and treatment plan — CASC communication station
MRCPsych/FRANZCP-style communication station: explain adult ADHD formulation, multimodal treatment including medication monitoring, diversion/SUD counselling, and driving advice in plain language.
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Station brief
Format. Communication station, approximately 7–10 minutes active time after reading. You are the psychiatry registrar in the adult neurodevelopmental clinic. [2]
Candidate instructions. Explain the working diagnosis of adult ADHD grounded in childhood-onset multi-setting impairment, outline multimodal treatment (skills/accommodations and possible medication), address fears about addiction/diversion, discuss monitoring and driving, and check understanding. The examiner plays the patient; a partner may also be present. [2]
References5ShowHide
- [1]Kessler RC, Adler L, Barkley R, et al. The prevalence and correlates of adult ADHD in the United States: results from the National Comorbidity Survey Replication Am J Psychiatry, 2006.PMID 16585449
- [2]Kooij JJS, Bijlenga D, Salerno L, et al. Updated European Consensus Statement on diagnosis and treatment of adult ADHD Eur Psychiatry, 2019.PMID 30453134
- [3]Safren SA, Sprich S, Mimiaga MJ, et al. Cognitive behavioral therapy vs relaxation with educational support for medication-treated adults with ADHD and persistent symptoms: a randomized controlled trial JAMA, 2010.PMID 20736471
- [4]Vaa T ADHD and relative risk of accidents in road traffic: a meta-analysis Accid Anal Prev, 2014.PMID 24238842
- [5]Cortese S, Adamo N, Del Giovane C, et al. Comparative efficacy and tolerability of medications for attention-deficit hyperactivity disorder in children, adolescents, and adults: a systematic review and network meta-analysis Lancet Psychiatry, 2018.PMID 30097390