Psych CASC / OSCE · General adult psychiatry — trauma and stressor-related
Explain adjustment disorder and brief therapy plan — CASC communication station
MRCPsych/FRANZCP-style communication station: explain AD vs depression, watchful waiting and brief psychological care, selective medication, alcohol/sleep advice, and safety-netting.
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Station brief
Format. Communication station, approximately 7–10 minutes active time after reading. You are the psychiatry registrar in the outpatient clinic. [3]
Candidate instructions. Explain the likely diagnosis of adjustment disorder, how it differs from major depression, why brief psychological treatment and active monitoring are recommended first, when medication might be considered later, sleep and alcohol advice, and clear safety-netting for suicidal thoughts. Check understanding. The examiner plays the patient. [1][3]
References4ShowHide
- [1]Bachem R, Casey P Adjustment disorder: A diagnosis whose time has come J Affect Disord, 2018.PMID 29107817
- [2]Domhardt M, Baumeister H Psychotherapy of adjustment disorders World J Biol Psychiatry, 2018.PMID 30204563
- [3]Geer K Adjustment Disorder: Diagnosis and Treatment in Primary Care Prim Care, 2023.PMID 36822730
- [4]Casey P Adjustment disorder: epidemiology, diagnosis and treatment CNS Drugs, 2009.PMID 19845414