Psych CASC / OSCE · Specialty psychiatry — eating disorders
Explain anorexia nervosa care and refeeding safety to a parent — CASC communication station
MRCPsych/FRANZCP-style communication station: explain AN, medical risk, refeeding, FBT, and limits of medication to a carer.
On this page
Study tools
Target exams
Station brief
Format. Communication station, approximately 7–10 minutes active time after reading. You are the psychiatry registrar on the paediatric/adolescent medical ward with eating disorder liaison. [5]
Candidate instructions. Explain the diagnosis of anorexia nervosa in plain language, why medical monitoring matters (heart rate, electrolytes), what refeeding syndrome is and how the team prevents it, why family-based treatment is recommended after stabilisation, and give a balanced answer on medication (not first-line in this adolescent scenario). Check understanding and invite questions. The examiner plays the parent. [1][2][5]
References5ShowHide
- [1]Lock J, Le Grange D, Agras WS, et al. Randomized clinical trial comparing family-based treatment with adolescent-focused individual therapy for adolescents with anorexia nervosa Arch Gen Psychiatry, 2010.PMID 20921118
- [2]Society for Adolescent Health and Medicine Refeeding hypophosphatemia in hospitalized adolescents with anorexia nervosa: a position statement of the Society for Adolescent Health and Medicine J Adolesc Health, 2014.PMID 25151056
- [3]Sachs KV, Harnke B, Mehler PS, et al. Cardiovascular complications of anorexia nervosa: A systematic review Int J Eat Disord, 2016.PMID 26710932
- [4]Attia E, Steinglass JE, Walsh BT, et al. Olanzapine Versus Placebo in Adult Outpatients With Anorexia Nervosa: A Randomized Clinical Trial Am J Psychiatry, 2019.PMID 30654643
- [5]Society for Adolescent Health and Medicine Medical Management of Restrictive Eating Disorders in Adolescents and Young Adults J Adolesc Health, 2022.PMID 36058805