Psych CASC / OSCE · Psychopharmacology — antipsychotics
Explaining antipsychotic choice and metabolic monitoring (CASC)
CASC-style communication station: shared decision on antipsychotic choice, metabolic risk, monitoring plan, and myths about addiction/strength.
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Target exams
FRANZCPMRCPsychABPNMD-DNB
Prompt
Parent of a 19-year-old with first-episode psychosis asks why you are not starting 'the strongest tablet', worries about weight and diabetes, and asks if the medicine is addictive.
Station instructions (candidate)
You have 7 minutes. Explain recommended antipsychotic treatment for first-episode psychosis to a concerned parent, including benefits, metabolic monitoring, and what happens if the first medicine does not help. Avoid jargon without explanation. Do not guarantee cure. Anchor explanations in effectiveness evidence and early intervention models rather than brand slogans.[1][3]
References3ShowHide
- [1]Lieberman JA, Stroup TS, McEvoy JP, et al. Effectiveness of antipsychotic drugs in patients with chronic schizophrenia N Engl J Med, 2005.PMID 16172203
- [2]Leucht S, Cipriani A, Spineli L, et al. Comparative efficacy and tolerability of 15 antipsychotic drugs in schizophrenia: a multiple-treatments meta-analysis Lancet, 2013.PMID 23810019
- [3]Kane JM, Robinson DG, Schooler NR, et al. Comprehensive Versus Usual Community Care for First-Episode Psychosis: 2-Year Outcomes From the NIMH RAISE Early Treatment Program Am J Psychiatry, 2016.PMID 26481174