Psych CASC / OSCE · Intellectual disability psychiatry — neurodevelopmental dual diagnosis
Explain dual diagnosis, AAC and behaviour plan to carers — CASC communication station
MRCPsych/FRANZCP-style communication station: explain ASD+ID dual diagnosis without jargon overload, AAC as treatment, epilepsy awareness, PBS-first behaviour plan, and selective irritability medication only after formulation.
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Station brief
Format. Communication station, approximately 7–10 minutes active time after reading. You are the CAMHS / dual-diagnosis psychiatry registrar in the neurodevelopmental clinic. [1]
Candidate instructions. Explain dual diagnosis of autism and intellectual disability to the parents, outline assessment logic in plain language, discuss communication and AAC, mention epilepsy awareness without alarming, describe a behaviour plan that puts medical and PBS steps first, and only then address medicines for severe irritability if needed. Check understanding and safety. The examiner plays both parents. [1][2]
References5ShowHide
- [1]Hyman SL, Levy SE, Myers SM Identification, Evaluation, and Management of Children With Autism Spectrum Disorder Pediatrics, 2020.PMID 31843864
- [2]Thurm A, et al. State of the Field: Differentiating Intellectual Disability From Autism Spectrum Disorder Front Psychiatry, 2019.PMID 31417436
- [3]Lukmanji S, et al. The co-occurrence of epilepsy and autism: A systematic review Epilepsy Behav, 2019.PMID 31398688
- [4]McCracken JT, et al. Risperidone in children with autism and serious behavioral problems N Engl J Med, 2002.PMID 12151468
- [5]Owen R, et al. Aripiprazole in the treatment of irritability in children and adolescents with autistic disorder Pediatrics, 2009.PMID 19948625