Psych CASC / OSCE · Child and adolescent psychiatry — neurodevelopmental
Explain autism diagnosis and irritability treatment to parents — CASC communication station
MRCPsych/FRANZCP-style communication station: explain DSM-framed ASD without jargon overload, early supports, no-core-drug principle, risperidone/aripiprazole only for severe irritability with monitoring, and hope with realistic supports.
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Station brief
Format. Communication station, approximately 7–10 minutes active time after reading. You are the CAMHS psychiatry registrar in the neurodevelopmental clinic. [1]
Candidate instructions. Explain the autism spectrum diagnosis to the parents, outline supports that help, address whether medication treats core autism, discuss options if severe irritability continues after behavioural help, and check understanding and safety. The examiner plays both parents. [1]
References4ShowHide
- [1]Hyman SL, Levy SE, Myers SM Identification, Evaluation, and Management of Children With Autism Spectrum Disorder Pediatrics, 2020.PMID 31843864
- [2]McCracken JT, McGough J, Shah B, et al. Risperidone in children with autism and serious behavioral problems N Engl J Med, 2002.PMID 12151468
- [3]Owen R, Sikich L, Marcus RN, et al. Aripiprazole in the treatment of irritability in children and adolescents with autistic disorder Pediatrics, 2009.PMID 19948625
- [4]Dawson G, Rogers S, Munson J, et al. Randomized, controlled trial of an intervention for toddlers with autism: the Early Start Denver Model Pediatrics, 2010.PMID 19948568