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Psych CASC / OSCEGeneral adult psychiatry — personality disorders

Psych CASC / OSCE · General adult psychiatry — personality disorders

Explain avoidant personality disorder and therapy plan — CASC communication station

MRCPsych/FRANZCP-style communication station: explain AVPD without stigma, outline CBT exposure plan, clarify limited medication role, address isolation and alcohol safety behaviour, check understanding.

communication2 min readVerification in progress

Target exams

FRANZCPMRCPsychABPNMD-DNB
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Study tools

Target exams

FRANZCPMRCPsychABPNMD-DNB
Prompt
A 26-year-old man has been told he may have avoidant personality disorder. He fears the label means he is 'broken and untreatable.' He wants to know how this differs from social anxiety, whether tablets will fix him, and what therapy involves.

Station brief

Format. Communication station, approximately 7–10 minutes active time after reading. You are the psychiatry registrar in the outpatient clinic. [1]

Candidate instructions. Explain avoidant personality disorder in plain language without stigma, clarify its relationship to social anxiety, outline why structured CBT (exposure and dropping safety behaviours) is first-line, clarify that medication treats anxiety or depression rather than “curing personality,” discuss alcohol as a short-term social crutch, and check understanding. The examiner plays the patient. [1][2]

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References3ShowHide
  1. [1]Lampe L, Malhi GS Avoidant personality disorder: current insights Psychol Res Behav Manag, 2018.PMID 29563846
  2. [2]Weinbrecht A, Schulze L, Boettcher J, Renneberg B Avoidant Personality Disorder: a Current Review Curr Psychiatry Rep, 2016.PMID 26830887
  3. [3]Mayo-Wilson E, Dias S, Mavranezouli I, Kew K, Clark DM, et al. Psychological and pharmacological interventions for social anxiety disorder in adults: a systematic review and network meta-analysis Lancet Psychiatry, 2014.PMID 26361000
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