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.
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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]
References3ShowHide
- [1]Lampe L, Malhi GS Avoidant personality disorder: current insights Psychol Res Behav Manag, 2018.PMID 29563846
- [2]Weinbrecht A, Schulze L, Boettcher J, Renneberg B Avoidant Personality Disorder: a Current Review Curr Psychiatry Rep, 2016.PMID 26830887
- [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