Psych CASC / OSCE · General adult psychiatry — personality disorders
Explain BPD diagnosis and therapy plan — CASC communication station
MRCPsych/FRANZCP-style communication station: explain BPD without stigma, outline structured psychotherapy (DBT or equivalent), clarify limited medication role, address self-harm and crisis plan, check understanding.
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Target exams
Station brief
Format. Communication station, approximately 7–10 minutes active time after reading. You are the psychiatry registrar in the outpatient clinic. [3]
Candidate instructions. Explain the diagnosis of borderline personality disorder in plain language without stigma, outline why structured psychotherapy is first-line, clarify that medication is not a cure for BPD itself, discuss safety planning for self-harm urges, and check understanding. The examiner plays the patient. [3]
References3ShowHide
- [1]Linehan MM, Comtois KA, Murray AM, et al. Two-year randomized controlled trial and follow-up of dialectical behavior therapy vs therapy by experts for suicidal behaviors and borderline personality disorder Arch Gen Psychiatry, 2006.PMID 16818865
- [2]Kendall T, Burbeck R, Bateman A Pharmacotherapy for borderline personality disorder: NICE guideline Br J Psychiatry, 2010.PMID 20118465
- [3]Bohus M, Stoffers-Winterling J, Sharp C, et al. Borderline personality disorder Lancet, 2021.PMID 34688371