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Psych CASC / OSCEConsultation-liaison — burns and critical illness psychiatry

Psych CASC / OSCE · Consultation-liaison — burns and critical illness psychiatry

Post-burn PTSD and body-image avoidance — CASC communication station

MRCPsych/FRANZCP-style CASC: trauma-informed interview for post-burn PTSD and body-image distress, risk assessment, collaborative rehabilitation planning, and family involvement with consent — without inventing legal sections.

communication2 min readVerification in progress

Target exams

FRANZCPMRCPsychABPNMD-DNB
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Study tools

Target exams

FRANZCPMRCPsychABPNMD-DNB
Prompt
A young adult after facial and hand burns avoids mirrors, cancels therapy, and has nightmares of the fire; you explore trauma and body-image distress, suicide risk, and negotiate a graded recovery plan with the burn team.

Station brief

Format. Communication station, approximately 7–10 minutes active time after reading. You are the psychiatry registrar attached to the burns service. [1]

Candidate instructions. Explore trauma symptoms and body-image distress after facial and hand burns. Screen depression and suicide risk. Link avoidance of mirrors and hand therapy to recovery goals without shame or coercion. Collaborate on a graded plan (pain, psychology, peer support, therapy scheduling). Offer family involvement with consent. Avoid inventing legal section numbers. [1][2][3]

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References5ShowHide
  1. [1]Van Loey NE, Van Son MJ Psychopathology and psychological problems in patients with burn scars: epidemiology and management Am J Clin Dermatol, 2003.PMID 12680803
  2. [2]McKibben JB, Bresnick MG, Wiechman Askay SA, Fauerbach JA Acute stress disorder and posttraumatic stress disorder: a prospective study of prevalence, course, and predictors in a sample with major burn injuries J Burn Care Res, 2008.PMID 18182894
  3. [3]Corry NH, Klick B, Fauerbach JA Posttraumatic stress disorder and pain impact functioning and disability after major burn injury J Burn Care Res, 2010.PMID 20061832
  4. [4]Thombs BD, Bresnick MG, Magyar-Russell G Depression in survivors of burn injury: a systematic review Gen Hosp Psychiatry, 2006.PMID 17088165
  5. [5]Fauerbach JA, Gehrke AK, Mason ST, et al. Cognitive Behavioral Treatment for Acute Posttrauma Distress: A Randomized, Controlled Proof-of-Concept Study in Burned Patients Arch Phys Med Rehabil, 2020.PMID 30776324
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