Psych CASC / OSCE · Child and adolescent psychiatry — depression
Explain adolescent depression and fluoxetine plan to a parent — CASC communication station
MRCPsych/FRANZCP-style communication station: explain youth depression, rationale for fluoxetine with starting dose and monitoring, black-box risk in absolute terms, confidentiality/private interviews, school plan, and crisis pathways.
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Station brief
Format. Communication station, approximately 7–10 minutes. You are the psychiatry/CAMHS registrar. The examiner plays the mother; the young person may be present or represented as having consented to this discussion.[3][4]
Candidate instructions. Explain the diagnosis of adolescent major depression in plain language, the plan for CBT plus fluoxetine, expected benefits and side-effects, the black-box suicidality warning in balanced terms, early monitoring and what to do if mood or suicidal thoughts worsen, school support, and confidentiality limits. Check understanding and invite questions.[1][2][3]
References4ShowHide
- [1]March J, Silva S, Petrycki S, et al. Fluoxetine, cognitive-behavioral therapy, and their combination for adolescents with depression: Treatment for Adolescents With Depression Study (TADS) randomized controlled trial JAMA, 2004.PMID 15315995
- [2]Hammad TA, Laughren T, Racoosin J Suicidality in pediatric patients treated with antidepressant drugs Arch Gen Psychiatry, 2006.PMID 16520440
- [3]Cheung AH, Zuckerbrot RA, Jensen PS, et al. Guidelines for Adolescent Depression in Primary Care (GLAD-PC): Part II. Treatment and Ongoing Management Pediatrics, 2018.PMID 29483201
- [4]Malhi GS, Bell E, Bassett D, et al. The 2020 Royal Australian and New Zealand College of Psychiatrists clinical practice guidelines for mood disorders Aust N Z J Psychiatry, 2021.PMID 33353391