Psych CASC / OSCE · Child and adolescent psychiatry — OCRD
Explain childhood OCD and treatment options to parents — CASC communication station
MRCPsych/FRANZCP-style communication station: explain paediatric OCD without psychosis myths, outline ERP and family roles, address SSRI black-box concerns, and place PANDAS in context.
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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 child mental health clinic. [2]
Candidate instructions. Explain the working diagnosis of OCD in plain language, correct psychosis and PANDAS myths as appropriate to a gradual developmental presentation, outline ERP and the family’s role in reducing accommodation, discuss when SSRIs are considered including monitoring for activation/suicidality, and agree a collaborative plan with school liaison. The examiner plays a parent. [2][3]
References6ShowHide
- [1]Pediatric OCD Treatment Study (POTS) Team Cognitive-behavior therapy, sertraline, and their combination for children and adolescents with obsessive-compulsive disorder: the Pediatric OCD Treatment Study (POTS) randomized controlled trial JAMA, 2004.PMID 15507582
- [2]American Academy of Child and Adolescent Psychiatry Practice parameter for the assessment and treatment of children and adolescents with obsessive-compulsive disorder J Am Acad Child Adolesc Psychiatry, 2012.PMID 22176943
- [3]Calvocoressi L, Lewis B, Harris M, et al. Family accommodation in obsessive-compulsive disorder Am J Psychiatry, 1995.PMID 7864273
- [4]Swedo SE, Leonard HL, Garvey M, et al. Pediatric autoimmune neuropsychiatric disorders associated with streptococcal infections: clinical description of the first 50 cases Am J Psychiatry, 1998.PMID 9464208
- [5]March JS, Biederman J, Wolkow R, et al. Sertraline in children and adolescents with obsessive-compulsive disorder: a multicenter randomized controlled trial JAMA, 1998.PMID 9842950
- [6]Scahill L, Riddle MA, McSwiggin-Hardin M, et al. Children's Yale-Brown Obsessive Compulsive Scale: reliability and validity J Am Acad Child Adolesc Psychiatry, 1997.PMID 9183141