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Psych CASC / OSCEGeneral adult psychiatry — personality disorders

Psych CASC / OSCE · General adult psychiatry — personality disorders

Explain avoidant PD and therapy plan — CASC communication station

MRCPsych/FRANZCP-style communication station: explain AVPD without stigma, outline CBT/exposure and schema options, clarify medication role for comorbidity, address ASD differential gently, check understanding.

communication2 min readVerification in progress

Target exams

FRANZCPMRCPsychABPNMD-DNB
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Study tools

Target exams

FRANZCPMRCPsychABPNMD-DNB
Prompt
A 29-year-old man has just been told he has avoidant personality disorder. He fears this means he is 'broken forever' and asks whether tablets will make him confident. He wants to know how therapy works and whether he is 'just shy' or 'on the spectrum.'

Station brief

Format. Communication station, approximately 7–10 minutes active time after reading. You are the psychiatry registrar in outpatient clinic. [1]

Candidate instructions. Explain avoidant personality disorder in plain language without stigma, outline structured psychological therapy, clarify that tablets do not “cure personality” but may help depression or social anxiety if present, gently address how autism differs and when further assessment is considered, and check understanding. The examiner plays the patient. [1][3]

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References3ShowHide
  1. [1]Lampe L, Malhi GS Avoidant personality disorder: current insights Psychol Res Behav Manag, 2018.PMID 29563846
  2. [2]Bamelis LL, Evers SM, Spinhoven P, Arntz A Results of a multicenter randomized controlled trial of the clinical effectiveness of schema therapy for personality disorders Am J Psychiatry, 2014.PMID 24322378
  3. [3]Lugnegård T, Hallerbäck MU, Gillberg C Personality disorders and autism spectrum disorders: what are the connections? Compr Psychiatry, 2012.PMID 21821235
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