Explain CAT and negotiate a time-limited reformulation plan — CASC communication station

Station brief

Format. Communication station, approximately 7–10 minutes active time after reading. You are the psychiatry registrar in community mental health. [3]

Candidate instructions. The person wants CAT. Establish rapport and validate the request. Explain CAT in plain language (shared map of relationship patterns; written reformulation; time-limited weekly sessions; practising new ways out of stuck loops). Check current self-harm risk briefly and agree a safety net. Address fear of being “dropped” at the ending. Avoid jargon piles and false cure promises. [3][4][5]