Psych CASC / OSCE · Psychotherapy — combined treatment
Explain combined treatment and co-design a plan — CASC communication station
MRCPsych/FRANZCP-style CASC: explain concurrent combination without jargon, address false dichotomy, outline what real CBT involves, keep medication plan, check understanding, avoid overpromise.
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Format. Communication station, approximately 7–10 minutes active time after reading. You are the psychiatry registrar in outpatient clinic.[1]
Candidate instructions. The patient has moderate–severe depression, has started sertraline, and was referred for CBT. They believe they must pick either tablets or talking therapy. Explain complementary roles, what structured CBT involves, why continuing medication can make sense now, how progress will be measured, and when to seek help. Check understanding; no cure promises; collaborative tone.[1][2][4]
References5ShowHide
- [1]Cuijpers P, Sijbrandij M, Koole SL, et al. Adding psychotherapy to antidepressant medication in depression and anxiety disorders: a meta-analysis World Psychiatry, 2014.PMID 24497254
- [2]DeRubeis RJ, Hollon SD, Amsterdam JD, et al. Cognitive therapy vs medications in the treatment of moderate to severe depression Arch Gen Psychiatry, 2005.PMID 15809408
- [3]Wiles N, Thomas L, Abel A, et al. Cognitive behavioural therapy as an adjunct to pharmacotherapy for primary care based patients with treatment resistant depression: results of the CoBalT randomised controlled trial Lancet, 2013.PMID 23219570
- [4]Cuijpers P, Noma H, Karyotaki E, et al. A network meta-analysis of the effects of psychotherapies, pharmacotherapies and their combination in the treatment of adult depression World Psychiatry, 2020.PMID 31922679
- [5]Hollon SD, DeRubeis RJ, Shelton RC, et al. Prevention of relapse following cognitive therapy vs medications in moderate to severe depression Arch Gen Psychiatry, 2005.PMID 15809409