Psych CASC / OSCE · General adult psychiatry — trauma and stressor-related disorders
Explain complex PTSD and a trauma-informed treatment plan — CASC communication station
MRCPsych/FRANZCP-style communication station: explain ICD-11 CPTSD in plain language, DSO triad, collaborative trauma-focused and skills-based plan, optional sertraline with monitoring, safety-netting, and trauma-informed stance.
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Station brief
Format. Communication station, approximately 7–10 minutes active time after reading. You are the psychiatry registrar in the outpatient clinic. [1]
Candidate instructions. Explain complex PTSD in accessible language (PTSD plus difficulties with emotions, self-worth and relationships after prolonged trauma), contrast carefully with BPD without pejorative language, outline a skills-then-trauma-processing plan with patient control, discuss optional sertraline with early monitoring, and safety-net for worsening ideation or unsafe home situations. Check understanding. The examiner plays the patient. [1][4]
References4ShowHide
- [1]Brewin CR, Cloitre M, Hyland P, et al. A review of current evidence regarding the ICD-11 proposals for diagnosing PTSD and complex PTSD Clin Psychol Rev, 2017.PMID 29029837
- [2]Cloitre M, Stovall-McClough KC, Nooner K, et al. Treatment for PTSD related to childhood abuse: a randomized controlled trial Am J Psychiatry, 2010.PMID 20595411
- [3]Brady K, Pearlstein T, Asnis GM, et al. Efficacy and safety of sertraline treatment of posttraumatic stress disorder JAMA, 2000.PMID 10770145
- [4]Harris M, Fallot RD Designing trauma-informed addictions services New Dir Ment Health Serv, 2001.PMID 11291263