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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Target exams
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, contrast it carefully with BPD without pejorative language, outline the therapy options and their evidence, explain what the guideline says about medication, and safety-net. Check understanding. The examiner plays the patient.[5]
References7ShowHide
- [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
- [5]National Institute for Health and Care Excellence Post-traumatic stress disorder (NG116) NICE guideline NG116, 2018.Source
- [6]Cloitre M, Garvert DW, Weiss B, et al. Distinguishing PTSD, Complex PTSD, and Borderline Personality Disorder: A latent class analysis. European journal of psychotraumatology, 2014.PMID 25279111
- [7]Heywood S, Bunzli S, Dillon M, et al. Trauma-informed physiotherapy and the principles of safety, trustworthiness, choice, collaboration, and empowerment: a qualitative study. Physiotherapy theory and practice, 2025.PMID 38374583