Psych CASC / OSCE · Child and adolescent psychiatry — disruptive behaviour
Explain ODD/CD formulation and parent training plan — CASC communication station
MRCPsych/FRANZCP-style communication station: explain ODD vs CD, developmental risk without fatalism, parent management training rationale, and limited medication role without shaming caregivers.
On this page
Study tools
Target exams
Station brief
Format. Communication station, approximately 7–10 minutes active time after reading. You are the CAMHS psychiatry registrar. [1]
Candidate instructions. Explain the working diagnosis (likely ODD with risk of progression if untreated drivers continue; clarify that ASPD is not a child diagnosis), outline multi-informant assessment already supporting multi-setting problems, present parent management training as skilled treatment not blame, discuss school collaboration, and address medication expectations honestly. Check understanding and negotiate a collaborative plan. [1][2]
References5ShowHide
- [1]Steiner H, Remsing L Practice parameter for the assessment and treatment of children and adolescents with oppositional defiant disorder J Am Acad Child Adolesc Psychiatry, 2007.PMID 17195736
- [2]Scott S, Spender Q, Doolan M, et al. Multicentre controlled trial of parenting groups for childhood antisocial behaviour in clinical practice BMJ, 2001.PMID 11473908
- [3]Moffitt TE Adolescence-limited and life-course-persistent antisocial behavior: a developmental taxonomy Psychol Rev, 1993.PMID 8255953
- [4]Gorman DA, Gardner DM, Murphy AL, et al. Canadian guidelines on pharmacotherapy for disruptive and aggressive behaviour in children and adolescents with attention-deficit hyperactivity disorder, oppositional defiant disorder, or conduct disorder Can J Psychiatry, 2015.PMID 25886657
- [5]Robins LN Deviant children grown up Eur Child Adolesc Psychiatry, 1996.PMID 9010663