Psych CASC / OSCE · Professional — psychological therapies
Engage and orient to DBT / skills-based care — CASC communication station
MRCPsych/FRANZCP-style CASC: engage a person seeking DBT, explain modes/skills simply, address waitlists/partial care honestly, and collaborate on immediate safety and skills practice.
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Station brief
Format. Communication station, approximately 7–10 minutes active time after reading. You are the psychiatry registrar in community mental health. [1]
Candidate instructions. The person wants DBT. Establish rapport and validate the request. Explain comprehensive DBT in plain language (skills + individual work; staying alive as early focus). If full DBT is waitlisted, explain structured care alternatives without nihilism. Check current self-harm risk briefly and agree a safety net. Introduce one practical distress-tolerance idea collaboratively. Avoid jargon piles and false promises. [1][2][3]
References5ShowHide
- [1]Linehan MM, Armstrong HE, Suarez A, et al. Cognitive-behavioral treatment of chronically parasuicidal borderline patients Arch Gen Psychiatry, 1991.PMID 1845222
- [2]Linehan MM, Comtois KA, Murray AM, et al. Two-year randomized controlled trial and follow-up of dialectical behavior therapy vs therapy by experts for suicidal behaviors and borderline personality disorder Arch Gen Psychiatry, 2006.PMID 16818865
- [3]McMain SF, Links PS, Gnam WH, et al. A randomized trial of dialectical behavior therapy versus general psychiatric management for borderline personality disorder Am J Psychiatry, 2009.PMID 19755574
- [4]Crowell SE, Beauchaine TP, Linehan MM A biosocial developmental model of borderline personality: Elaborating and extending Linehan's theory Psychol Bull, 2009.PMID 19379027
- [5]Neacsiu AD, Eberle JW, Kramer R, et al. Dialectical behavior therapy skills for transdiagnostic emotion dysregulation: a pilot randomized controlled trial Behav Res Ther, 2014.PMID 24974307