Psych CASC / OSCE · General adult psychiatry — psychotic disorders
Explain delusional disorder and safety plan — CASC communication station
MRCPsych/FRANZCP-style communication station: explain partial psychosis/Othello risk, engagement principles, medication rationale, partner safety-netting, and check understanding.
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Study tools
Target exams
FRANZCPMRCPsychABPNMD-DNB
Prompt
Partner of a 44-year-old man with a working diagnosis of delusional disorder, jealous type, wants a clear explanation of the diagnosis, why it is not ‘just jealousy,’ what treatment involves, and how to stay safe at home.
Station brief
Format. Communication station, approximately 7–10 minutes after reading time. You are the psychiatry registrar in the community team. The examiner plays the partner. [1]
Candidate instructions. Explain the working diagnosis of delusional disorder (jealous type) in plain language, distinguish it from ordinary jealousy and from schizophrenia, outline engagement and medication rationale, address safety at home, and check understanding. Do not invent foreign legal section numbers. [1][2][3]
References5ShowHide
- [1]Opjordsmoen S Delusional disorder as a partial psychosis Schizophr Bull, 2014.PMID 24421383
- [2]González-Rodríguez A, Seeman MV Differences between delusional disorder and schizophrenia: A mini narrative review World J Psychiatry, 2022.PMID 35663297
- [3]Galletly C, Castle D, Dark F, et al. Royal Australian and New Zealand College of Psychiatrists clinical practice guidelines for the management of schizophrenia and related disorders Aust N Z J Psychiatry, 2016.PMID 27106681
- [4]Skelton M, Khokhar WA, Thacker SP Treatments for delusional disorder Cochrane Database Syst Rev, 2015.PMID 25997589
- [5]Iannuzzi GL, Patel AA, Stewart JT Aripiprazole and Delusional Disorder J Psychiatr Pract, 2019.PMID 30849061