Psych CASC / OSCE · General adult psychiatry — personality disorders
Explain dependent personality disorder and autonomy-focused plan — CASC communication station
MRCPsych/FRANZCP-style communication station: explain DPD without stigma, outline CBT autonomy plan, clarify limited medication role, address abandonment fears in the alliance, safety-net after losses.
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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 dependent personality disorder in plain language without stigma, clarify how it differs from healthy interdependence, outline why structured psychotherapy building graded autonomy is first-line, clarify that medication treats depression or anxiety rather than "curing personality," address fear that independence means the team will abandon her, and check understanding. The examiner plays the patient. [1][2]
References3ShowHide
- [1]Disney KL Dependent personality disorder: a critical review Clin Psychol Rev, 2013.PMID 24185092
- [2]Bornstein RF From dysfunction to adaptation: an interactionist model of dependency J Pers, 2012.PMID 22458867
- [3]Bamelis LL, Evers SM, Spinhoven P, Arntz A Results of a multicenter randomized controlled trial of the clinical effectiveness of schema therapy for personality disorders Am J Psychiatry, 2014.PMID 24322378