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Psych CASC / OSCEGeneral adult psychiatry — personality disorders

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.

communication2 min readVerification in progress

Target exams

FRANZCPMRCPsychABPNMD-DNB
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Study tools

Target exams

FRANZCPMRCPsychABPNMD-DNB
Prompt
A 27-year-old woman has been told she may have dependent personality disorder. She fears the label means she is 'weak and untreatable.' She wants to know how this differs from being a caring partner, whether tablets will fix her, and what therapy involves. She also worries you will abandon her if she tries to be independent.

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]

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References3ShowHide
  1. [1]Disney KL Dependent personality disorder: a critical review Clin Psychol Rev, 2013.PMID 24185092
  2. [2]Bornstein RF From dysfunction to adaptation: an interactionist model of dependency J Pers, 2012.PMID 22458867
  3. [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
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