Psych CASC / OSCE · Child and adolescent psychiatry — DMDD
Explain DMDD vs bipolar and the care plan to parents — CASC communication station
MRCPsych/FRANZCP-style communication station: explain DMDD in plain language, distinguish from bipolar, outline parent training and school plan, ADHD treatment rationale, and balanced discussion of when medication might be considered later.
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Format. Communication station, approximately 7–10 minutes. You are the CAMHS registrar. The examiner plays one or both parents.[1][2]
Candidate instructions. Explain the diagnosis of disruptive mood dysregulation disorder in plain language, how it differs from bipolar disorder, the plan for parent training and school support, why treating ADHD matters, and a balanced view of medication (not lithium first-line for this pattern). Check understanding and respond to fear of "missing bipolar."[1][4][5]
References5ShowHide
- [1]Roy AK, Lopes V, Klein RG Disruptive mood dysregulation disorder: a new diagnostic approach to chronic irritability in youth Am J Psychiatry, 2014.PMID 25178749
- [2]Leibenluft E Severe mood dysregulation, irritability, and the diagnostic boundaries of bipolar disorder in youths Am J Psychiatry, 2011.PMID 21123313
- [3]Copeland WE, Shanahan L, Egger H, et al. Adult diagnostic and functional outcomes of DSM-5 disruptive mood dysregulation disorder Am J Psychiatry, 2014.PMID 24781389
- [4]Dickstein DP, Towbin KE, Van Der Veen JW, et al. Randomized double-blind placebo-controlled trial of lithium in youths with severe mood dysregulation J Child Adolesc Psychopharmacol, 2009.PMID 19232024
- [5]Waxmonsky JG, Waschbusch DA, Belin P, et al. A Randomized Clinical Trial of an Integrative Group Therapy for Children With Severe Mood Dysregulation J Am Acad Child Adolesc Psychiatry, 2016.PMID 26903253