Psych CASC / OSCE · General adult psychiatry — dissociative disorders
Explain dissociative symptoms, differential and treatment plan — CASC communication station
MRCPsych/FRANZCP-style communication station: explain dissociation in plain language, discuss differential without colluding or dismissing, outline DES/clinical assessment, phase-based care, comorbidity medication concepts, and safety-netting.
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Format. Communication station, approximately 7–10 minutes active time after reading. You are the psychiatry registrar in the outpatient clinic.[1]
Candidate instructions. Explain dissociative symptoms in accessible language; clarify that diagnosis needs careful assessment (not online checklists alone); outline safety planning; describe phase-based psychological treatment; mention that medication, if used, targets depression/anxiety/PTSD rather than "removing alters"; avoid promising hypnosis-for-all-memories; check understanding and safety-net.[2][4]
References4ShowHide
- [1]Dorahy MJ, Brand BL, Sar V, et al. Dissociative identity disorder: An empirical overview Aust N Z J Psychiatry, 2014.PMID 24788904
- [2]International Society for the Study of Trauma and Dissociation Guidelines for treating dissociative identity disorder in adults, third revision J Trauma Dissociation, 2011.PMID 21391103
- [3]Hunter EC, Baker D, Phillips ML, et al. Cognitive-behaviour therapy for depersonalisation disorder: an open study Behav Res Ther, 2005.PMID 16005701
- [4]Foote B, Smolin Y, Neft DI, Lipschitz D Dissociative disorders and suicidality in psychiatric outpatients J Nerv Ment Dis, 2008.PMID 18195639