Psych CASC / OSCE · Child and adolescent psychiatry — early-onset psychosis
Explain early-onset psychosis care to parents — CASC communication station
MRCPsych/FRANZCP-style communication station: explain EOP pathway, organic/baseline checks, start-low antipsychotic with monitoring, family and school roles, cannabis advice, and clozapine threshold without fatalism.
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Target exams
Station brief
Format. Communication station, approximately 7–10 minutes active time after reading. You are the CAP psychiatry registrar in the youth early intervention / CAMHS clinic. [1]
Candidate instructions. Explain the working diagnosis of early-onset psychosis to the parents, outline medical checks and treatment (medication and psychosocial including school), discuss metabolic monitoring and cannabis, address what happens if the first medication does not work, and check understanding. The examiner plays both parents. [1]
References4ShowHide
- [1]McClellan J, Stock S Practice parameter for the assessment and treatment of children and adolescents with schizophrenia J Am Acad Child Adolesc Psychiatry, 2013.PMID 23972700
- [2]Correll CU, et al. Cardiometabolic risk of second-generation antipsychotic medications during first-time use in children and adolescents JAMA, 2009.PMID 19861668
- [3]Kumra S, et al. Clozapine and "high-dose" olanzapine in refractory early-onset schizophrenia: a 12-week randomized and double-blind comparison Biol Psychiatry, 2008.PMID 17651705
- [4]Marshall M, et al. Association between duration of untreated psychosis and outcome in cohorts of first-episode patients: a systematic review Arch Gen Psychiatry, 2005.PMID 16143729