Psych CASC / OSCE · Child and adolescent psychiatry — eating disorders
Explain FBT and medical risk to parents of a teen with AN — CASC communication station
MRCPsych/FRANZCP-style communication station: FBT psychoeducation, medical risk, refeeding concern, SSRI boundaries, collaborative legal framing without jargon overload.
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Study tools
Target exams
FRANZCPMRCPsychABPNMD-DNB
Prompt
Parents of a 14-year-old recently diagnosed with anorexia nervosa want a plain-language explanation of the diagnosis, why hospital might be needed if vitals worsen, what family-based treatment involves (especially Phase 1), why fluoxetine is not the main treatment for AN weight restoration, and how capacity/consent works if she refuses food when medically unstable.
Station brief
Format. Communication station, approximately 7–10 minutes active time after reading. You are the psychiatry registrar in the paediatric–psychiatry eating disorders clinic. [4]
Candidate instructions. Explain AN and medical risk to the parents, outline FBT Phase 1, address guilt, explain why fluoxetine is not the primary AN weight treatment, safety-net red flags for emergency care, and check understanding. The examiner plays a parent. [1][2][4]
References5ShowHide
- [1]Lock J, Le Grange D, Agras WS, et al. Randomized clinical trial comparing family-based treatment with adolescent-focused individual therapy for adolescents with anorexia nervosa Arch Gen Psychiatry, 2010.PMID 20921118
- [2]Golden NH, Katzman DK, Sawyer SM, et al. Position Paper of the Society for Adolescent Health and Medicine: medical management of restrictive eating disorders in adolescents and young adults J Adolesc Health, 2015.PMID 25530605
- [3]Walsh BT, Kaplan AS, Attia E, et al. Fluoxetine after weight restoration in anorexia nervosa: a randomized controlled trial JAMA, 2006.PMID 16772623
- [4]Hay P, Chinn D, Forbes D, et al. Royal Australian and New Zealand College of Psychiatrists clinical practice guidelines for the treatment of eating disorders Aust N Z J Psychiatry, 2014.PMID 25351912
- [5]Couturier J, Kimber M, Szatmari P. Efficacy of family-based treatment for adolescents with eating disorders: a systematic review and meta-analysis Int J Eat Disord, 2013.PMID 22821753