Psych CASC / OSCE · Child and adolescent psychiatry — elimination disorders
Explain bedwetting and soiling without shame — CASC communication station
MRCPsych/FRANZCP-style communication station: explain primary MNE and retentive encopresis, stop punishment, outline alarm vs desmopressin and bowel programme, safety-net red flags.
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Station brief
Format. Communication station, approximately 7–10 minutes active time after reading. You are the CAMHS psychiatry registrar. [1]
Candidate instructions. Engage without shaming parents or child; explain working diagnoses of primary night-time bedwetting and constipation with overflow soiling; stop punitive sheet-washing; outline assessment and plan (bowel programme, alarm for lasting dryness, desmopressin for camp with fluid rules); answer "is it psychiatric disease?" honestly; check understanding and agree next steps. [1][2][5]
References6ShowHide
- [1]Fritz G, Rockney R, et al. Practice parameter for the assessment and treatment of children and adolescents with enuresis J Am Acad Child Adolesc Psychiatry, 2004.PMID 15564822
- [2]Nunes VD, O'Flynn N, Evans J, Sawyer L Management of bedwetting in children and young people: summary of NICE guidance BMJ, 2010.PMID 20980375
- [3]Caldwell PH, Codarini M, Stewart F, Hahn D, Sureshkumar P Alarm interventions for nocturnal enuresis in children Cochrane Database Syst Rev, 2020.PMID 32364251
- [4]Hahn D, et al. Desmopressin for nocturnal enuresis in children Cochrane Database Syst Rev, 2025.PMID 40728007
- [5]Tabbers MM, DiLorenzo C, Berger MY, et al. Evaluation and treatment of functional constipation in infants and children: evidence-based recommendations from ESPGHAN and NASPGHAN J Pediatr Gastroenterol Nutr, 2014.PMID 24345831
- [6]Loening-Baucke V Functional fecal retention with encopresis in childhood J Pediatr Gastroenterol Nutr, 2004.PMID 14676600