Psych CASC / OSCE · General adult psychiatry — early psychosis pathway
Explain first-episode psychosis care to parents — CASC communication station
MRCPsych/FRANZCP-style communication station: explain FEP pathway, EIS multi-element care, low-dose antipsychotic plan, DUP, maintenance after remission, cannabis advice, and vocational hope.
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Study tools
Target exams
FRANZCPMRCPsychABPNMD-DNB
Prompt
Parents of a 19-year-old with first-episode psychosis want a plain-language explanation of diagnosis, treatment, cannabis, medication duration and whether university must stop.
Station brief
Format. Communication station, approximately 7–10 minutes active time after reading. You are the psychiatry registrar in the early intervention clinic. [1]
Candidate instructions. Explain the working diagnosis of first-episode psychosis to the parents, outline medical checks and treatment (medication and psychosocial), discuss cannabis, address medication duration after improvement, and discuss study/work goals. Check understanding. The examiner plays both parents. [1]
References3ShowHide
- [1]Kane JM, Robinson DG, Schooler NR, et al. Comprehensive Versus Usual Community Care for First-Episode Psychosis: 2-Year Outcomes From the NIMH RAISE Early Treatment Program Am J Psychiatry, 2016.PMID 26481174
- [2]Marshall M, Lewis S, Lockwood A, 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
- [3]Zipursky RB, Menezes NM, Streiner DL Risk of symptom recurrence with medication discontinuation in first-episode psychosis: a systematic review Schizophr Res, 2014.PMID 23972821