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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Target exams
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]
You have read the opening of this CASC / OSCE. The complete unit — every section and its primary-source references — is part of the Psychiatry Fellowship fellowship atlas.
References3Show ledgerHide ledger
- [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