Psych CASC / OSCE · Old age psychiatry — neurocognitive disorders
Explain frontotemporal dementia diagnosis and plan to patient and partner — CASC communication station
MRCPsych/FRANZCP-style communication station: explain bvFTD, contrast with psychiatric labels, outline care and medication limits, discuss genetic implications sensitively, and safety-net risk.
On this page
Study tools
Target exams
Station brief
Format. Communication station, approximately 7–10 minutes active time after reading. You are the psychiatry registrar in the memory/behaviour clinic. [2][3]
Candidate instructions. Explain probable behavioural variant frontotemporal dementia in plain language; address the wife's fear that he is "just selfish" or "manic"; outline why memory scores can look relatively good early; discuss supports and medication limits (including that Alzheimer tablets are not usually the right first step); mention genetics only with sensitivity and offer counselling rather than dumping risk statistics; cover driving/finances safety; check understanding. [1][2][3]
References6ShowHide
- [1]Rascovsky K, Hodges JR, Knopman D, et al. Sensitivity of revised diagnostic criteria for the behavioural variant of frontotemporal dementia Brain, 2011.PMID 21810890
- [2]Bang J, Spina S, Miller BL Frontotemporal dementia Lancet, 2015.PMID 26595641
- [3]Piguet O, Hornberger M, Mioshi E, Hodges JR Behavioural-variant frontotemporal dementia: diagnosis, clinical staging, and management Lancet Neurol, 2011.PMID 21147039
- [4]Huey ED, Putnam KT, Grafman J A systematic review of neurotransmitter deficits and treatments in frontotemporal dementia Neurology, 2006.PMID 16401839
- [5]DeJesus-Hernandez M, Mackenzie IR, Boeve BF, et al. Expanded GGGGCC hexanucleotide repeat in noncoding region of C9ORF72 causes chromosome 9p-linked FTD and ALS Neuron, 2011.PMID 21944778
- [6]Schneider LS, Dagerman KS, Insel P Risk of death with atypical antipsychotic drug treatment for dementia: meta-analysis of randomized placebo-controlled trials JAMA, 2005.PMID 16234500