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Psych CASC / OSCEAddiction psychiatry — behavioural addictions

Psych CASC / OSCE · Addiction psychiatry — behavioural addictions

Explain gaming disorder and a CBT plan — CASC communication station

MRCPsych/FRANZCP-style communication station: explain ICD-11 gaming disorder vs high engagement, negotiate a collaborative CBT/family plan, refuse magical medical fixes, address risk and school, without shaming or colluding.

communication1 min readVerification in progress

Target exams

FRANZCPMRCPsychABPNMD-DNB
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Study tools

Target exams

FRANZCPMRCPsychABPNMD-DNB
Prompt
Parents of a 16-year-old demand you 'admit him for gaming detox and start the addiction injection.' The young person says 'it's just a hobby' and rolls his eyes. School has emailed about non-attendance.

Station brief

Format. Communication station, approximately 7–10 minutes active time after reading. You are the psychiatry registrar. Examiner may play parent and/or young person. [1]

Candidate instructions. Engage both parties. Explain when gaming becomes a disorder (control, priority, harm, impairment — not hours alone). Outline CBT and family-based care as first-line. Correct myths about detox admission and "addiction injection." Address school non-attendance and risk if limits are forced. Agree next steps with teach-back. [2][3]

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References4ShowHide
  1. [1]Saunders JB, et al. Gaming disorder: Its delineation as an important condition for diagnosis, management, and prevention J Behav Addict, 2017.PMID 28816494
  2. [2]Stevens MWR, et al. Cognitive-behavioral therapy for Internet gaming disorder: A systematic review and meta-analysis Clin Psychol Psychother, 2019.PMID 30341981
  3. [3]Wölfling K, et al. Efficacy of Short-term Treatment of Internet and Computer Game Addiction: A Randomized Clinical Trial JAMA Psychiatry, 2019.PMID 31290948
  4. [4]King DL, et al. Policy and Prevention Approaches for Disordered and Hazardous Gaming and Internet Use: an International Perspective Curr Addict Rep, 2018.PMID 28677089
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