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.
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Target exams
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]
References4ShowHide
- [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]Stevens MWR, et al. Cognitive-behavioral therapy for Internet gaming disorder: A systematic review and meta-analysis Clin Psychol Psychother, 2019.PMID 30341981
- [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]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