Prompt

A 22-year-old non-binary person (they/them) newly assessed in clinic wants a plain-language explanation of gender dysphoria versus identity, what affirmative mental health care involves, why depression and suicide risk are addressed in parallel, what hormone pathways roughly entail (specialist-led, fertility counselling), why conversion therapy will not be offered, and how their partner can support without pressure.

Station brief

Format. Communication station, approximately 7–10 minutes active time after reading. You are the psychiatry registrar in the gender and mental health clinic. [2]

Candidate instructions. Explain gender dysphoria in plain language, outline affirmative psychosocial care, discuss parallel treatment of depression/suicide risk, describe specialist hormone pathways with fertility counselling (without unsupervised prescribing), state that conversion efforts are not offered, advise partner support, and check understanding. The examiner plays the patient. [2][3]

Psychiatry Fellowship Pro

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.

References6Show ledger

[1]Zucker KJ, Lawrence AA, Kreukels BP Gender Dysphoria in Adults Annu Rev Clin Psychol, 2016.PMID 26788901
[2]Coleman E, Radix AE, Bouman WP, et al. Standards of Care for the Health of Transgender and Gender Diverse People, Version 8 Int J Transgend Health, 2022.PMID 36238954
[3]Safer JD, Tangpricha V Care of Transgender Persons N Engl J Med, 2019.PMID 31851801
[4]Turban JL, Beckwith N, Reisner SL, Keuroghlian AS Association Between Recalled Exposure to Gender Identity Conversion Efforts and Psychological Distress and Suicide Attempts Among Transgender Adults JAMA Psychiatry, 2020.PMID 31509158
[5]Marshall E, Claes L, Bouman WP, et al. Non-suicidal self-injury and suicidality in trans people: A systematic review of the literature Int Rev Psychiatry, 2016.PMID 26329283
[6]Hembree WC, Cohen-Kettenis PT, Gooren L, et al. Endocrine Treatment of Gender-Dysphoric/Gender-Incongruent Persons: An Endocrine Society Clinical Practice Guideline Endocr Pract, 2017.PMID 29320642

Station brief

Format. Communication station, approximately 7–10 minutes active time after reading. You are the psychiatry registrar in the gender and mental health clinic. [2]

Psychiatry Fellowship Pro

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.

References6Show ledger

[1]Zucker KJ, Lawrence AA, Kreukels BP Gender Dysphoria in Adults Annu Rev Clin Psychol, 2016.PMID 26788901
[2]Coleman E, Radix AE, Bouman WP, et al. Standards of Care for the Health of Transgender and Gender Diverse People, Version 8 Int J Transgend Health, 2022.PMID 36238954
[3]Safer JD, Tangpricha V Care of Transgender Persons N Engl J Med, 2019.PMID 31851801
[4]Turban JL, Beckwith N, Reisner SL, Keuroghlian AS Association Between Recalled Exposure to Gender Identity Conversion Efforts and Psychological Distress and Suicide Attempts Among Transgender Adults JAMA Psychiatry, 2020.PMID 31509158
[5]Marshall E, Claes L, Bouman WP, et al. Non-suicidal self-injury and suicidality in trans people: A systematic review of the literature Int Rev Psychiatry, 2016.PMID 26329283
[6]Hembree WC, Cohen-Kettenis PT, Gooren L, et al. Endocrine Treatment of Gender-Dysphoric/Gender-Incongruent Persons: An Endocrine Society Clinical Practice Guideline Endocr Pract, 2017.PMID 29320642

Explain gender dysphoria, affirming care and mental health support — CASC communication station

Station brief

Explain gender dysphoria, affirming care and mental health support — CASC communication station

Station brief