Psych CASC / OSCE · Specialty psychiatry — gender and sexuality
Explain gender dysphoria, affirming care and mental health support — CASC communication station
MRCPsych/FRANZCP-style communication station: explain gender dysphoria, affirmative care, parallel MH treatment, hormone liaison, anti-conversion stance, and safety-netting.
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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]
References6ShowHide
- [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