Psych CASC / OSCE · General adult psychiatry — anxiety disorders
Explain GAD and start sertraline with CBT — CASC communication station
MRCPsych/FRANZCP-style communication station: explain GAD in plain language, outline sertraline start with monitoring, sell CBT for worry, address benzo expectations, caffeine/alcohol, and check understanding.
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 outpatient clinic. [3]
Candidate instructions. Explain the diagnosis of generalised anxiety disorder, the rationale for CBT and starting sertraline, common side-effects, what to do if anxiety or mood worsens after starting treatment, why daily long-term diazepam is not recommended as the main plan, expected timeline of benefit, and rough duration after improvement. Check understanding and invite questions. The examiner plays the patient. [3]
References4ShowHide
- [1]Allgulander C, Dahl AA, Austin C, et al. Efficacy of sertraline in a 12-week trial for generalized anxiety disorder Am J Psychiatry, 2004.PMID 15337655
- [2]Spitzer RL, Kroenke K, Williams JB, Löwe B A brief measure for assessing generalized anxiety disorder: the GAD-7 Arch Intern Med, 2006.PMID 16717171
- [3]Katzman MA, Bleau P, Blier P, et al. Canadian clinical practice guidelines for the management of anxiety, posttraumatic stress and obsessive-compulsive disorders BMC Psychiatry, 2014.PMID 25081580
- [4]Hunot V, Churchill R, Silva de Lima M, Teixeira V Psychological therapies for generalised anxiety disorder Cochrane Database Syst Rev, 2007.PMID 17253466