Psych CASC / OSCE · Psychotherapy
Explain group CBT and limited confidentiality — CASC communication station
MRCPsych/FRANZCP-style CASC: explain group psychotherapy for depression, set frame and limited confidentiality, address fear of judgement, outline course and risk review.
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Study tools
Target exams
FRANZCPMRCPsychABPNMD-DNB
Prompt
A depressed adult is offered a closed outpatient group CBT programme and needs a clear, non-frightening explanation of how group works, why it can help, and what confidentiality means — without overselling absolute privacy or dismissing individual therapy preference.
Station brief
Format. Communication station, approximately 7–10 minutes active time after reading. You are the psychiatry registrar in outpatient clinic. [1]
Candidate instructions. Explain what a closed group CBT programme for depression is, why group can help (including shared experience and skills practice), outline approximate course and expectations, explain limited confidentiality honestly, address fear of humiliation, and clarify that medication can continue. Check understanding; do not coerce. [1][2][5]
References5ShowHide
- [1]Huntley AL, Araya R, Salisbury C Group psychological therapies for depression in the community: systematic review and meta-analysis Br J Psychiatry, 2012.PMID 22383765
- [2]Burlingame GM, Seebeck JD, Janis RA, et al. Outcome differences between individual and group formats when identical and nonidentical treatments, patients, and doses are compared: A 25-year meta-analytic perspective Psychotherapy (Chic), 2016.PMID 27918191
- [3]Burlingame GM, McClendon DT, Yang C Cohesion in group therapy: A meta-analysis Psychotherapy (Chic), 2018.PMID 30335452
- [4]Cuijpers P, Noma H, Karyotaki E, Cipriani A, Furukawa TA Effectiveness and Acceptability of Cognitive Behavior Therapy Delivery Formats in Adults With Depression: A Network Meta-analysis JAMA Psychiatry, 2019.PMID 30994877
- [5]Bloch S, Crouch E, Reibstein J Therapeutic factors in group psychotherapy. A review Arch Gen Psychiatry, 1981.PMID 7235852