Psych CASC / OSCE · General adult psychiatry — OCRD
Explain hoarding disorder, CBT and home safety to a patient — CASC communication station
MRCPsych/FRANZCP-style communication station: explain HD vs OCD, specialised CBT, harm-reduction safety, anti-forced-cleanout rationale, family accommodation, and realistic goals.
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 after a home assessment. [4]
Candidate instructions. Explain hoarding disorder in plain language, distinguish it from OCD and from moral blame, outline specialised CBT (skills, practice discarding, reduce acquiring), negotiate near-term fire-safety goals, advise against secret total cleanout as sole treatment, address partner enabling, and check understanding. The examiner plays the patient. [1][2][4]
References5ShowHide
- [1]Mataix-Cols D, Frost RO, Pertusa A, et al. Hoarding disorder: a new diagnosis for DSM-V? Depress Anxiety, 2010.PMID 20336805
- [2]Steketee G, Frost RO, Tolin DF, et al. Waitlist-controlled trial of cognitive behavior therapy for hoarding disorder Depress Anxiety, 2010.PMID 20336804
- [3]Tolin DF, Frost RO, Steketee G, et al. Cognitive behavioral therapy for hoarding disorder: a meta-analysis Depress Anxiety, 2015.PMID 25639467
- [4]Frost RO, Steketee G, Tolin DF Diagnosis and assessment of hoarding disorder Annu Rev Clin Psychol, 2012.PMID 22035242
- [5]Tolin DF, Frost RO, Steketee G, et al. The economic and social burden of compulsive hoarding Psychiatry Res, 2008.PMID 18597855