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.
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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]
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.
References5Show ledgerHide ledger
- [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