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Psych CASC / OSCEGeneral adult psychiatry — OCRD

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.

communication2 min readVerification in progress

Target exams

FRANZCPMRCPsychABPNMD-DNB
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Study tools

Target exams

FRANZCPMRCPsychABPNMD-DNB
Prompt
A 48-year-old woman with primary hoarding disorder wants a plain-language explanation of the diagnosis (how it differs from OCD and from being 'lazy'), why specialised CBT with practice discarding and reducing free-item acquisition will help, why a secret total cleanout by relatives is unlikely to last, what fire-safety goals mean this month, and how her partner should stop buying 'just in case' storage boxes that enable acquiring.

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]

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References5ShowHide
  1. [1]Mataix-Cols D, Frost RO, Pertusa A, et al. Hoarding disorder: a new diagnosis for DSM-V? Depress Anxiety, 2010.PMID 20336805
  2. [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. [3]Tolin DF, Frost RO, Steketee G, et al. Cognitive behavioral therapy for hoarding disorder: a meta-analysis Depress Anxiety, 2015.PMID 25639467
  4. [4]Frost RO, Steketee G, Tolin DF Diagnosis and assessment of hoarding disorder Annu Rev Clin Psychol, 2012.PMID 22035242
  5. [5]Tolin DF, Frost RO, Steketee G, et al. The economic and social burden of compulsive hoarding Psychiatry Res, 2008.PMID 18597855
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PreviousExplain BDD, CBT-BDD and SSRI to a patient — CASC communication stationGeneral adult psychiatry — OCRDNextExplain OCD and ERP to a patient — CASC communication stationGeneral adult psychiatry — OCRD