Psych CASC / OSCE · General adult psychiatry — impulse control
Explain intermittent explosive disorder and safety plan — CASC communication station
MRCPsych/FRANZCP-style communication station: explain IED without pejorative labels, outline CBT and fluoxetine evidence honestly, address partner safety and confidentiality limits, check understanding.
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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. [1]
Candidate instructions. Explain intermittent explosive disorder in clear non-stigmatising language, separate it from “psychopath,” outline psychological and medication options with honest evidence limits, address partner safety and confidentiality limits when others are at risk, and check understanding. The examiner plays the patient. [1][3]
References4ShowHide
- [1]Coccaro EF Intermittent explosive disorder as a disorder of impulsive aggression for DSM-5 Am J Psychiatry, 2012.PMID 22535310
- [2]Coccaro EF, Lee RJ, Kavoussi RJ A double-blind, randomized, placebo-controlled trial of fluoxetine in patients with intermittent explosive disorder J Clin Psychiatry, 2009.PMID 19389333
- [3]McCloskey MS, Noblett KL, Deffenbacher JL, et al. Cognitive-behavioral therapy for intermittent explosive disorder: a pilot randomized clinical trial J Consult Clin Psychol, 2008.PMID 18837604
- [4]Kessler RC, Coccaro EF, Fava M, et al. The prevalence and correlates of DSM-IV intermittent explosive disorder in the National Comorbidity Survey Replication Arch Gen Psychiatry, 2006.PMID 16754840