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Psych CASC / OSCEPsychotherapy

Psych CASC / OSCE · Psychotherapy

Explain IPT and choose a focus — CASC communication station

MRCPsych/FRANZCP-style CASC: explain IPT medical model, map role transition after redundancy, set time limit, address medication questions, check understanding.

communication2 min readVerification in progress

Target exams

FRANZCPMRCPsychABPNMD-DNB
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Study tools

Target exams

FRANZCPMRCPsychABPNMD-DNB
Prompt
A depressed adult wants a clear explanation of IPT, the sick role, and a shared primary interpersonal focus after job loss, without jargon overload or anti-medication messaging.

Station brief

Format. Communication station, approximately 7–10 minutes active time after reading. You are the psychiatry registrar in outpatient clinic. [1]

Candidate instructions. The patient has major depression after forced redundancy. Explain what IPT is in plain language, introduce the idea that depression is an illness linked to life roles/relationships, propose a primary role transition focus, outline roughly how many sessions and what “middle work” looks like, and answer whether they must stop their SSRI. Check understanding; avoid promising cure; collaborative tone. [1][2]

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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 library.

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References5ShowHide
  1. [1]Markowitz JC, Weissman MM Interpersonal psychotherapy: principles and applications World Psychiatry, 2004.PMID 16633477
  2. [2]Cuijpers P, Geraedts AS, van Oppen P, et al. Interpersonal psychotherapy for depression: a meta-analysis Am J Psychiatry, 2011.PMID 21362740
  3. [3]Elkin I, Shea MT, Watkins JT, et al. National Institute of Mental Health Treatment of Depression Collaborative Research Program. General effectiveness of treatments Arch Gen Psychiatry, 1989.PMID 2684085
  4. [4]Cuijpers P, Donker T, Weissman MM, Ravitz P, Cristea IA Interpersonal Psychotherapy for Mental Health Problems: A Comprehensive Meta-Analysis Am J Psychiatry, 2016.PMID 27032627
  5. [5]Klerman GL, DiMascio A, Weissman M, Prusoff B, Paykel ES Treatment of depression by drugs and psychotherapy Am J Psychiatry, 1974.PMID 4587807
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