Psych CASC / OSCE · Old age psychiatry — anxiety disorders
Explain late-life GAD treatment and benzodiazepine taper to patient and daughter — CASC communication station
MRCPsych/FRANZCP-style communication station: late-life GAD, CBT/SSRI plan, Beers-informed benzodiazepine taper, hyponatraemia safety-netting, suicide safety.
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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 old-age outpatient clinic. [1]
Candidate instructions. Explain late-life generalised anxiety disorder in plain language; outline CBT and SSRI treatment; explain why long-term benzodiazepines are risky in older adults and how a slow taper works; mention blood sodium checks; safety-net for worsening mood or suicidal thoughts; check understanding. Examiner plays the patient; a second role-player may be the daughter. [2][3]
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.
References6Show ledgerHide ledger
- [1]Wolitzky-Taylor KB, Castriotta N, Lenze EJ, Stanley MA, Craske MG Anxiety disorders in older adults: a comprehensive review Depress Anxiety, 2010.PMID 20099273
- [2]Stanley MA, Wilson NL, Novy DM, et al. Cognitive behavior therapy for generalized anxiety disorder among older adults in primary care: a randomized clinical trial JAMA, 2009.PMID 19351943
- [3]Lenze EJ, Rollman BL, Shear MK, et al. Escitalopram for older adults with generalized anxiety disorder: a randomized controlled trial JAMA, 2009.PMID 19155456
- [4]Fabian TJ, Amico JA, Kroboth PD, et al. Paroxetine-induced hyponatremia in older adults: a 12-week prospective study Arch Intern Med, 2004.PMID 14769630
- [5]By the 2023 American Geriatrics Society Beers Criteria Update Expert Panel American Geriatrics Society 2023 updated AGS Beers Criteria for potentially inappropriate medication use in older adults J Am Geriatr Soc, 2023.PMID 37139824
- [6]Conwell Y, Van Orden K, Caine ED Suicide in older adults Psychiatr Clin North Am, 2011.PMID 21536168