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Psych CASC / OSCEGeneral adult psychiatry — mood disorders

Psych CASC / OSCE · General adult psychiatry — mood disorders

Explain depression diagnosis and antidepressant plan — CASC communication station

MRCPsych/FRANZCP-style communication station: explain MDD in plain language, outline sertraline start with monitoring, discuss early activation and help-seeking, address alcohol, and check understanding.

communication2 min readVerification in progress

Target exams

FRANZCPMRCPsychABPNMD-DNB
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Study tools

Target exams

FRANZCPMRCPsychABPNMD-DNB
Prompt
A 32-year-old woman with a new diagnosis of major depressive disorder wants an explanation of the diagnosis, why an SSRI is suggested, side-effects, suicide risk monitoring, and how long treatment lasts.

Station brief

Format. Communication station, approximately 7–10 minutes active time after reading. You are the psychiatry registrar in the outpatient clinic. [3]

Candidate instructions. Explain the diagnosis of major depressive disorder, the rationale for starting sertraline, common side-effects, what to do if mood or suicidal thoughts worsen after starting treatment, expected timeline of benefit, and rough duration after recovery. Check understanding and invite questions. The examiner plays the patient. [3]

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References3ShowHide
  1. [1]Trivedi MH, Rush AJ, Wisniewski SR, et al. Evaluation of outcomes with citalopram for depression using measurement-based care in STAR*D: implications for clinical practice Am J Psychiatry, 2006.PMID 16390886
  2. [2]Geddes JR, Carney SM, Davies C, et al. Relapse prevention with antidepressant drug treatment in depressive disorders: a systematic review Lancet, 2003.PMID 12606176
  3. [3]Malhi GS, Bell E, Bassett D, et al. The 2020 Royal Australian and New Zealand College of Psychiatrists clinical practice guidelines for mood disorders Aust N Z J Psychiatry, 2021.PMID 33353391
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