Psych CASC / OSCE · Psychotherapy
Explain MBT and negotiate structured care — CASC communication station
MRCPsych/FRANZCP-style CASC: engage a person seeking MBT, explain mentalising simply, address partial programmes honestly, and collaborate on immediate safety and structured care.
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Station brief
Format. Communication station, approximately 7–10 minutes active time after reading. You are the psychiatry registrar in community mental health. [1]
Candidate instructions. The person wants MBT. Establish rapport and validate the request. Explain mentalising and MBT in plain language (understanding minds of self and others; individual + group in full programmes). If full MBT is waitlisted, explain structured care alternatives without nihilism. Check current self-harm risk briefly and agree a safety net. Avoid jargon piles and false promises. [1][2][5]
References5ShowHide
- [1]Bateman A, Fonagy P Randomized controlled trial of outpatient mentalization-based treatment versus structured clinical management for borderline personality disorder Am J Psychiatry, 2009.PMID 19833787
- [2]Bateman A, Fonagy P Mentalization based treatment for borderline personality disorder World Psychiatry, 2010.PMID 20148147
- [3]Fonagy P, Bateman AW Mechanisms of change in mentalization-based treatment of BPD J Clin Psychol, 2006.PMID 16470710
- [4]Fonagy P, Luyten P A developmental, mentalization-based approach to the understanding and treatment of borderline personality disorder Dev Psychopathol, 2009.PMID 19825272
- [5]McMain SF, Links PS, Gnam WH, et al. A randomized trial of dialectical behavior therapy versus general psychiatric management for borderline personality disorder Am J Psychiatry, 2009.PMID 19755574