Explain mixed features, suicide risk, and stopping the antidepressant — CASC communication station

Station brief

Format. Communication station, approximately 7–10 minutes active time after reading. You are the psychiatry registrar on the inpatient unit. ^[3]

Candidate instructions. Explain mixed features and why this presentation is high risk for suicide. Explain why sertraline monotherapy was stopped. Outline the plan for lithium and olanzapine including common side-effects and blood tests. Briefly define rapid cycling if the partner asks about a year of many ups and downs. Check understanding and invite questions. The examiner plays the partner. ^[1][3]