Psych CASC / OSCE · General adult psychiatry — psychosis
Explain negative and cognitive symptoms and the care plan — CASC communication station
MRCPsych/FRANZCP-style communication station: explain primary vs secondary negatives, cognition and function, honest treatment limits, safety-net self-neglect/suicide, teach-back.
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Station brief
Format. Communication station, approximately 7–10 minutes active time after reading. You are the psychiatry registrar in the community psychosis clinic. [5]
Candidate instructions. Explain negative and cognitive symptoms in plain language without stigma, distinguish causes that can improve when side-effects or depression are treated from longer-lasting illness-related changes, outline a realistic multi-part care plan (medication review, activity structure, cognitive training/rehabilitation, work support), and safety-net self-neglect and suicidal thoughts. Check understanding. The examiner may play the patient or sister. [5]
References5ShowHide
- [1]Kirkpatrick B, Fenton WS, Carpenter WT Jr, et al. The NIMH-MATRICS consensus statement on negative symptoms Schizophr Bull, 2006.PMID 16481659
- [2]Green MF What are the functional consequences of neurocognitive deficits in schizophrenia? Am J Psychiatry, 1996.PMID 8610818
- [3]Németh G, Laszlovszky I, Czobor P, et al. Cariprazine versus risperidone monotherapy for treatment of predominant negative symptoms in patients with schizophrenia Lancet, 2017.PMID 28185672
- [4]Wykes T, Huddy V, Cellard C, et al. A meta-analysis of cognitive remediation for schizophrenia: methodology and effect sizes Am J Psychiatry, 2011.PMID 21406461
- [5]Galletly C, Castle D, Dark F, et al. Royal Australian and New Zealand College of Psychiatrists clinical practice guidelines for the management of schizophrenia and related disorders Aust N Z J Psychiatry, 2016.PMID 27106681