Psych CASC / OSCE · General adult psychiatry — OCRD
Explain OCD and ERP to a patient — CASC communication station
MRCPsych/FRANZCP-style communication station: explain OCD, ERP hierarchy, SSRI timeline, family accommodation, and safety-netting for mood/suicidality.
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Study tools
Target exams
FRANZCPMRCPsychABPNMD-DNB
Prompt
A 29-year-old woman with newly diagnosed contamination OCD wants a plain-language explanation of the diagnosis, why ERP is recommended, what response prevention means, how an SSRI might help, and what her partner should stop doing (reassurance and extra cleaning).
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 OCD in plain language, outline ERP (exposure and response prevention), discuss a possible SSRI with delayed benefit and common side-effects, address partner reassurance/cleaning, and check understanding. The examiner plays the patient. [3][4]
References4ShowHide
- [1]Foa EB, Liebowitz MR, Kozak MJ, et al. Randomized, placebo-controlled trial of exposure and ritual prevention, clomipramine, and their combination in the treatment of obsessive-compulsive disorder Am J Psychiatry, 2005.PMID 15625214
- [2]Soomro GM, Altman D, Rajagopal S, et al. Selective serotonin re-uptake inhibitors (SSRIs) versus placebo for obsessive compulsive disorder (OCD) Cochrane Database Syst Rev, 2008.PMID 18253995
- [3]Koran LM, Hanna GL, Hollander E, et al. Practice guideline for the treatment of patients with obsessive-compulsive disorder Am J Psychiatry, 2007.PMID 17849776
- [4]Hirschtritt ME, Bloch MH, Mathews CA Obsessive-Compulsive Disorder: Advances in Diagnosis and Treatment JAMA, 2017.PMID 28384832