Psych CASC / OSCE · Specialty psychiatry — sleep medicine interface
Explain OSA, CPAP, and sedative risks to a patient with depression — CASC communication station
MRCPsych/FRANZCP-style communication station: explain OSA–mood link, need for sleep testing, CPAP rationale, deprescribing temazepam, driving safety, collaborative plan.
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Target exams
Station brief
Format. Communication station, approximately 7–10 minutes after reading. You are the psychiatry registrar in outpatient clinic. [1]
Candidate instructions. Build rapport with an irritated patient; explain why symptoms may reflect obstructive sleep apnoea as well as depression; outline screening clues and need for a sleep study; explain CPAP in plain language and mood benefits of treating the airway; negotiate a temazepam reduction plan; check driving safety; use teach-back. Examiner may play patient or partner. [2][3][4]
References6ShowHide
- [1]Gupta MA, Simpson FC Obstructive sleep apnea and psychiatric disorders: a systematic review J Clin Sleep Med, 2015.PMID 25406268
- [2]Chung F, Subramanyam R, Liao P, et al. High STOP-Bang score indicates a high probability of obstructive sleep apnoea Br J Anaesth, 2012.PMID 22401881
- [3]Patil SP, Ayappa IA, Caples SM, et al. Treatment of Adult Obstructive Sleep Apnea With Positive Airway Pressure J Clin Sleep Med, 2019.PMID 30736888
- [4]Edwards C, Mukherjee S, Simpson L, et al. Depressive Symptoms before and after Treatment of Obstructive Sleep Apnea in Men and Women J Clin Sleep Med, 2015.PMID 25902824
- [5]Mason M, Cates CJ, Smith I Effects of opioid, hypnotic and sedating medications on sleep-disordered breathing Cochrane Database Syst Rev, 2015.PMID 26171909
- [6]Peppard PE, Szklo-Coxe M, Hla KM, et al. Longitudinal association of sleep-related breathing disorder and depression Arch Intern Med, 2006.PMID 16983048