Psych CASC / OSCE · Consultation-liaison psychiatry
Explaining somatic symptom disorder and a collaborative pain plan — CASC communication station
MRCPsych/FRANZCP-style station: validate symptoms, explain SSD without dualism, outline CBT and cautious meds, and address opioid risk collaboratively.
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Station brief
Format. Communication station, approximately 7–10 minutes after reading time. You are the C-L psychiatry registrar. Medical work-up to date is non-diagnostic for a single explanatory disease; red-flag review is negative today. [1][2]
Candidate instructions. Validate experience; apologise for dismissive language if needed; explain SSD/health-anxiety amplification in plain language without saying “imaginary”; outline a collaborative plan (scheduled reviews, CBT, mood treatment, activity, opioid caution); agree when further tests would be reconsidered; check understanding. [2][3][4]
References5ShowHide
- [1]Dimsdale JE, Creed F, Escobar J, et al. Somatic symptom disorder: an important change in DSM J Psychosom Res, 2013.PMID 23972410
- [2]Henningsen P, Zipfel S, Herzog W Management of functional somatic syndromes Lancet, 2007.PMID 17368156
- [3]Tyrer P, Cooper S, Salkovskis P, et al. Clinical and cost-effectiveness of cognitive behaviour therapy for health anxiety in medical patients: a multicentre randomised controlled trial Lancet, 2014.PMID 24139977
- [4]Krebs EE, Gravely A, Nugent S, et al. Effect of Opioid vs Nonopioid Medications on Pain-Related Function in Patients With Chronic Back Pain or Hip or Knee Osteoarthritis Pain: The SPACE Randomized Clinical Trial JAMA, 2018.PMID 29509867
- [5]Barsky AJ, Ahern DK Cognitive behavior therapy for hypochondriasis: a randomized controlled trial JAMA, 2004.PMID 15039413