Psych CASC / OSCE · General adult psychiatry — anxiety disorders
Explain panic disorder and treatment plan — CASC communication station
MRCPsych/FRANZCP-style communication station: explain panic false-alarm model, outline sertraline start with early activation warning, describe CBT with interoceptive exposure in plain language, and correct chronic benzodiazepine expectations.
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Target exams
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 the diagnosis of panic disorder (and mild agoraphobia if raised), the false-alarm model in plain language, the rationale for CBT with exposure, the plan for sertraline including early side-effects and delayed benefit, and why long-term diazepam is not the goal. Check understanding and invite questions. The examiner plays the patient. [3]
References4ShowHide
- [1]Clark DM, Salkovskis PM, Hackmann A, et al. A comparison of cognitive therapy, applied relaxation and imipramine in the treatment of panic disorder Br J Psychiatry, 1994.PMID 7952982
- [2]Pollack MH, Otto MW, Worthington JJ, et al. Sertraline in the treatment of panic disorder: a flexible-dose multicenter trial Arch Gen Psychiatry, 1998.PMID 9819070
- [3]Bandelow B, Michaelis S, Wedekind D Treatment of anxiety disorders Dialogues Clin Neurosci, 2017.PMID 28867934
- [4]Roy-Byrne PP, Craske MG, Stein MB, et al. A randomized effectiveness trial of cognitive-behavioral therapy and medication for primary care panic disorder Arch Gen Psychiatry, 2005.PMID 15753242