Psych CASC / OSCE · General adult psychiatry — personality disorders
Explain paranoid personality disorder and treatment limits — CASC communication station
MRCPsych/FRANZCP-style communication station: explain PPD without stigma or collusion, separate it from psychosis, outline alliance-first treatment and medication limits, manage requests for medico-legal advocacy, check understanding.
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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 clinic. [1]
Candidate instructions. Explain paranoid personality disorder in clear language without stigma or collusion, carefully separate it from psychosis and from "being crazy," outline what treatment can and cannot do, explain medication limits honestly, handle the letter request with professional boundaries, and check understanding. The examiner plays the patient. [1][3]
References5ShowHide
- [1]Lee R Mistrustful and Misunderstood: A Review of Paranoid Personality Disorder Curr Behav Neurosci Rep, 2017.PMID 29399432
- [2]Triebwasser J, Chemerinski E, Roussos P, Siever LJ Paranoid personality disorder J Pers Disord, 2013.PMID 22928850
- [3]Jain L, Torrico T Paranoid Personality Disorder StatPearls, 2026.PMID 39163470
- [4]Cheli S, Wisepape CN, Witten CDY, et al. Psychosocial and pharmacological interventions for cluster a personality disorders Personal Disord, 2025.PMID 40111791
- [5]Koch J, Modesitt T, Palmer M, et al. Review of pharmacologic treatment in cluster A personality disorders Ment Health Clin, 2016.PMID 29955451