Explain interest versus disorder and stepped care for ego-dystonic paraphilic urges — CASC communication station

Station brief

Format. Communication station, approximately 7–10 minutes after reading. You are the psychiatry registrar in outpatient clinic. ^[1]

Candidate instructions. Build rapport without moralising. Explain the difference between atypical sexual interest and paraphilic disorder. Clarify that consensual adult practice without nonconsent risk is not “criminal,” but distress can still warrant care. Negotiate psychological treatment first; place antiandrogen/GnRH only in high-risk specialist contexts. Check understanding and safety-net. The examiner plays the patient. ^[1][2][3]