Explaining PD psychosis, agonist ICD risk, and treatment choices to a spouse — CASC communication station

Station brief

Format. Communication station, approximately 7–10 minutes after reading time. You are the psychiatry registrar. Neurology remains involved. You meet the spouse alone first.[1]

Candidate instructions. Explain PD psychosis in plain language (not primary schizophrenia). Explain that some Parkinson medicines — especially dopamine agonists — can drive impulse control problems such as gambling. Explain why drugs like haloperidol are dangerous in PD, and why low-dose clozapine (with blood tests) or pimavanserin (if available) differ. Agree a plan that does not stop all Parkinson medicines abruptly. Address safety and follow-up. Avoid inventing legal section numbers.[2][3][5]