Psych CASC / OSCE · General adult psychiatry — personality disorders
Explain ICD-11 personality disorder diagnosis — CASC communication station
MRCPsych/FRANZCP-style communication station: explain dimensional PD without stigma, contrast with old multi-label approaches, outline severity-guided therapy plan, clarify medication limits, safety-net.
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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 clinic. [1]
Candidate instructions. Explain the ICD-11 diagnosis in plain language without stigma; describe what severity and trait domains mean; outline structured psychotherapy as main treatment; clarify that medication is not a cure for the personality pattern itself; address hope and safety planning; check understanding. The examiner plays the patient. [1][2]
References3ShowHide
- [1]Bach B, First MB Application of the ICD-11 classification of personality disorders BMC Psychiatry, 2018.PMID 30373564
- [2]Bohus M, Stoffers-Winterling J, Sharp C, et al. Borderline personality disorder Lancet, 2021.PMID 34688371
- [3]Cristea IA, Gentili C, Cotet CD, et al. Efficacy of Psychotherapies for Borderline Personality Disorder: A Systematic Review and Meta-analysis JAMA Psychiatry, 2017.PMID 28249086