Psych CASC / OSCE · General adult psychiatry — mood disorders / women's mental health
Explain PMDD, diary confirmation and intermittent SSRI options — CASC communication station
MRCPsych/FRANZCP-style communication station: explain PMDD, prospective diary, continuous vs luteal SSRI dosing with a named regimen, suicide safety-netting, and when COC or specialist escalation is considered.
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Target exams
Station brief
Format. Communication station, approximately 7–10 minutes after reading. You are the psychiatry registrar in outpatient clinic. [4]
Candidate instructions. Explain PMDD in plain language, justify two-cycle prospective ratings, offer an SSRI plan with continuous or luteal-phase options using a named drug and dose, address passive death wishes with a safety plan, check understanding, and outline when to seek urgent help. The examiner plays the patient. [1][4]
References4ShowHide
- [1]Epperson CN, Steiner M, Hartlage SA, et al. Premenstrual dysphoric disorder: evidence for a new category for DSM-5 Am J Psychiatry, 2012.PMID 22764360
- [2]Steiner M, Steinberg S, Stewart D, et al. Fluoxetine in the treatment of premenstrual dysphoria. Canadian Fluoxetine/Premenstrual Dysphoria Collaborative Study Group N Engl J Med, 1995.PMID 7739706
- [3]Jespersen C, Lauritsen MP, Frokjaer VG, Schroll JB Selective serotonin reuptake inhibitors for premenstrual syndrome and premenstrual dysphoric disorder Cochrane Database Syst Rev, 2024.PMID 39140320
- [4]Malhi GS, Bell E, Bassett D, et al. The 2020 Royal Australian and New Zealand College of Psychiatrists clinical practice guidelines for mood disorders Aust N Z J Psychiatry, 2021.PMID 33353391