Psych CASC / OSCE · Psychotherapy — communication and psychoeducation
CASC: Family psychoeducation after first-episode psychosis
Ten-minute communication station: engage a parent after FEP, deliver non-blaming psychoeducation, explain EE-aware collaboration without jargon overload, outline multi-session FPE, address confidentiality, and agree one next step.
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Target exams
FRANZCPMRCPsychABPNMD-DNB
Prompt
CASC: Family psychoeducation after first-episode psychosis
Candidate instructions
You are the psychiatry registrar in early-psychosis follow-up. Sam, 21, had a first episode of schizophrenia, now improving on risperidone 3 mg orally at night. You will meet Jordan, Sam's parent. Sam has consented to a family meeting about illness education and support, and is waiting outside for the second half if invited. Your tasks in 10 minutes:[17]
- Engage Jordan with a non-blaming, partnership stance.
- Give plain-language psychoeducation: stress-vulnerability model, role of medication, early warning signs.
- Normalise carer stress; avoid implying Jordan caused the illness.
- Outline multi-session family psychoeducation (what it involves and why).
- Address confidentiality limits and Sam's privacy.
- Agree one concrete next step (e.g. first FPE session date; early warning signs card together).
References5ShowHide
- [1]Butzlaff RL, Hooley JM Expressed emotion and psychiatric relapse: a meta-analysis Arch Gen Psychiatry, 1998.PMID 9633674
- [3]Pharoah F, Mari J, Rathbone J, et al. Family intervention for schizophrenia Cochrane Database Syst Rev, 2010.PMID 21154340
- [5]Xia J, Merinder LB, Belgamwar MR Psychoeducation for schizophrenia Schizophr Bull, 2011.PMID 21147896
- [9]McFarlane WR, Lukens E, Link B, et al. Multiple-family groups and psychoeducation in the treatment of schizophrenia Arch Gen Psychiatry, 1995.PMID 7632121
- [17]Bäuml J, Froböse T, Kraemer S, et al. Psychoeducation: a basic psychotherapeutic intervention for patients with schizophrenia and their families Schizophr Bull, 2006.PMID 16920788