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Psych CASC / OSCEPsychotherapy — communication and psychoeducation

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.

communication2 min readVerification in progress

Target exams

FRANZCPMRCPsychABPNMD-DNB
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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]

  1. Engage Jordan with a non-blaming, partnership stance.
  2. Give plain-language psychoeducation: stress-vulnerability model, role of medication, early warning signs.
  3. Normalise carer stress; avoid implying Jordan caused the illness.
  4. Outline multi-session family psychoeducation (what it involves and why).
  5. Address confidentiality limits and Sam's privacy.
  6. Agree one concrete next step (e.g. first FPE session date; early warning signs card together).
[3] [5] [17]
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You have read the opening of this CASC / OSCE. The complete unit — every section and its primary-source references — is part of the Psychiatry Fellowship fellowship library.

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References5ShowHide
  1. [1]Butzlaff RL, Hooley JM Expressed emotion and psychiatric relapse: a meta-analysis Arch Gen Psychiatry, 1998.PMID 9633674
  2. [3]Pharoah F, Mari J, Rathbone J, et al. Family intervention for schizophrenia Cochrane Database Syst Rev, 2010.PMID 21154340
  3. [5]Xia J, Merinder LB, Belgamwar MR Psychoeducation for schizophrenia Schizophr Bull, 2011.PMID 21147896
  4. [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
  5. [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
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