Psych CASC / OSCE · General adult psychiatry — secondary / organic psychosis
Explain medical work-up for new psychosis to a worried partner — CASC communication station
MRCPsych/FRANZCP-style communication station: explain secondary vs primary psychosis possibilities, red-flag rationale for investigations, treatment priorities, and hope without false certainty.
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Station brief
Format. Communication station, approximately 7–10 minutes after reading. You are the psychiatry registrar on the assessment unit.[1]
Candidate instructions. Explain why medical tests are needed for a first presentation of psychosis at age 49, what bloods and possible imaging mean, that the diagnosis may be primary or secondary to a medical condition, outline treatment principles (treat medical problems; low-dose medicine for symptoms if needed), and check understanding. Do not give false lifelong fatalism or false total reassurance.[2][3]
References4ShowHide
- [1]Griswold KS, Del Regno PA, Berger RC Recognition and Differential Diagnosis of Psychosis in Primary Care Am Fam Physician, 2015.PMID 26131945
- [2]Keshavan MS, Kaneko Y Secondary psychoses: an update World Psychiatry, 2013.PMID 23471787
- [3]Galletly C, Castle D, Dark F, et al. Royal Australian and New Zealand College of Psychiatrists clinical practice guidelines for the management of schizophrenia and related disorders Aust N Z J Psychiatry, 2016.PMID 27106681
- [4]Pollak TA, Lennox BR, Müller S, et al. Autoimmune psychosis: an international consensus on an approach to the diagnosis and management of psychosis of suspected autoimmune origin Lancet Psychiatry, 2020.PMID 31669058