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Psych CASC / OSCEGeneral adult psychiatry — secondary / organic psychosis

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.

communication2 min readVerification in progress

Target exams

FRANZCPMRCPsychABPNMD-DNB
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Study tools

Target exams

FRANZCPMRCPsychABPNMD-DNB
Prompt
Partner of a 49-year-old with first-episode psychosis wants plain-language explanation of why blood tests, possible scan, and medical review are needed, and whether this is 'schizophrenia forever'.

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]

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References4ShowHide
  1. [1]Griswold KS, Del Regno PA, Berger RC Recognition and Differential Diagnosis of Psychosis in Primary Care Am Fam Physician, 2015.PMID 26131945
  2. [2]Keshavan MS, Kaneko Y Secondary psychoses: an update World Psychiatry, 2013.PMID 23471787
  3. [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. [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
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