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Psych CASC / OSCEGeneral adult psychiatry — trauma and stressor-related disorders

Psych CASC / OSCE · General adult psychiatry — trauma and stressor-related disorders

Explain PTSD diagnosis and trauma-focused treatment plan — CASC communication station

MRCPsych/FRANZCP-style communication station: explain PTSD in plain language, outline PE/CPT/TF-CBT/EMDR options, sertraline start with monitoring, alcohol advice, and safety-netting.

communication1 min readVerification in progress

Target exams

FRANZCPMRCPsychABPNMD-DNB
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Study tools

Target exams

FRANZCPMRCPsychABPNMD-DNB
Prompt
A 27-year-old man develops PTSD 3 months after a serious assault. He wants to understand the diagnosis, why trauma-focused therapy is recommended, what an SSRI involves if he chooses medication, and how risk will be monitored.

Station brief

Format. Communication station, approximately 7–10 minutes active time after reading. You are the psychiatry registrar in the outpatient clinic. [3]

Candidate instructions. Explain PTSD in accessible language, why trauma-focused psychological therapy is first-line, what sessions involve at a high level without forcing detail of the assault, optional medication (sertraline) with early side-effects and delayed benefit, alcohol reduction, and when to seek urgent help. Check understanding. The examiner plays the patient. [3]

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References3ShowHide
  1. [1]Foa EB, Hembree EA, Cahill SP, et al. Randomized trial of prolonged exposure for posttraumatic stress disorder with and without cognitive restructuring J Consult Clin Psychol, 2005.PMID 16287395
  2. [2]Brady K, Pearlstein T, Asnis GM, et al. Efficacy and safety of sertraline treatment of posttraumatic stress disorder: a randomized controlled trial JAMA, 2000.PMID 10770145
  3. [3]Bisson JI, Roberts NP, Andrew M, et al. Psychological therapies for chronic post-traumatic stress disorder (PTSD) in adults Cochrane Database Syst Rev, 2013.PMID 24338345
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