Explain RLS diagnosis, iron, and treatment switch after dopamine-agonist augmentation — CASC communication station

Station brief

Format. Communication station, approximately 7–10 minutes after reading. You are the psychiatry registrar in outpatient clinic. ^[1]

Candidate instructions. Explain the diagnosis of restless legs syndrome in plain language, what augmentation means, why increasing pramipexole is unhelpful, why iron matters despite normal energy levels, outline a collaborative switch toward an α2δ ligand with iron repletion, check understanding, and safety-net. The examiner plays the patient. ^[2][3][4]