Psych CASC / OSCE · General adult psychiatry — psychotic disorders
Explain first-episode psychosis and treatment — CASC communication station
MRCPsych/FRANZCP-style communication station: explain FEP diagnosis in plain language, outline antipsychotic and psychosocial plan, discuss early intervention, address cannabis, and check understanding.
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Study tools
Target exams
FRANZCPMRCPsychABPNMD-DNB
Prompt
Parents of a 20-year-old man with first-episode psychosis want an explanation of diagnosis, treatment and prognosis.
Station brief
Format. Communication station, approximately 7–10 minutes active time after reading. You are the psychiatry registrar in the early intervention clinic. [1]
Candidate instructions. Explain the working diagnosis of first-episode psychosis to the parents, outline the initial treatment plan (medication and psychosocial), discuss cannabis, and respond to prognosis questions. Check understanding. The examiner plays both parents. [1]
References2ShowHide
- [1]Kane JM, Robinson DG, Schooler NR, et al. Comprehensive Versus Usual Community Care for First-Episode Psychosis: 2-Year Outcomes From the NIMH RAISE Early Treatment Program Am J Psychiatry, 2016.PMID 26481174
- [2]Marshall M, Lewis S, Lockwood A, et al. Association between duration of untreated psychosis and outcome in cohorts of first-episode patients: a systematic review Arch Gen Psychiatry, 2005.PMID 16143729