Psych CASC / OSCE · General adult psychiatry — psychotic disorders
Explain brief vs schizophreniform psychosis to parents — CASC communication station
MRCPsych/FRANZCP-style communication station: duration labels, good prognostic features, FEP treatment rationale, diagnostic humility, and shared safety planning.
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Target exams
Station brief
Format. Communication station, approximately 7–10 minutes after reading time. You are the psychiatry registrar in the early psychosis team. The examiner plays a parent. [2]
Candidate instructions. Explain the working diagnosis of schizophreniform disorder (5 weeks of multi-domain psychosis), distinguish it from schizophrenia and from brief psychotic disorder, outline treatment and cannabis advice, discuss uncertainty and follow-up, and check understanding. Do not invent foreign legal section numbers. [1][2]
References6ShowHide
- [1]Naz B, Bromet EJ, Mojtabai R Distinguishing between first-admission schizophreniform disorder and schizophrenia Schizophr Res, 2003.PMID 12765743
- [2]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
- [3]Kahn RS, Fleischhacker WW, Boter H, et al. Effectiveness of antipsychotic drugs in first-episode schizophrenia and schizophreniform disorder Lancet, 2008.PMID 18374841
- [4]Zipursky RB, Menezes NM, Streiner DL Risk of symptom recurrence with medication discontinuation in first-episode psychosis: a systematic review Schizophr Res, 2014.PMID 23972821
- [5]Di Forti M, Quattrone D, Freeman TP, et al. The contribution of cannabis use to variation in the incidence of psychotic disorder across Europe (EU-GEI) Lancet Psychiatry, 2019.PMID 30902669
- [6]Provenzani U, Salazar de Pablo G, Arribas M, et al. Clinical outcomes in brief psychotic episodes: a systematic review and meta-analysis Epidemiol Psychiatr Sci, 2021.PMID 35698876