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Psych CASC / OSCEGeneral adult psychiatry — anxiety disorders

Psych CASC / OSCE · General adult psychiatry — anxiety disorders

Explain adult separation anxiety and a graded plan (not lifelong diazepam) — CASC communication station

MRCPsych/FRANZCP-style communication station: explain adult SeAD after DSM-5, differentiate panic context, outline exposure and SSRI option, benzodiazepine stewardship, and check understanding.

communication2 min readVerification in progress

Target exams

FRANZCPMRCPsychABPNMD-DNB
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Target exams

FRANZCPMRCPsychABPNMD-DNB
Prompt
A 32-year-old office worker with inability to be alone when her partner travels wants an explanation of adult separation anxiety disorder, why you are not diagnosing only panic disorder, why graded exposure and reducing checking are recommended, and why daily long-term diazepam is not the main plan.

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 adult separation anxiety disorder in plain language (including that it can start in adulthood), how it differs from pure unexpected panic, the rationale for graded practice being alone and reducing checking calls, why daily long-term diazepam is not recommended as the main plan, optional SSRI discussion at a high level, expected hard work and benefits, and safety-netting for mood. Check understanding and invite questions. The examiner plays the patient. [1][2][3]

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References4ShowHide
  1. [1]Bögels SM, Knappe S, Clark LA Adult separation anxiety disorder in DSM-5 Clin Psychol Rev, 2013.PMID 23673209
  2. [2]Manicavasagar V, Silove D Why are we still missing adult separation anxiety disorder in clinical practice? Aust N Z J Psychiatry, 2016.PMID 27343899
  3. [3]Katzman MA, Bleau P, Blier P, et al. Canadian clinical practice guidelines for the management of anxiety, posttraumatic stress and obsessive-compulsive disorders BMC Psychiatry, 2014.PMID 25081580
  4. [4]Bandelow B, Allgulander C, Baldwin DS, et al. WFSBP guidelines for treatment of anxiety disorders - Version 3. Part I World J Biol Psychiatry, 2023.PMID 35900161
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