Psych CASC / OSCE · Consultation-liaison psychiatry
Explaining lupus-related psychosis to a partner — CASC communication station
MRCPsych/FRANZCP-style station: explain NPSLE attribution in plain language, justify infection work-up and possible immunotherapy, correct antipsychotic misunderstanding, and plan shared decisions.
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Station brief
Format. Communication station, approximately 7–10 minutes after reading time. You are the psychiatry registrar meeting the partner. Rheumatology is involved. [2]
Candidate instructions. Explain that lupus can affect the brain and cause psychosis, why infection must be excluded, why steroids/immunosuppression may be needed if inflammatory NPSLE is confirmed, and that psychiatric medicines are supportive bridges. Respond to fear and blame without defensiveness. Check understanding and agree next steps. Avoid inventing legal section numbers. [1][3]
References4ShowHide
- [1]ACR Ad Hoc Committee on Neuropsychiatric Lupus Nomenclature The American College of Rheumatology nomenclature and case definitions for neuropsychiatric lupus syndromes Arthritis Rheum, 1999.PMID 10211873
- [2]Bertsias GK, Ioannidis JP, Aringer M, et al. EULAR recommendations for the management of systemic lupus erythematosus with neuropsychiatric manifestations Ann Rheum Dis, 2010.PMID 20724309
- [3]Magro-Checa C, Zirkzee EJ, Huizinga TW, Steup-Beekman GM Management of Neuropsychiatric Systemic Lupus Erythematosus: Current Approaches and Future Perspectives Drugs, 2016.PMID 26809245
- [4]Isshi K, Hirohata S Association of anti-ribosomal P protein antibodies with neuropsychiatric systemic lupus erythematosus Arthritis Rheum, 1996.PMID 8814059