Psych CASC / OSCE · General adult psychiatry — anxiety disorders
Explain social anxiety disorder and start sertraline with CBT — CASC communication station
MRCPsych/FRANZCP-style communication station: explain SAD in plain language, outline sertraline start with monitoring, sell CBT that drops safety behaviours, address alcohol and benzo expectations, and check understanding.
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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 the diagnosis of social anxiety disorder, the rationale for CBT and starting sertraline, common side-effects, what to do if anxiety or mood worsens after starting treatment, why relying on alcohol or daily long-term diazepam is not recommended as the main plan, expected timeline of benefit, and rough duration after improvement. Check understanding and invite questions. The examiner plays the patient. [2][3]
References4ShowHide
- [1]Van Ameringen MA, Lane RM, Walker JR, et al. Sertraline treatment of generalized social phobia: a 20-week, double-blind, placebo-controlled study Am J Psychiatry, 2001.PMID 11156811
- [2]Stein MB, Stein DJ Social anxiety disorder Lancet, 2008.PMID 18374843
- [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]Mayo-Wilson E, Dias S, Mavranezouli I, et al. Psychological and pharmacological interventions for social anxiety disorder in adults: a systematic review and network meta-analysis Lancet Psychiatry, 2014.PMID 26361000