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Psych CASC / OSCEGeneral adult psychiatry — anxiety disorders

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.

communication2 min readVerification in progress

Target exams

FRANZCPMRCPsychABPNMD-DNB
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Study tools

Target exams

FRANZCPMRCPsychABPNMD-DNB
Prompt
A 25-year-old graduate newly diagnosed with social anxiety disorder wants an explanation of the diagnosis, why CBT and an SSRI are suggested, side-effects including early activation, why pre-drinks and long-term diazepam are not the plan, and how long treatment lasts.

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]

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References4ShowHide
  1. [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. [2]Stein MB, Stein DJ Social anxiety disorder Lancet, 2008.PMID 18374843
  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]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
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PreviousExplain selective mutism and a school speech plan (not forced assembly talking) — CASC communication stationGeneral adult psychiatry — anxiety disordersNextExplain specific phobia and start exposure (not daily diazepam) — CASC communication stationGeneral adult psychiatry — anxiety disorders