Psych CASC / OSCE · General adult psychiatry — anxiety disorders
Explain specific phobia and start exposure (not daily diazepam) — CASC communication station
MRCPsych/FRANZCP-style communication station: explain specific phobia types, exposure and OST rationale, applied tension for BII, medication limits, 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. [4]
Candidate instructions. Explain specific phobia in plain language (including that he may have more than one type), the rationale for graded exposure and the option of an intensive one-session approach for suitable cues, applied tension for needle/blood fear, why daily long-term diazepam is not recommended as the main plan, expected hard work and benefits, and safety-netting. Check understanding and invite questions. The examiner plays the patient. [1][2][4]
References4ShowHide
- [1]Choy Y, Fyer AJ, Lipsitz JD Treatment of specific phobia in adults Clin Psychol Rev, 2007.PMID 17112646
- [2]Ost LG One-session treatment for specific phobias Behav Res Ther, 1989.PMID 2914000
- [3]Ost LG, Fellenius J, Sterner U Applied tension, exposure in vivo, and tension-only in the treatment of blood phobia Behav Res Ther, 1991.PMID 1684704
- [4]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