Psych CASC / OSCE · Addiction psychiatry — stimulant and methamphetamine use
Explain methamphetamine care to a partner — CASC communication station
MRCPsych/FRANZCP-style communication station: explain MAP, medical risk, withdrawal crash, contingency management, limited medicines, dual diagnosis, and safety-netting without stigma.
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Station brief
Format. Communication station, approximately 7–10 minutes active time after reading. You are the psychiatry registrar in the emergency department. [1]
Candidate instructions. Explain the working diagnosis of methamphetamine-associated psychosis to the partner, outline medical checks (heart, blood pressure), describe what happens when use stops, discuss treatments that work (especially psychosocial), address whether this is "schizophrenia forever," and safety-net for crash suicidality. Check understanding. The examiner plays the partner. [1]
References4ShowHide
- [1]ASAM/AAAP Clinical Guideline Committee The ASAM/AAAP Clinical Practice Guideline on the Management of Stimulant Use Disorder J Addict Med, 2024.PMID 38669101
- [2]McGregor C, Srisurapanont M, Jittiwutikarn J, et al. The nature, time course and severity of methamphetamine withdrawal Addiction, 2005.PMID 16128721
- [3]Pfund RA, Ginley MK, Boness CL, et al. Contingency Management for Drug Use Disorders: Meta-Analysis and Application of Tolin's Criteria Clin Psychol (New York), 2024.PMID 38863566
- [4]Kevil CG, Goeders NE, Woolard MD, et al. Methamphetamine Use and Cardiovascular Disease Arterioscler Thromb Vasc Biol, 2019.PMID 31433698