Psych CASC / OSCE · Addiction psychiatry — substance-induced mood and anxiety disorders
Explain substance-induced depression and dual plan to a partner — CASC communication station
MRCPsych/FRANZCP-style communication station: explain timing diagnosis, abstinence remission logic, treatment of both axes, and non-moralising alcohol counselling.
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Station brief
Format. Communication station, approximately 7–10 minutes active time after reading. You are the psychiatry registrar on the addiction/dual-diagnosis pathway. [1]
Candidate instructions. Explain the working diagnosis of possible alcohol-related (substance-induced) depression to the partner, outline medical detox and suicide safety, discuss why mood often improves with abstinence yet why follow-up and sometimes antidepressants are still needed, describe concurrent alcohol treatment (including possible naltrexone), and check understanding without moralising. The examiner plays the partner. [1][2]
References4ShowHide
- [1]Schuckit MA, Tipp JE, Bergman M, et al. Comparison of induced and independent major depressive disorders in 2,945 alcoholics Am J Psychiatry, 1997.PMID 9210745
- [2]Brown SA, Schuckit MA Changes in depression among abstinent alcoholics J Stud Alcohol, 1988.PMID 3216643
- [3]Pettinati HM, Oslin DW, Kampman KM, et al. A double-blind, placebo-controlled trial combining sertraline and naltrexone for treating co-occurring depression and alcohol dependence Am J Psychiatry, 2010.PMID 20231324
- [4]Drake RE, Mercer-McFadden C, Mueser KT, et al. Review of integrated mental health and substance abuse treatment for patients with dual disorders Schizophr Bull, 1998.PMID 9853791