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Psych CASC / OSCEPsychotherapy — trauma-focused CBT and EMDR

Psych CASC / OSCE · Psychotherapy — trauma-focused CBT and EMDR

Explain trauma-focused therapy options after RTA — CASC communication station

MRCPsych/FRANZCP-style CASC: explain trauma-focused CBT/PE and EMDR in plain language, address fear of 'reliving', outline what sessions involve, state the guideline position on medication, check understanding.

communication2 min readSource-verified ·

Target exams

FRANZCPMRCPsychABPNMD-DNB
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Study tools

Target exams

FRANZCPMRCPsychABPNMD-DNB
Prompt
A patient with PTSD after a road traffic accident understands trauma-focused therapy options (including PE and EMDR), temporary distress expectations, homework, and leaves with a collaborative next-step plan — without jargon overload or false promises.

Station brief

Format. Communication station, approximately 7–10 minutes active time after reading. You are the psychiatry registrar in outpatient clinic. [4]

Candidate instructions. The patient has PTSD after a car crash. Explain what trauma-focused psychological therapy means, outline two options (prolonged exposure and EMDR) in plain language, address the fear of "having to relive it", describe what sessions involve, mention what the guideline says about medication, and agree a collaborative next step. Check understanding; no overpromise of cure.[6]

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References8ShowHide
  1. [1]Ehlers A, Clark DM A cognitive model of posttraumatic stress disorder Behav Res Ther, 2000.PMID 10761279
  2. [2]Foa EB, Hembree EA, Cahill SP, et al. Randomized trial of prolonged exposure for posttraumatic stress disorder J Consult Clin Psychol, 2005.PMID 16287395
  3. [3]Shapiro F The role of eye movement desensitization and reprocessing (EMDR) therapy in medicine Perm J, 2014.PMID 24626074
  4. [4]Lewis C, Roberts NP, Andrew M, et al. Psychological therapies for post-traumatic stress disorder in adults: systematic review and meta-analysis Eur J Psychotraumatol, 2020.PMID 32284821
  5. [5]Brady K, Pearlstein T, Asnis GM, et al. Efficacy and safety of sertraline treatment of posttraumatic stress disorder JAMA, 2000.PMID 10770145
  6. [6]National Institute for Health and Care Excellence Post-traumatic stress disorder (NG116) NICE guideline NG116, 2018.Source
  7. [7]Menon SB, Jayan C Eye movement desensitization and reprocessing: a conceptual framework. Indian journal of psychological medicine, 2010.PMID 21716864
  8. [8]Asukai N [Prolonged Exposure Therapy for Post-traumatic Stress Disorder]. Seishin shinkeigaku zasshi = Psychiatria et neurologia Japonica, 2015.PMID 26524872
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