Psych CASC / OSCE · Consultation-liaison psychiatry
Explaining TBI personality change and the care plan to a partner — CASC communication station
MRCPsych/FRANZCP-style station: explain post-TBI personality change and depression, aggression ladder without oversedation, realistic recovery, and capacity for major financial decisions.
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Target exams
Station brief
Format. Communication station, approximately 7–10 minutes after reading time. You are the psychiatry registrar on the brain-injury rehab unit. The patient is not in the room for this conversation. [1]
Candidate instructions. Explain personality change and depression after TBI in plain language, outline behavioural and medication plans without promising "knock-out" sedation, address dementia fears honestly, and carefully manage the house-sale capacity question. [1][2][4]
You have read the opening of this CASC / OSCE. The complete unit — every section and its primary-source references — is part of the Psychiatry Fellowship fellowship atlas.
References4Show ledgerHide ledger
- [1]Howlett JR, Nelson LD, Stein MB Mental Health Consequences of Traumatic Brain Injury Biol Psychiatry, 2022.PMID 34893317
- [2]Plantier D, Luauté J Drugs for behavior disorders after traumatic brain injury: Systematic review and expert consensus leading to French recommendations for good practice Ann Phys Rehabil Med, 2016.PMID 26797170
- [3]Fann JR, Bombardier CH, Temkin N, et al. Sertraline for Major Depression During the Year Following Traumatic Brain Injury: A Randomized Controlled Trial J Head Trauma Rehabil, 2017.PMID 28520672
- [4]Rao V, Koliatsos V, Ahmed F, et al. Neuropsychiatric disturbances associated with traumatic brain injury: a practical approach to evaluation and management Semin Neurol, 2015.PMID 25714869