Skip to main content
MedVellum
QuestionsVideosPricing

MedVellum

Fellowship exam preparation across every specialty: source-verified topics, questions in every format, and videos.

Product

  • Specialties
  • Questions
  • Videos
  • Exam tools
  • Pricing

Verification & policy

  • Verified register
  • Editorial policy
  • Privacy
  • Terms

Account

  • Sign in
  • Create account
  • Dashboard
  • Account & billing

© 2026 MedVellum. For education only — not a substitute for clinical judgement.

llms.txtPsychiatry LLM catalogSitemap

Psych CASC / OSCEGeneral adult psychiatry — mood disorders

Psych CASC / OSCE · General adult psychiatry — mood disorders

Explain treatment-resistant depression and next-step options — CASC communication station

MRCPsych/FRANZCP-style communication station: explain TRD without stigma, outline lithium augmentation with monitoring, address ECT fears, safety-net suicide risk, and check understanding.

communication2 min readVerification in progress

Target exams

FRANZCPMRCPsychABPNMD-DNB
On this page
Study tools

Target exams

FRANZCPMRCPsychABPNMD-DNB
Prompt
A 40-year-old woman with two failed adequate antidepressant trials wants a plain-language explanation of 'treatment-resistant depression', why lithium is being offered, what monitoring involves, when ECT would be considered, and how long treatment might continue after she improves.

Station brief

Format. Communication station, approximately 7–10 minutes active time after reading. You are the psychiatry registrar in the outpatient mood clinic. [3]

Candidate instructions. Explain what treatment-resistant depression means in plain language, why her previous trials count as adequate failures, why lithium augmentation is being recommended, what blood tests and side-effects to expect, when ECT might be discussed, and how you will monitor mood and safety. Check understanding and invite questions. The examiner plays the patient. [3]

Psychiatry Fellowship Pro

Continue reading

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 library.

Sign in to continueSee pricing
References4ShowHide
  1. [1]Nierenberg AA, Fava M, Trivedi MH, et al. A comparison of lithium and T(3) augmentation following two failed medication treatments for depression: a STAR*D report Am J Psychiatry, 2006.PMID 16946176
  2. [2]UK ECT Review Group Efficacy and safety of electroconvulsive therapy in depressive disorders: a systematic review and meta-analysis Lancet, 2003.PMID 12642045
  3. [3]Malhi GS, Bell E, Bassett D, et al. The 2020 Royal Australian and New Zealand College of Psychiatrists clinical practice guidelines for mood disorders Aust N Z J Psychiatry, 2021.PMID 33353391
  4. [4]Rush AJ, Trivedi MH, Wisniewski SR, et al. Acute and longer-term outcomes in depressed outpatients requiring one or several treatment steps: a STAR*D report Am J Psychiatry, 2006.PMID 17074942
Psychiatry Fellowship Pro

$29/ monthor $279 / year

The complete Psychiatry Fellowship library, every exam format, one subscription.

  • Complete library for one chosen specialty
  • Timed MCQ mock exams and spaced review
  • Clinical cases & cross-table vivas
See pricingSign in
PreviousExplain psychotic depression and combination treatment — CASC communication stationGeneral adult psychiatry — mood disordersNextExplain winter depression, light therapy and autumn prevention — CASC communication stationGeneral adult psychiatry — mood disorders