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Psych CASC / OSCEOld age psychiatry — neurocognitive disorders

Psych CASC / OSCE · Old age psychiatry — neurocognitive disorders

Explain young-onset dementia diagnosis and plan to patient and partner — CASC communication station

MRCPsych/FRANZCP-style communication station: explain YOD vs EOAD, outline work-up and genetics sensitively, discuss donepezil if AD pathway, safety-net work/driving/family, and check understanding.

communication2 min readVerification in progress

Target exams

FRANZCPMRCPsychABPNMD-DNB
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Target exams

FRANZCPMRCPsychABPNMD-DNB
Prompt
A 55-year-old accountant and his partner want a plain-language explanation of why this is called young-onset dementia, whether it is the same as Alzheimer disease, what tests including genetics mean, how treatment works, and what to do about work, driving, and their teenage children.

Station brief

Format. Communication station, approximately 7–10 minutes active time after reading. You are the psychiatry registrar in the cognitive disorders clinic. [1][2]

Candidate instructions. Explain young-onset dementia in plain language; distinguish the age label from a specific cause such as Alzheimer disease; outline key tests; discuss genetics only with sensitivity and counselling; cover work, driving, and family impact; explain that if Alzheimer disease is confirmed a cholinesterase inhibitor such as donepezil may be trialled; avoid promising cure; check understanding. [1][3][4][7]

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References7ShowHide
  1. [1]Rossor MN, Fox NC, Mummery CJ, Schott JM, Warren JD The diagnosis of young-onset dementia Lancet Neurol, 2010.PMID 20650401
  2. [2]Hendriks S, Peetoom K, Bakker C, et al. Global Prevalence of Young-Onset Dementia: A Systematic Review and Meta-analysis JAMA Neurol, 2021.PMID 34279544
  3. [3]McKhann GM, Knopman DS, Chertkow H, et al. The diagnosis of dementia due to Alzheimer's disease Alzheimers Dement, 2011.PMID 21514250
  4. [4]Birks JS, Harvey RJ Donepezil for dementia due to Alzheimer's disease Cochrane Database Syst Rev, 2018.PMID 29923184
  5. [5]Schneider LS, Dagerman KS, Insel P Risk of death with atypical antipsychotic drug treatment for dementia JAMA, 2005.PMID 16234500
  6. [6]Appelbaum PS Clinical practice. Assessment of patients' competence to consent to treatment N Engl J Med, 2007.PMID 17978292
  7. [7]Masellis M, Sherborn K, Neto P, et al. Early-onset dementias: diagnostic and etiological considerations Alzheimers Res Ther, 2013.PMID 24565469
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