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