Intensive CASC training day An introduction. 9:15 Introductory lecture/discussion 9:45 Workshops – Dr's mess (groups of 6; switch at half time) 12:15 Lunch 13:00 Mock exam Linked > feedback > single > feedback. Today.
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A/B : Appeared rather ill-at-ease. Dressed in formal suit/two piece (?with shoulder pads). Appearing uncomfortable in such formal attire. Avoiding eye contact. Somewhat preoccupied with sympathy, empathy, etc. Extremely apologetic and obsessed with social convention (asked how I wished to be addressed), told me that they were “sorry to hear” of my woes and unnecessarily apologetic throughout our encounter
S: Hesitant, difficulty in maintaining goal direction, appears to communicate in a “tick box”/robotic fashion and lose focus when challenged to move “outside the box”
M : clearly anxious, restriction of affect noted (as if our encounter had been repeated many times before…..)
R :Denies suicidal ideation but intimated that life has not been worth living for the past two months
T : Expressing paranoid ideas about a certain Royal College; Claims that the college are trying to “control” them and is forcing them to conform to a stereotypical psychiatrist (Caucasian, public school educated, speaking BBC English, Maudsley trained, etc.)
P : Admits to a persecutory voice in the third person commenting on their “interview skills”
I : Partial insight into the impact of a significant psychosocial stressor and the effect of being judged, humiliated and scrutinised. ?learned helplessnessMental State Examination of a CASC candidate
(please see hand-out)
Time / mins
7m (single), 10m (linked)