# MedVellum — full catalog > Evidence-graded medical exam atlas for MBBS and fellowship boards Base URL: https://www.medvellum.com Educational exam prep only. Not medical advice. Canonical specialty paths use /s/{id}/… (legacy /{id}/… 308-redirects). Psychiatry complete index: https://www.medvellum.com/llms-psychiatry.txt Short summary: https://www.medvellum.com/llms.txt Sitemap: https://www.medvellum.com/sitemap.xml ## MBBS / Core medicine Hub: https://www.medvellum.com/topics NEET-PG / INICET core: systems medicine written for clarity under pressure. ### Topics Index: https://www.medvellum.com/topics #### General Surgery (5) - [Abdominal Wall Hernias](https://www.medvellum.com/topics/general-surgery/abdominal-wall-hernias) — **Hernia** = abnormal protrusion of a viscus (or part of a viscus) through a defect in the wall of its containing cavity. **Inguinal** herni - [Acute Cholecystitis](https://www.medvellum.com/topics/general-surgery/acute-cholecystitis) — **Acute cholecystitis** is acute inflammation of the gallbladder, **90% caused by a gallstone impacting the cystic duct**. Classic: **right - [Anorectal Disorders](https://www.medvellum.com/topics/general-surgery/anorectal-disorders) — **Anorectal disorders** span **haemorrhoids** (Grade I–IV; rubber band ligation first-line for II–III), **anal fissure** (posterior midline - [Breast Cancer](https://www.medvellum.com/topics/general-surgery/breast-cancer) — **Breast cancer** is the most common cancer in women worldwide (about 24% of all female cancers, lifetime risk roughly 1 in 8). Classic pres - [Pancreatic Carcinoma](https://www.medvellum.com/topics/general-surgery/pancreatic-cancer) — **Pancreatic carcinoma** (ductal adenocarcinoma) is an aggressive malignancy with a **5-year survival under 10%** — the worst of any solid o #### Obstetrics & Gynaecology (3) - [Cervical Cancer](https://www.medvellum.com/topics/obstetrics-gynaecology/cervical-cancer) — **Cervical cancer** arises at the cervical transformation zone from persistent infection with **high-risk HPV (16/18)**, whose E6 and E7 onc - [Ectopic Pregnancy](https://www.medvellum.com/topics/obstetrics-gynaecology/ectopic-pregnancy) — **Ectopic pregnancy** = implantation of a fertilized ovum **outside the uterine cavity**. About **95% are tubal** (ampulla 75%, isthmus 12%, - [Miscarriage & Recurrent Pregnancy Loss](https://www.medvellum.com/topics/obstetrics-gynaecology/miscarriage) — **Miscarriage (spontaneous abortion)** is the **loss of a pregnancy before 24 weeks** of gestation (the threshold of viability). It is the * #### Obstetrics and Gynaecology (1) - [Endometrial Cancer](https://www.medvellum.com/topics/obstetrics-gynaecology/endometrial-cancer) — **Endometrial cancer** is the most common gynaecological malignancy in developed countries and the sixth most common cancer in women. Around #### Nephrology (1) - [Haematuria (Evaluation)](https://www.medvellum.com/topics/nephrology/haematuria) — **Haematuria** (red blood cells in the urine) is a **sign, not a diagnosis**. It is divided into **visible (macroscopic/gross)** and **non-v ## Dermatology Hub: https://www.medvellum.com/s/dermatology FRCDerm / ABD / MRCP SCE: skin, hair, nails, and surface clues to systemic disease. ### Topics ## ICU Fellowship (CICM) Hub: https://www.medvellum.com/s/icu CICM: topics, SAQs, clinical cases, and cross-table vivas. ### Topics Index: https://www.medvellum.com/s/icu/topics ### SAQs Index: https://www.medvellum.com/s/icu/saqs ### Cases Index: https://www.medvellum.com/s/icu/cases ### Vivas Index: https://www.medvellum.com/s/icu/vivas ## Anaesthesia Hub: https://www.medvellum.com/s/anaesthesia Primary and final: airway, pharmacology, and peri-operative physiology. ### Topics Index: https://www.medvellum.com/s/anaesthesia/topics ### SAQs Index: https://www.medvellum.com/s/anaesthesia/saqs ### Cases Index: https://www.medvellum.com/s/anaesthesia/cases ### Vivas Index: https://www.medvellum.com/s/anaesthesia/vivas ## Emergency Medicine Hub: https://www.medvellum.com/s/emergency-medicine ACEM: resuscitation, time-critical presentations, and OSCE stations. ### Topics Index: https://www.medvellum.com/s/emergency-medicine/topics ### SAQs Index: https://www.medvellum.com/s/emergency-medicine/saqs ### Cases Index: https://www.medvellum.com/s/emergency-medicine/cases ### Vivas Index: https://www.medvellum.com/s/emergency-medicine/vivas ## Psychiatry Fellowship Hub: https://www.medvellum.com/s/psychiatry Multi-board psychiatry atlas (FRANZCP-primary): 300+ exam-exhaustive topics, MEQs, CASC stations, and vivas covering MRCPsych, ABPN, MD/DNB, NEET-SS, and RCPSC. ### Topics Index: https://www.medvellum.com/s/psychiatry/topics #### Consultation-liaison psychiatry (21) - [Abnormal illness behaviour and the sick role](https://www.medvellum.com/s/psychiatry/topics/consultation-liaison/abnormal-illness-behaviour) — Exam-exhaustive fellowship C-L topic on Parsons' sick role, Mechanic's illness behaviour, Pilowsky abnormal illness behaviour (definition, a - [Autoimmune encephalitis and organic psychosis](https://www.medvellum.com/s/psychiatry/topics/consultation-liaison/autoimmune-encephalitis-and-organic-psychosis) — Exam-exhaustive fellowship topic on autoimmune encephalitis presenting as organic psychosis — red flags, Graus AE and Pollak autoimmune-psyc - [Cardiac psychiatry](https://www.medvellum.com/s/psychiatry/topics/consultation-liaison/cardiac-psychiatry) — Exam-exhaustive fellowship topic on cardiac psychiatry — post-ACS and CHD depression and anxiety, bidirectional risk and prognosis, landmark - [Delirium](https://www.medvellum.com/s/psychiatry/topics/consultation-liaison/delirium) — Exam-exhaustive fellowship topic on delirium for consultation-liaison psychiatry — DSM-5-TR/ICD-11, CAM/4AT/CAM-ICU algorithms, hyperactive/ - [Dementia and major neurocognitive disorder](https://www.medvellum.com/s/psychiatry/topics/consultation-liaison/dementia-and-major-ncd) — Exam-exhaustive fellowship topic on dementia and major neurocognitive disorder — DSM-5-TR and ICD-11 nosology, mild versus major NCD, Alzhei - [Demoralisation and adjustment to medical illness](https://www.medvellum.com/s/psychiatry/topics/consultation-liaison/demoralisation-and-adjustment-to-illness) — Exam-exhaustive fellowship topic on demoralisation and adjustment to medical illness for consultation-liaison psychiatry — Clarke/Kissane de - [Endocrine psychiatry (thyroid, Cushing, Addison)](https://www.medvellum.com/s/psychiatry/topics/consultation-liaison/endocrine-psychiatry) — Exam-exhaustive fellowship topic on endocrine psychiatry for consultation-liaison practice — thyrotoxicosis and hypothyroidism including myx - [Epilepsy and psychiatry](https://www.medvellum.com/s/psychiatry/topics/consultation-liaison/epilepsy-and-psychiatry) — Exam-exhaustive fellowship topic on the epilepsy–psychiatry interface: peri-ictal and postictal psychosis, interictal depression, forced nor - [Functional neurological disorder in the medical setting](https://www.medvellum.com/s/psychiatry/topics/consultation-liaison/functional-neurological-disorder-cl) — Exam-exhaustive C-L fellowship leaf on functional neurological disorder in the medical setting — liaison role, positive rule-in diagnosis, b - [HIV psychiatry](https://www.medvellum.com/s/psychiatry/topics/consultation-liaison/hiv-psychiatry) — Exam-exhaustive fellowship topic on HIV psychiatry for consultation-liaison practice — Frascati HAND spectrum (ANI/MND/HAD), depression and - [Huntington disease psychiatry](https://www.medvellum.com/s/psychiatry/topics/consultation-liaison/huntington-disease-psychiatry) — Exam-exhaustive fellowship topic on the psychiatry of Huntington disease: premanifest and manifest neuropsychiatric syndromes, suicide risk, - [Mild cognitive impairment](https://www.medvellum.com/s/psychiatry/topics/consultation-liaison/mild-cognitive-impairment) — Exam-exhaustive fellowship topic on mild cognitive impairment and mild neurocognitive disorder — Petersen/Winblad criteria, DSM-5-TR mild NC - [Multiple sclerosis psychiatry](https://www.medvellum.com/s/psychiatry/topics/consultation-liaison/multiple-sclerosis-psychiatry) — Exam-exhaustive fellowship topic on the psychiatry of multiple sclerosis: depression and suicide risk, anxiety, pseudobulbar affect, cogniti - [Pain psychiatry and somatic symptom disorders](https://www.medvellum.com/s/psychiatry/topics/consultation-liaison/pain-psychiatry-and-somatic-symptom) — Exam-exhaustive fellowship topic on pain psychiatry and somatic symptom disorders for consultation-liaison practice — DSM-5-TR SSD and illne - [Palliative care psychiatry](https://www.medvellum.com/s/psychiatry/topics/consultation-liaison/palliative-care-psychiatry) — Exam-exhaustive fellowship topic on palliative care psychiatry for consultation-liaison practice — syndrome map (adjustment, demoralisation, - [Perinatal psychiatry in the general hospital](https://www.medvellum.com/s/psychiatry/topics/consultation-liaison/perinatal-medical-cl) — Exam-exhaustive fellowship topic on perinatal psychiatry as general-hospital consultation-liaison work — maternity-ward presentations, postp - [Renal and dialysis psychiatry](https://www.medvellum.com/s/psychiatry/topics/consultation-liaison/renal-and-dialysis-psychiatry) — Exam-exhaustive fellowship topic on renal and dialysis psychiatry for consultation-liaison practice — depression and anxiety in CKD/ESRD, CA - [SLE and autoimmune neuropsychiatry](https://www.medvellum.com/s/psychiatry/topics/consultation-liaison/sle-and-autoimmune-neuropsychiatry) — Exam-exhaustive fellowship topic on neuropsychiatric systemic lupus erythematosus and related autoimmune neuropsychiatry — ACR 19 syndromes, - [Stroke and post-stroke psychiatry](https://www.medvellum.com/s/psychiatry/topics/consultation-liaison/stroke-and-post-stroke-psychiatry) — Exam-exhaustive fellowship topic on stroke and post-stroke psychiatry — post-stroke depression epidemiology and natural history, treatment a - [Traumatic brain injury psychiatry](https://www.medvellum.com/s/psychiatry/topics/consultation-liaison/traumatic-brain-injury-psychiatry) — Exam-exhaustive fellowship topic on traumatic brain injury psychiatry — severity staging, post-concussion symptom complexes, depression and - [Wilson disease and metabolic neuropsychiatry](https://www.medvellum.com/s/psychiatry/topics/consultation-liaison/wilson-disease-and-metabolic-neuropsychiatry) — Exam-exhaustive fellowship topic on Wilson disease and metabolic neuropsychiatry: ATP7B copper toxicity, personality change and irritability #### Emergency psychiatry — absconding and missing patients (1) - [Absconding and missing patients](https://www.medvellum.com/s/psychiatry/topics/emergency/absconding-and-missing-patients) — Fellowship-depth atlas on absconding, AWOL, and missing psychiatric patients — definitions and pathways; epidemiology and suicide link (NCIS #### psychotherapy (9) - [Acceptance and commitment therapy](https://www.medvellum.com/s/psychiatry/topics/psychotherapy/acceptance-and-commitment-therapy) — Exam-exhaustive fellowship reference on acceptance and commitment therapy (ACT): psychological flexibility and the hexaflex, experiential av - [Behavioural activation](https://www.medvellum.com/s/psychiatry/topics/psychotherapy/behavioural-activation) — Exam-exhaustive fellowship reference on behavioural activation for depression — functional model (Ferster, Lewinsohn), Jacobson dismantling, - [Combining psychotherapy and pharmacotherapy](https://www.medvellum.com/s/psychiatry/topics/psychotherapy/combining-psychotherapy-and-pharmacotherapy) — Exam-exhaustive fellowship reference on combining psychotherapy and pharmacotherapy — concurrent vs sequential models, landmark trials (Kell - [Couples therapy](https://www.medvellum.com/s/psychiatry/topics/psychotherapy/couples-therapy) — Exam-exhaustive fellowship reference on couples therapy — major models (TBCT, IBCT, CBCT, EFT, insight-oriented), assessment and IPV safety - [Exposure and response prevention](https://www.medvellum.com/s/psychiatry/topics/psychotherapy/exposure-and-response-prevention) — Exam-exhaustive fellowship reference on exposure and response prevention (ERP/EX/RP) — OCD maintenance cycle, habituation vs inhibitory lear - [Group psychotherapy](https://www.medvellum.com/s/psychiatry/topics/psychotherapy/group-psychotherapy) — Exam-exhaustive fellowship reference on group psychotherapy — definition and formats, Yalom therapeutic factors, cohesion, selection and fra - [Interpersonal psychotherapy (IPT)](https://www.medvellum.com/s/psychiatry/topics/psychotherapy/interpersonal-psychotherapy) — Exam-exhaustive fellowship reference on interpersonal psychotherapy — medical model, sick role, four problem areas, phase structure, communi - [Psychoeducation and family psychoeducation](https://www.medvellum.com/s/psychiatry/topics/psychotherapy/psychoeducation-and-family-psychoeducation) — Exam-exhaustive fellowship reference on psychoeducation and family psychoeducation — definitions, expressed emotion and relapse, session str - [Supportive psychotherapy techniques](https://www.medvellum.com/s/psychiatry/topics/psychotherapy/supportive-psychotherapy-techniques) — Exam-exhaustive fellowship reference on supportive psychotherapy techniques — definition, expressive–supportive continuum, technique toolkit #### Emergency psychiatry (7) - [Acute agitation and rapid tranquillisation](https://www.medvellum.com/s/psychiatry/topics/emergency/acute-agitation-and-rapid-tranquillisation) — Exam-exhaustive fellowship topic on acute agitation and rapid tranquillisation — de-escalation first, capacity and least-restrictive legal p - [Acute behavioural disturbance and excited delirium presentations](https://www.medvellum.com/s/psychiatry/topics/emergency/excited-delirium-and-acute-behavioural-disturbance) — Fellowship-depth topic on extreme acute behavioural disturbance (ABD) and contested excited-delirium (ExDS) presentations — ABD-first framin - [Lithium toxicity](https://www.medvellum.com/s/psychiatry/topics/emergency/lithium-toxicity) — Exam-exhaustive fellowship topic on lithium toxicity — acute vs chronic vs acute-on-chronic patterns, serum levels and timing, neurotoxicity - [Neuroleptic malignant syndrome](https://www.medvellum.com/s/psychiatry/topics/emergency/neuroleptic-malignant-syndrome) — Exam-exhaustive fellowship topic on neuroleptic malignant syndrome — Gurrera international consensus diagnostic criteria with critical value - [Overdose and toxicology for psychiatrists](https://www.medvellum.com/s/psychiatry/topics/emergency/overdose-and-toxicology-for-psychiatrists) — Exam-exhaustive fellowship hub on overdose and clinical toxicology for psychiatrists — toxidrome approach, relative toxicity of psychotropic - [Psychiatric emergencies](https://www.medvellum.com/s/psychiatry/topics/emergency/psychiatric-emergencies) — Exam-exhaustive fellowship hub on psychiatric emergencies — agitation ladders with doses, suicidal crisis, medical mimics, SBD/ExDS framewor - [Serotonin syndrome](https://www.medvellum.com/s/psychiatry/topics/emergency/serotonin-syndrome) — Exam-exhaustive fellowship topic on serotonin toxicity — Hunter criteria (preferred) versus historical Sternbach, toxidrome with neuromuscul #### General adult psychiatry — bipolar and related disorders (5) - [Acute mania and hypomania management](https://www.medvellum.com/s/psychiatry/topics/general-adult/acute-mania-and-hypomania-management) — Exam-exhaustive fellowship reference on acute mania and hypomania management — operational mania vs hypomania criteria; medical work-up and - [Bipolar affective disorder](https://www.medvellum.com/s/psychiatry/topics/general-adult/bipolar-affective-disorder) — Exam-exhaustive fellowship reference on bipolar affective disorder — DSM-5-TR and ICD-11 definitions; bipolar I/II and cyclothymia; mixed fe - [Bipolar I disorder](https://www.medvellum.com/s/psychiatry/topics/general-adult/bipolar-i-disorder) — Exam-exhaustive fellowship leaf on bipolar I disorder — DSM-5-TR and ICD-11 mania gates; epidemiology and suicide risk; acute mania algorith - [Bipolar II disorder and cyclothymia](https://www.medvellum.com/s/psychiatry/topics/general-adult/bipolar-ii-and-cyclothymia) — Exam-exhaustive fellowship reference on bipolar II disorder and cyclothymia — hypomania versus mania thresholds, misdiagnosis as recurrent u - [Mixed features and rapid cycling](https://www.medvellum.com/s/psychiatry/topics/general-adult/mixed-features-and-rapid-cycling) — Exam-exhaustive fellowship reference on DSM-5-TR mixed features specifier versus historical mixed episode, ICD-11 framing, rapid cycling (≥4 #### General adult psychiatry — trauma and stressor-related disorders (5) - [Acute stress disorder](https://www.medvellum.com/s/psychiatry/topics/general-adult/acute-stress-disorder) — Exam-exhaustive fellowship reference on acute stress disorder — DSM-5-TR Criterion A, 3-day to 1-month window, ≥9 of 14 symptoms, DSM-IV dis - [Adjustment disorders](https://www.medvellum.com/s/psychiatry/topics/general-adult/adjustment-disorders) — Exam-exhaustive fellowship reference on adjustment disorders — DSM-5-TR and ICD-11 criteria and timing; specifiers; differential vs MDD, PTS - [Complex PTSD and trauma-informed care](https://www.medvellum.com/s/psychiatry/topics/general-adult/complex-ptsd-and-trauma-informed-care) — Exam-exhaustive fellowship reference on ICD-11 complex PTSD — PTSD core plus DSO triad, differential from PTSD and BPD, ITQ assessment, phas - [Grief and prolonged grief disorder](https://www.medvellum.com/s/psychiatry/topics/general-adult/grief-and-prolonged-grief-disorder) — Exam-exhaustive fellowship reference on normal grief versus prolonged grief disorder (DSM-5-TR and ICD-11), differential from major depressi - [PTSD and acute stress disorder](https://www.medvellum.com/s/psychiatry/topics/general-adult/ptsd-and-acute-stress) — Exam-exhaustive fellowship reference on PTSD and acute stress disorder — DSM-5-TR and ICD-11 criteria including complex PTSD, epidemiology a #### Addiction psychiatry (5) - [Addiction in older adults](https://www.medvellum.com/s/psychiatry/topics/addiction/addiction-in-older-adults) — Exam-exhaustive fellowship topic on addiction and substance misuse in older adults — early- vs late-onset phenotypes, age-related PK/PD, alc - [Alcohol use disorder](https://www.medvellum.com/s/psychiatry/topics/addiction/alcohol-use-disorder) — Exam-exhaustive fellowship topic on alcohol use disorder — DSM-5-TR versus ICD-11 nosology, epidemiology, neurobiology of dependence and wit - [Alcohol withdrawal and delirium tremens](https://www.medvellum.com/s/psychiatry/topics/addiction/alcohol-withdrawal-and-delirium-tremens) — Exam-exhaustive fellowship topic on alcohol withdrawal and delirium tremens — timeline after last drink, DSM-5-TR/ICD-11 nosology, GABA/NMDA - [Alcohol-related brain injury and Korsakoff syndrome](https://www.medvellum.com/s/psychiatry/topics/addiction/alcohol-related-brain-injury-and-korsakoff) — Exam-exhaustive fellowship topic on alcohol-related brain injury and Korsakoff syndrome — ARBI umbrella versus Wernicke–Korsakoff continuum, - [Benzodiazepine dependence](https://www.medvellum.com/s/psychiatry/topics/addiction/benzodiazepine-dependence) — Exam-exhaustive fellowship topic on benzodiazepine dependence — DSM-5-TR/ICD-11 nosology, GABA-A tolerance and withdrawal including seizures #### Child and adolescent psychiatry — neurodevelopmental (4) - [ADHD across the lifespan](https://www.medvellum.com/s/psychiatry/topics/child-adolescent/adhd-across-the-lifespan) — Exam-exhaustive fellowship reference on ADHD from childhood through adulthood — DSM-5-TR and ICD-11 criteria; multi-informant assessment; di - [Autism spectrum disorder](https://www.medvellum.com/s/psychiatry/topics/child-adolescent/autism-spectrum-disorder) — Exam-exhaustive fellowship reference on autism spectrum disorder — DSM-5-TR criteria and levels, ICD-11 mapping, epidemiology and genetics, - [Language and communication disorders](https://www.medvellum.com/s/psychiatry/topics/child-adolescent/language-and-communication-disorders) — Exam-exhaustive fellowship reference on language and communication disorders — DSM-5-TR/CATALISE classification, DLD vs SPCD vs ASD, epidemi - [Tic disorders and Tourette syndrome](https://www.medvellum.com/s/psychiatry/topics/child-adolescent/tic-disorders-and-tourette-syndrome) — Exam-exhaustive fellowship reference on tic disorders and Tourette syndrome — DSM-5-TR classification, CSTC pathophysiology, CBIT evidence, #### Child and adolescent psychiatry — adolescent substance use (1) - [Adolescent substance use](https://www.medvellum.com/s/psychiatry/topics/child-adolescent/adolescent-substance-use) — Exam-exhaustive fellowship reference on adolescent substance use — developmental epidemiology, cannabis/alcohol/stimulants, dual diagnosis, #### foundations (4) - [Advanced critical appraisal and EBM for psychiatry](https://www.medvellum.com/s/psychiatry/topics/foundations/critical-appraisal-advanced) — Fellowship-depth advanced critical appraisal for psychiatry: RoB 2 and ROBINS-I domains, forest-plot anatomy with prediction intervals, hete - [Descriptive psychopathology and phenomenology](https://www.medvellum.com/s/psychiatry/topics/foundations/descriptive-psychopathology-and-phenomenology) — Exam-exhaustive fellowship atlas on descriptive psychopathology and phenomenology — disorders of perception, thought form and content, speec - [Neuroanatomy and neural circuits for psychiatrists](https://www.medvellum.com/s/psychiatry/topics/foundations/neuroanatomy-circuits-for-psychiatrists) — Exam-exhaustive circuit neuroanatomy for FRANZCP/MRCPsych/ABPN: prefrontal zones, limbic and Papez frameworks, Alexander–DeLong basal-gangli - [Philosophy of mind and psychiatry](https://www.medvellum.com/s/psychiatry/topics/foundations/philosophy-of-mind-and-psychiatry) — Exam-exhaustive fellowship atlas on philosophy of mind applied to psychiatry — dualism and monism, consciousness, free will and responsibili #### Old age psychiatry — Alzheimer disease (1) - [Alzheimer disease](https://www.medvellum.com/s/psychiatry/topics/old-age/alzheimer-disease) — Exam-exhaustive fellowship reference on Alzheimer disease — NIA-AA 2011 probable/possible clinical criteria; continuum from preclinical and #### Specialty psychiatry — eating disorders (2) - [Anorexia nervosa](https://www.medvellum.com/s/psychiatry/topics/specialty/anorexia-nervosa) — Exam-exhaustive fellowship reference on anorexia nervosa — DSM-5-TR/ICD-11 criteria and BMI severity, medical complications, refeeding syndr - [Bulimia nervosa and binge-eating disorder](https://www.medvellum.com/s/psychiatry/topics/specialty/bulimia-and-binge-eating) — Exam-exhaustive fellowship reference on bulimia nervosa and binge-eating disorder — DSM-5-TR and ICD-11 criteria; AN-purging differential; m #### Psychopharmacology — antidepressants (1) - [Antidepressants](https://www.medvellum.com/s/psychiatry/topics/psychopharmacology/antidepressants) — Exam-exhaustive fellowship pharmacology of antidepressants — SSRI/SNRI/mirtazapine/bupropion/vortioxetine/TCA/MAOI maps, doses and monitorin #### Psychopharmacology — antipsychotics (1) - [Antipsychotics](https://www.medvellum.com/s/psychiatry/topics/psychopharmacology/antipsychotics) — Exam-exhaustive fellowship pharmacology of antipsychotics — receptor maps, FGA vs SGA evidence (CATIE, CUtLASS, EUFEST, Leucht NMA), dosing, #### General adult psychiatry — personality disorders (12) - [Antisocial personality disorder](https://www.medvellum.com/s/psychiatry/topics/general-adult/antisocial-personality-disorder) — Exam-exhaustive fellowship reference on antisocial personality disorder — DSM-5-TR and ICD-11 nosology; careful ASPD versus psychopathy dist - [Avoidant personality disorder](https://www.medvellum.com/s/psychiatry/topics/general-adult/avoidant-personality-disorder) — Exam-exhaustive fellowship reference on avoidant personality disorder — DSM-5-TR and ICD-11 criteria, continuum with social anxiety disorder - [Borderline personality disorder](https://www.medvellum.com/s/psychiatry/topics/general-adult/borderline-personality-disorder) — Exam-exhaustive fellowship reference on borderline personality disorder — DSM-5-TR and ICD-11 nosology; epidemiology and suicide risk; bioso - [Cluster A and Cluster C personality disorders](https://www.medvellum.com/s/psychiatry/topics/general-adult/cluster-a-and-cluster-c-personality) — Exam-exhaustive fellowship reference on Cluster A (paranoid, schizoid, schizotypal) and Cluster C (avoidant, dependent, OCPD) personality di - [Dependent personality disorder](https://www.medvellum.com/s/psychiatry/topics/general-adult/dependent-personality-disorder) — Exam-exhaustive fellowship reference on dependent personality disorder — DSM-5-TR ≥5 of 8 criteria, ICD-11 severity and trait mapping, Borns - [Histrionic personality disorder](https://www.medvellum.com/s/psychiatry/topics/general-adult/histrionic-personality-disorder) — Exam-exhaustive fellowship reference on histrionic personality disorder — DSM-5-TR and ICD-11 criteria, construct-validity controversies, ep - [Narcissistic and Cluster B spectrum](https://www.medvellum.com/s/psychiatry/topics/general-adult/narcissistic-and-cluster-b-spectrum) — Exam-exhaustive fellowship reference on narcissistic personality disorder and the Cluster B spectrum — grandiose and vulnerable narcissism; - [Obsessive-compulsive personality disorder](https://www.medvellum.com/s/psychiatry/topics/general-adult/obsessive-compulsive-personality-disorder) — Exam-exhaustive fellowship reference on obsessive-compulsive personality disorder (OCPD/anankastic PD) — DSM-5-TR ≥4/8 criteria, ICD-11 seve - [Paranoid personality disorder](https://www.medvellum.com/s/psychiatry/topics/general-adult/paranoid-personality-disorder) — Exam-exhaustive fellowship reference on paranoid personality disorder — DSM-5-TR and ICD-11 nosology; differentials from delusional disorder - [Personality disorder: ICD-11 dimensional model](https://www.medvellum.com/s/psychiatry/topics/general-adult/personality-disorder-icd11-dimensional) — Exam-exhaustive fellowship reference on the ICD-11 dimensional model of personality disorder — severity grading (mild/moderate/severe), five - [Schizoid personality disorder](https://www.medvellum.com/s/psychiatry/topics/general-adult/schizoid-personality-disorder) — Exam-exhaustive fellowship reference on schizoid personality disorder — DSM-5-TR and ICD-11 nosology; discriminators from avoidant PD, autis - [Schizotypal personality disorder](https://www.medvellum.com/s/psychiatry/topics/general-adult/schizotypal-personality-disorder) — Exam-exhaustive fellowship reference on schizotypal personality disorder — DSM-5-TR criteria and ICD-11 severity/trait framing; schizophreni #### Psychopharmacology — anxiolytics and hypnotics (1) - [Anxiolytics and hypnotics](https://www.medvellum.com/s/psychiatry/topics/psychopharmacology/anxiolytics-and-hypnotics) — Exam-exhaustive fellowship psychopharmacology of anxiolytics and hypnotics — benzodiazepines and Z-drugs (GABA-A PAM, half-life maps, short- #### Forensic psychiatry — arson and firesetting (1) - [Arson and fire-setting](https://www.medvellum.com/s/psychiatry/topics/forensic/arson-and-fire-setting) — Exam-exhaustive fellowship reference on deliberate firesetting, arson, and pyromania — terminology triad, DSM/ICD exclusions and rarity, NES #### Child and adolescent psychiatry — attachment disorders (1) - [Attachment disorders in children](https://www.medvellum.com/s/psychiatry/topics/child-adolescent/attachment-disorders-in-children) — Exam-exhaustive fellowship reference on childhood attachment disorders — DSM-5-TR/ICD-11 RAD versus DSED, extremes of insufficient care, BEI #### Foundations — developmental science (1) - [Attachment theory and early relationships](https://www.medvellum.com/s/psychiatry/topics/foundations/attachment-theory-and-early-relationships) — Exam-exhaustive fellowship reference on attachment theory — Bowlby secure base/safe haven, Ainsworth Strange Situation patterns (secure/inse #### Psychopharmacology — augmentation strategies (1) - [Augmentation strategies in mood and psychosis](https://www.medvellum.com/s/psychiatry/topics/psychopharmacology/augmentation-strategies) — Fellowship-depth atlas of structured augmentation in non-response — augment vs switch vs combination, pseudo-resistance exclusion, STAR*D an #### Intellectual disability psychiatry — neurodevelopmental dual diagnosis (1) - [Autism and intellectual disability comorbidity](https://www.medvellum.com/s/psychiatry/topics/intellectual-disability/autism-and-id-comorbidity) — Exam-exhaustive fellowship reference on autism spectrum disorder co-occurring with intellectual disability — dual-diagnosis assessment (soci #### General adult psychiatry — feeding and eating disorders (2) - [Avoidant/restrictive food intake disorder (ARFID)](https://www.medvellum.com/s/psychiatry/topics/general-adult/avoidant-restrictive-food-intake-disorder) — Exam-exhaustive fellowship reference on avoidant/restrictive food intake disorder (ARFID) — DSM-5-TR/ICD-11 criteria without shape/weight ov - [Pica and rumination disorder](https://www.medvellum.com/s/psychiatry/topics/general-adult/pica-and-rumination-disorder) — Exam-exhaustive fellowship reference on pica and rumination disorder — DSM-5-TR/ICD-11 criteria, medical complications (lead, bezoar, malnut #### Foundations — basic neuroscience for psychiatry (1) - [Basic neuroscience for psychiatry](https://www.medvellum.com/s/psychiatry/topics/foundations/basic-neuroscience-for-psychiatry) — Exam-exhaustive fellowship foundation on basic neuroscience for psychiatry: neuron and synapse, transmitter systems, LTP/LTD plasticity, lar #### Old age psychiatry — dementia neuropsychiatry (1) - [Behavioural and psychological symptoms of dementia](https://www.medvellum.com/s/psychiatry/topics/old-age/behavioural-and-psychological-symptoms-of-dementia) — Exam-exhaustive fellowship reference on behavioural and psychological symptoms of dementia (BPSD/NPS) — domains and NPI framing; multifactor #### intellectual-disability (6) - [Behavioural phenotypes and genetic syndromes](https://www.medvellum.com/s/psychiatry/topics/intellectual-disability/behavioural-phenotypes-genetic-syndromes) — Exam-exhaustive behavioural phenotypes of genetic syndromes for FRANZCP and global boards: probabilistic phenotype concept; Down syndrome de - [Capacity and supported decision-making in ID](https://www.medvellum.com/s/psychiatry/topics/intellectual-disability/capacity-and-supported-decision-making-id) — Exam-exhaustive fellowship reference on decision-specific capacity and supported decision-making in intellectual disability — four functiona - [Down syndrome and mental health](https://www.medvellum.com/s/psychiatry/topics/intellectual-disability/down-syndrome-mental-health) — Exam-exhaustive Down syndrome mental health for FRANZCP and global boards: behavioural phenotype, depression versus Alzheimer dementia, medi - [Intellectual disability: assessment and classification](https://www.medvellum.com/s/psychiatry/topics/intellectual-disability/intellectual-disability-assessment-and-classification) — Exam-exhaustive fellowship reference on intellectual disability assessment and classification — DSM-5-TR intellectual developmental disorder - [Offending and intellectual disability](https://www.medvellum.com/s/psychiatry/topics/intellectual-disability/offending-and-intellectual-disability) — Exam-exhaustive fellowship reference on offending and intellectual disability — prevalence method traps, offence patterns, victimisation ove - [Psychiatric disorders in intellectual disability](https://www.medvellum.com/s/psychiatry/topics/intellectual-disability/psychiatric-disorders-in-intellectual-disability) — Exam-exhaustive fellowship reference on psychiatric disorders in intellectual disability — diagnostic overshadowing, modified/pathoplastic p #### Psychopharmacology — benzodiazepine prescribing and tapering (1) - [Benzodiazepine prescribing and tapering](https://www.medvellum.com/s/psychiatry/topics/psychopharmacology/benzodiazepine-prescribing-and-tapering) — Exam-exhaustive fellowship psychopharmacology of benzodiazepine initiation and structured tapering — half-life and equipotency maps, short-t #### Old age psychiatry — grief and loss (1) - [Bereavement in later life](https://www.medvellum.com/s/psychiatry/topics/old-age/bereavement-in-later-life) — Exam-exhaustive fellowship reference on bereavement in later life — adaptive grief versus prolonged grief disorder (DSM-5-TR/ICD-11), widowh #### Foundations — biostatistics for psychiatry exams (1) - [Biostatistics for psychiatry exams](https://www.medvellum.com/s/psychiatry/topics/foundations/biostatistics-for-psychiatry-exams) — Exam-exhaustive biostatistics for FRANZCP and MRCPsych: p-values and CIs; Type I/II error and power; RR, OR, HR; ARR, RRR, NNT, NNH; sensiti #### General adult psychiatry — OCRD (3) - [Body dysmorphic disorder](https://www.medvellum.com/s/psychiatry/topics/general-adult/body-dysmorphic-disorder) — Exam-exhaustive fellowship reference on body dysmorphic disorder — DSM-5-TR/ICD-11 OCRD criteria; insight spectrum including delusional beli - [Hoarding and related disorders](https://www.medvellum.com/s/psychiatry/topics/general-adult/hoarding-and-related-disorders) — Exam-exhaustive fellowship reference on hoarding disorder — DSM-5-TR/ICD-11 OCRD criteria; vs OCD, ADHD, dementia and squalor; Frost–Hartl m - [Obsessive-compulsive disorder](https://www.medvellum.com/s/psychiatry/topics/general-adult/obsessive-compulsive-disorder) — Exam-exhaustive fellowship reference on obsessive-compulsive disorder — DSM-5-TR and ICD-11 criteria and OCRD context; Y-BOCS; differentials #### Professional — boundary violations and sexual misconduct (1) - [Boundary violations and sexual misconduct](https://www.medvellum.com/s/psychiatry/topics/professional/boundary-violations-and-sexual-misconduct) — Exam-exhaustive fellowship reference on professional boundary violations and sexual misconduct in psychiatry — Gutheil–Gabbard crossing vs v #### Consultation-liaison — burns and critical illness psychiatry (1) - [Burns and critical illness psychiatry](https://www.medvellum.com/s/psychiatry/topics/consultation-liaison/burns-and-critical-illness-psychiatry) — Exam-exhaustive fellowship reference on consultation-liaison psychiatry after burn injury and critical illness: ASD/PTSD and depression traj #### Addiction psychiatry — cannabis and psychosis (1) - [Cannabis use and psychosis](https://www.medvellum.com/s/psychiatry/topics/addiction/cannabis-use-and-psychosis) — Exam-exhaustive fellowship reference on the cannabis–psychosis interface: THC potency and dose–response, adolescent risk, substance-induced #### Consultation-liaison — capacity and consent (1) - [Capacity and informed consent](https://www.medvellum.com/s/psychiatry/topics/consultation-liaison/capacity-and-informed-consent) — Exam-exhaustive fellowship reference on decision-specific capacity and informed consent — four functional abilities (understand/appreciate/r #### Old age psychiatry — capacity, guardianship and end of life (1) - [Capacity, guardianship and end-of-life decisions](https://www.medvellum.com/s/psychiatry/topics/old-age/capacity-guardianship-end-of-life) — Exam-exhaustive fellowship reference on capacity, guardianship and end-of-life decisions in older adults — Appelbaum–Grisso four abilities, #### Psychopharmacology — carbamazepine and oxcarbazepine (1) - [Carbamazepine and oxcarbazepine](https://www.medvellum.com/s/psychiatry/topics/psychopharmacology/carbamazepine-and-oxcarbazepine) — Exam-exhaustive fellowship psychopharmacology of carbamazepine and oxcarbazepine — Weisler ERC-CBZ mania RCTs, autoinduction and CYP3A4 indu #### General adult psychiatry (2) - [Catatonia](https://www.medvellum.com/s/psychiatry/topics/general-adult/catatonia) — Exam-exhaustive fellowship topic on catatonia — DSM-5-TR and ICD-11 nosology, Bush-Francis screening and severity scales, retarded versus ex - [Functional neurological symptom disorder (conversion)](https://www.medvellum.com/s/psychiatry/topics/general-adult/functional-neurological-disorder) — Exam-exhaustive fellowship reference on functional neurological symptom disorder (conversion/FND) — DSM-5-TR and ICD-11 nosology, positive r #### Professional — psychological therapies (2) - [CBT fundamentals for psychiatrists](https://www.medvellum.com/s/psychiatry/topics/professional/cbt-fundamentals-for-psychiatrists) — Exam-exhaustive fellowship reference on CBT for psychiatrists — cognitive model, five-area formulation, session and course structure, behavi - [DBT and third-wave therapies](https://www.medvellum.com/s/psychiatry/topics/professional/dbt-and-third-wave-therapies) — Exam-exhaustive fellowship reference on dialectical behaviour therapy (modes, modules, stages, biosocial theory, skills groups, consultation #### Intellectual disability psychiatry (2) - [Challenging behaviour and positive behaviour support](https://www.medvellum.com/s/psychiatry/topics/intellectual-disability/challenging-behaviour-and-pbs) — Exam-exhaustive fellowship reference on challenging behaviour in intellectual disability — Emerson definition and epidemiology, functional a - [Epilepsy in intellectual disability](https://www.medvellum.com/s/psychiatry/topics/intellectual-disability/epilepsy-and-id) — Exam-exhaustive fellowship reference on epilepsy in intellectual disability — prevalence and severity gradient (McGrother ~26%), treatment r #### Child and adolescent psychiatry — anxiety disorders (1) - [Child and adolescent anxiety](https://www.medvellum.com/s/psychiatry/topics/child-adolescent/child-and-adolescent-anxiety) — Exam-exhaustive fellowship reference on child and adolescent anxiety — separation anxiety, GAD, social anxiety, selective mutism, school ref #### Child and adolescent psychiatry — depression (1) - [Child and adolescent depression](https://www.medvellum.com/s/psychiatry/topics/child-adolescent/child-and-adolescent-depression) — Exam-exhaustive fellowship reference on child and adolescent depression — DSM-5-TR/ICD-11 developmental criteria (irritable mood), epidemiol #### Child and adolescent psychiatry — risk and safeguarding (1) - [Child protection for psychiatrists](https://www.medvellum.com/s/psychiatry/topics/child-adolescent/child-protection-for-psychiatrists) — Exam-exhaustive fellowship reference on child protection for psychiatrists — maltreatment subtypes, reporting thresholds, documentation, mul #### Child and adolescent psychiatry — childhood trauma and maltreatment (1) - [Childhood trauma and maltreatment](https://www.medvellum.com/s/psychiatry/topics/child-adolescent/childhood-trauma-and-maltreatment) — Exam-exhaustive fellowship reference on childhood trauma and maltreatment — types of abuse and neglect, ACE science and graded risk, develop #### Child and adolescent psychiatry — OCRD (1) - [Childhood-onset OCD](https://www.medvellum.com/s/psychiatry/topics/child-adolescent/childhood-ocd) — Exam-exhaustive fellowship reference on childhood-onset OCD — DSM-5-TR criteria, family accommodation, CY-BOCS, ERP and family-based CBT (PO #### Child and adolescent psychiatry — family and prevention (1) - [Children of parents with mental illness](https://www.medvellum.com/s/psychiatry/topics/child-adolescent/children-of-parents-with-mental-illness) — Exam-exhaustive fellowship reference on children of parents with mental illness — epidemiology, multi-pathway risk transmission, assessment #### Forensic psychiatry — civil (1) - [Civil forensic psychiatry](https://www.medvellum.com/s/psychiatry/topics/forensic/civil-forensic-psychiatry) — Exam-exhaustive fellowship reference on civil forensic psychiatry: testamentary and financial capacity (Banks v Goodfellow principles; funct #### General adult psychiatry — clinical high risk / attenuated psychosis (1) - [Clinical high risk and attenuated psychosis syndrome](https://www.medvellum.com/s/psychiatry/topics/general-adult/clinical-high-risk-and-attenuated-psychosis) — Exam-exhaustive fellowship reference on clinical high risk (CHR) and ultra-high risk (UHR) for psychosis — APS/BLIPS/genetic-risk criteria, #### Psychopharmacology — clozapine (1) - [Clozapine](https://www.medvellum.com/s/psychiatry/topics/psychopharmacology/clozapine) — Exam-exhaustive fellowship reference on clozapine — TRRIP entry, titration, plasma levels, region-aware haematology principles, myocarditis #### Psychopharmacology — cognitive enhancers (1) - [Cognitive enhancers (cholinesterase inhibitors and memantine)](https://www.medvellum.com/s/psychiatry/topics/psychopharmacology/cognitive-enhancers) — Exam-exhaustive fellowship monograph on cholinesterase inhibitors and memantine — mechanisms, severity- and subtype-linked indications (AD, #### Foundations — cognitive psychology (1) - [Cognitive psychology for psychiatry](https://www.medvellum.com/s/psychiatry/topics/foundations/cognitive-psychology-for-psychiatry) — Exam-exhaustive fellowship reference on cognitive psychology for psychiatrists — attention networks, working and long-term memory, executive #### Public and community psychiatry — collaborative care and primary care (1) - [Collaborative care and primary care psychiatry](https://www.medvellum.com/s/psychiatry/topics/public-community/collaborative-care-and-primary-care-psychiatry) — Exam-exhaustive fellowship reference on collaborative care and primary care psychiatry: Wagner Chronic Care Model roots, five CoCM principle #### public-community (5) - [Community mental health models of care](https://www.medvellum.com/s/psychiatry/topics/public-community/community-mental-health-models) — Exam-exhaustive fellowship topic on community mental health service models: CMHT, case management, ICM, ACT/PACT, FACT, crisis resolution/ho - [Health economics and mental health service planning](https://www.medvellum.com/s/psychiatry/topics/public-community/health-economics-and-service-planning) — Exam-exhaustive fellowship topic on health economics for mental health and service planning: burden (DALY/YLD), cost-of-illness, CEA/CUA/CBA - [Quality improvement and patient safety in psychiatry](https://www.medvellum.com/s/psychiatry/topics/public-community/quality-improvement-and-patient-safety) — Exam-exhaustive fellowship topic on quality improvement and patient safety in psychiatry: Donabedian measures, Model for Improvement/PDSA, s - [Rural and remote psychiatry](https://www.medvellum.com/s/psychiatry/topics/public-community/rural-and-remote-psychiatry) — Exam-exhaustive fellowship reference on rural and remote psychiatry: geographic classification, suicide and workforce inequity, social deter - [Telepsychiatry](https://www.medvellum.com/s/psychiatry/topics/public-community/telepsychiatry) — Exam-exhaustive fellowship reference on telepsychiatry: modality taxonomy, effectiveness evidence, videoconferencing process standards, emer #### Professional — complaint management and regulation (1) - [Complaint management and professional regulation](https://www.medvellum.com/s/psychiatry/topics/professional/complaint-management-and-regulation) — Exam-exhaustive fellowship reference on healthcare complaints versus claims versus regulatory notifications, why patients complain, complain #### Child and adolescent psychiatry — disruptive behaviour (1) - [Conduct and oppositional defiant disorders](https://www.medvellum.com/s/psychiatry/topics/child-adolescent/conduct-and-oppositional-disorders) — Exam-exhaustive fellowship reference on oppositional defiant disorder and conduct disorder — DSM-5-TR and ICD-11 criteria, Moffitt trajector #### Professional practice — critical appraisal and EBM (1) - [Critical appraisal for psychiatry exams](https://www.medvellum.com/s/psychiatry/topics/professional/critical-appraisal-for-psychiatry-exams) — Exam-exhaustive critical appraisal for MRCPsych Paper B and FRANZCP: Sackett EBM and PICO; hierarchy of evidence and GRADE; RCT validity (ra #### Professional — cultural formulation and Indigenous mental health (1) - [Cultural formulation and Indigenous mental health](https://www.medvellum.com/s/psychiatry/topics/professional/cultural-formulation-and-indigenous-mental-health) — Exam-exhaustive fellowship reference on DSM-5 cultural formulation (OCF and CFI), Kleinman explanatory models, Aboriginal and Torres Strait #### Old age psychiatry — delirium and acute cognitive syndromes (1) - [Delirium in older adults](https://www.medvellum.com/s/psychiatry/topics/old-age/delirium-in-older-adults) — Exam-exhaustive fellowship reference on delirium in older adults — CAM/3D-CAM/4AT algorithms, hypoactive miss, multifactorial vulnerability #### General adult psychiatry — psychotic disorders (4) - [Delusional disorder](https://www.medvellum.com/s/psychiatry/topics/general-adult/delusional-disorder) — Exam-exhaustive fellowship reference on delusional disorder — DSM-5-TR and ICD-11 criteria; subtypes (persecutory, jealous, erotomanic, soma - [Schizoaffective disorder](https://www.medvellum.com/s/psychiatry/topics/general-adult/schizoaffective-disorder) — Exam-exhaustive fellowship reference on schizoaffective disorder — DSM-5-TR and ICD-11 operational criteria; bipolar versus depressive type; - [Schizophrenia spectrum and other psychotic disorders](https://www.medvellum.com/s/psychiatry/topics/general-adult/schizophrenia-spectrum-disorders) — Exam-exhaustive fellowship reference on the schizophrenia spectrum — DSM-5-TR and ICD-11 definitions; symptom domains; epidemiology and risk - [Schizophreniform and brief psychotic disorder](https://www.medvellum.com/s/psychiatry/topics/general-adult/schizophreniform-and-brief-psychotic-disorder) — Exam-exhaustive fellowship reference on duration-defined nonaffective psychoses — DSM-5-TR brief psychotic disorder (1 day to under 1 month) #### old-age (1) - [Dementia with Lewy bodies and Parkinson disease dementia](https://www.medvellum.com/s/psychiatry/topics/old-age/dementia-with-lewy-bodies-and-parkinson) — Exam-exhaustive fellowship reference on dementia with Lewy bodies (DLB) and Parkinson disease dementia (PDD) — McKeith 2017 core features an #### General adult psychiatry — dissociative disorders (2) - [Depersonalization/derealization disorder](https://www.medvellum.com/s/psychiatry/topics/general-adult/depersonalization-derealization-disorder) — Exam-exhaustive fellowship reference on depersonalisation/derealisation disorder — DSM-5-TR/ICD-11 criteria with intact reality testing; 1–2 - [Dissociative disorders](https://www.medvellum.com/s/psychiatry/topics/general-adult/dissociative-disorders) — Exam-exhaustive fellowship reference on dissociative disorders — DID with balanced trauma vs sociocognitive evidence, DPDR, dissociative amn #### Child and adolescent psychiatry — developmental assessment (1) - [Developmental assessment in child psychiatry](https://www.medvellum.com/s/psychiatry/topics/child-adolescent/developmental-assessment-in-cap) — Exam-exhaustive fellowship reference on developmental assessment in CAP — structured history, domain milestones, adaptive function co-equal #### Public and community psychiatry — disaster and mass casualty psychiatry (1) - [Disaster and mass casualty psychiatry](https://www.medvellum.com/s/psychiatry/topics/public-community/disaster-and-mass-casualty-psychiatry) — Exam-exhaustive fellowship reference on disaster and mass casualty psychiatry — exposure gradients, normal distress versus disorder, Hobfoll #### Child and adolescent psychiatry — chronic irritability / DMDD (1) - [Disruptive mood dysregulation disorder](https://www.medvellum.com/s/psychiatry/topics/child-adolescent/disruptive-mood-dysregulation-disorder) — Exam-exhaustive fellowship reference on disruptive mood dysregulation disorder — DSM-5-TR criteria and age rules, SMD historical construct, #### general-adult (1) - [Dissociative identity disorder and dissociative amnesia](https://www.medvellum.com/s/psychiatry/topics/general-adult/dissociative-identity-and-amnesia) — Fellowship leaf on DID and dissociative amnesia (including fugue): DSM-5-TR/ICD-11 nosology, trauma vs sociocognitive debate, DES/SCID-D ass #### Professional — doctor health, burnout and impairment (1) - [Doctor health, burnout and impairment](https://www.medvellum.com/s/psychiatry/topics/professional/doctor-health-and-burnout) — Exam-exhaustive fellowship reference on doctor health, Maslach three-dimension burnout, ICD-11 occupational framing, epidemiology and suicid #### Psychopharmacology — drug interactions and QTc (1) - [Drug interactions and QTc](https://www.medvellum.com/s/psychiatry/topics/psychopharmacology/drug-interactions-and-qtc) — Exam-exhaustive fellowship reference on psychotropic drug–drug interactions and QTc risk — PK vs PD framework, CYP1A2/2D6/3A4 maps, smoking– #### Addiction psychiatry — dual diagnosis and integrated care (1) - [Dual diagnosis and integrated care](https://www.medvellum.com/s/psychiatry/topics/addiction/dual-diagnosis-and-integrated-care) — Exam-exhaustive fellowship reference on dual diagnosis (co-occurring mental illness and substance use): etiological models, sequential/paral #### Forensic psychiatry — duty to warn and third-party risk (1) - [Duty to warn and third-party risk](https://www.medvellum.com/s/psychiatry/topics/forensic/duty-to-warn-and-third-party-risk) — Exam-exhaustive fellowship reference on Tarasoff principles, duty to warn versus duty to protect, limits of confidentiality when third parti #### Child and adolescent psychiatry — early-onset psychosis (1) - [Early-onset psychosis](https://www.medvellum.com/s/psychiatry/topics/child-adolescent/early-onset-psychosis) — Exam-exhaustive CAP fellowship reference on early-onset psychosis — age definitions (EOP under 18, VEOP/COS under 13), autism/trauma/substan #### Child and adolescent psychiatry — eating disorders (1) - [Eating disorders in adolescence](https://www.medvellum.com/s/psychiatry/topics/child-adolescent/eating-disorders-adolescent) — Exam-exhaustive fellowship reference on eating disorders in adolescence — DSM-5-TR/ICD-11 AN, BN, BED and ARFID; medical risk and admission #### Psychopharmacology — ECT and neurostimulation (1) - [ECT and neurostimulation](https://www.medvellum.com/s/psychiatry/topics/psychopharmacology/ect-and-neurostimulation) — Exam-exhaustive fellowship reference on ECT and neurostimulation — indications (depression, mania, catatonia, clozapine-resistant schizophre #### Foundations — EEG and clinical neurophysiology (1) - [EEG and clinical neurophysiology in psychiatry](https://www.medvellum.com/s/psychiatry/topics/foundations/eeg-and-clinical-neurophysiology) — Exam-exhaustive fellowship foundation on EEG and clinical neurophysiology for psychiatrists: indications and yield, frequency bands and repo #### Old age psychiatry — risk and safeguarding (1) - [Elder abuse and vulnerability](https://www.medvellum.com/s/psychiatry/topics/old-age/elder-abuse-and-vulnerability) — Exam-exhaustive fellowship reference on elder abuse and vulnerability — subtypes (physical, sexual, psychological, financial, neglect, self- #### Child and adolescent psychiatry — elimination disorders (1) - [Elimination disorders: enuresis and encopresis](https://www.medvellum.com/s/psychiatry/topics/child-adolescent/elimination-disorders) — Exam-exhaustive fellowship reference on childhood elimination disorders — DSM-5-TR and ICCS classification, enuresis pathophysiology triad, #### Foundations — epidemiologic methods for psychiatry (1) - [Epidemiologic methods for psychiatry](https://www.medvellum.com/s/psychiatry/topics/foundations/epidemiology-methods-for-psychiatry) — Exam-exhaustive epidemiologic methods for FRANZCP and MRCPsych: frequency measures (incidence, prevalence, person-time), association and imp #### Professional practice — epidemiology and public mental health (1) - [Epidemiology and public mental health](https://www.medvellum.com/s/psychiatry/topics/professional/epidemiology-and-public-mental-health) — Exam-exhaustive epidemiology and public mental health for FRANZCP and MRCPsych: measures of occurrence; GBD/YLD/DALY; global and Australian #### Specialty psychiatry — sexual medicine interface (2) - [Erectile and ejaculatory disorders](https://www.medvellum.com/s/psychiatry/topics/specialty/erectile-and-ejaculatory-disorders) — Exam-exhaustive fellowship leaf on erectile disorder, premature (early) ejaculation, and delayed ejaculation — DSM-5-TR/ISSM nosology, organ - [Female sexual interest, arousal and pain disorders](https://www.medvellum.com/s/psychiatry/topics/specialty/female-sexual-interest-arousal-and-pain) — Exam-exhaustive fellowship atlas on female sexual interest/arousal disorder and genito-pelvic pain/penetration disorder — DSM-5-TR vs ICD-11 #### Professional — ethics, boundaries and professionalism (1) - [Ethics, boundaries and professionalism](https://www.medvellum.com/s/psychiatry/topics/professional/ethics-boundary-and-professionalism) — Exam-exhaustive fellowship reference on psychiatric ethics and professionalism — four principles, Gutheil–Gabbard boundary theory, dual rela #### Forensic psychiatry — expert evidence (1) - [Expert evidence and forensic report writing](https://www.medvellum.com/s/psychiatry/topics/forensic/expert-evidence-and-report-writing) — Exam-exhaustive fellowship reference on psychiatric expert evidence and forensic report writing: expert vs fact/treating roles, dual-role et #### Psychopharmacology — EPS and tardive dyskinesia (1) - [Extrapyramidal side effects and tardive dyskinesia](https://www.medvellum.com/s/psychiatry/topics/psychopharmacology/eps-and-tardive-dyskinesia) — Fellowship-depth atlas of antipsychotic-related extrapyramidal syndromes — acute dystonia (including laryngeal), akathisia (Barnes scale), d #### Forensic psychiatry — fabricated or induced illness (1) - [Fabricated or induced illness (Munchausen by proxy)](https://www.medvellum.com/s/psychiatry/topics/forensic/munchausen-by-proxy-and-fabricated-illness) — Exam-exhaustive fellowship reference on fabricated or induced illness (FII), medical child abuse, caregiver-fabricated illness, and factitio #### General adult psychiatry — factitious disorder and malingering (1) - [Factitious disorder and malingering](https://www.medvellum.com/s/psychiatry/topics/general-adult/factitious-disorder-and-malingering) — Exam-exhaustive fellowship reference on factitious disorder (self and other) versus malingering — intentionality continuum, hospital and for #### Old age psychiatry — falls polypharmacy frailty (1) - [Falls, polypharmacy and frailty in old-age psychiatry](https://www.medvellum.com/s/psychiatry/topics/old-age/falls-polypharmacy-and-frailty) — Exam-exhaustive fellowship reference on falls, polypharmacy and frailty in old-age psychiatry — Fried vs Rockwood frailty, FRID psychotropic #### Professional — psychosocial interventions (1) - [Family and systemic interventions](https://www.medvellum.com/s/psychiatry/topics/professional/family-and-systemic-interventions) — Exam-exhaustive fellowship reference on family and systemic interventions — expressed emotion and psychosis relapse, structural and systemic #### Forensic psychiatry — female offenders (1) - [Female offenders](https://www.medvellum.com/s/psychiatry/topics/forensic/female-offenders) — Exam-exhaustive fellowship reference on female offenders — gendered pathways, trauma and dual diagnosis burden, PTSD and self-harm, risk-too #### General adult psychiatry — early psychosis pathway (1) - [First-episode psychosis](https://www.medvellum.com/s/psychiatry/topics/general-adult/first-episode-psychosis) — Exam-exhaustive fellowship reference on the first-episode psychosis pathway — definition and DUP, organic exclusion, early intervention evid #### Psychopharmacology — first-generation antipsychotics (1) - [First-generation antipsychotics](https://www.medvellum.com/s/psychiatry/topics/psychopharmacology/first-generation-antipsychotics) — Exam-exhaustive fellowship monograph on first-generation antipsychotics — chemical and potency classification, D2 occupancy and EPS/prolacti #### Forensic psychiatry — fitness and criminal responsibility (1) - [Fitness to stand trial and criminal responsibility](https://www.medvellum.com/s/psychiatry/topics/forensic/fitness-to-stand-trial-and-criminal-responsibility) — Exam-exhaustive fellowship reference on fitness to stand trial / competence to stand trial / fitness to plead (Pritchard, Presser, Dusky pri #### Intellectual disability — neurodevelopmental (2) - [Foetal alcohol spectrum disorder](https://www.medvellum.com/s/psychiatry/topics/intellectual-disability/foetal-alcohol-spectrum-disorder) — Exam-exhaustive fellowship reference on foetal alcohol spectrum disorder — diagnostic systems (Hoyme, Cook/Canadian, 4-digit code, DSM-5-TR - [Fragile X syndrome](https://www.medvellum.com/s/psychiatry/topics/intellectual-disability/fragile-x-syndrome) — Exam-exhaustive fellowship reference on fragile X syndrome and the FMR1 spectrum — CGG allele classes, FMRP loss and premutation RNA toxicit #### Professional — clinical skills (1) - [Formulation: biopsychosocial and 4Ps](https://www.medvellum.com/s/psychiatry/topics/professional/formulation-biopsychosocial-and-4ps) — Exam-exhaustive fellowship reference on psychiatric case formulation — biopsychosocial model, 4Ps (predisposing, precipitating, perpetuating #### Old age psychiatry — neurocognitive disorders (2) - [Frontotemporal dementia](https://www.medvellum.com/s/psychiatry/topics/old-age/frontotemporal-dementia) — Exam-exhaustive fellowship reference on frontotemporal dementia — Rascovsky bvFTD criteria; Gorno-Tempini PPA variants (nfv/sv/lv); proteino - [Young-onset dementia](https://www.medvellum.com/s/psychiatry/topics/old-age/young-onset-dementia) — Exam-exhaustive fellowship reference on young-onset dementia (onset before 65): definitions, Hendriks/Harvey epidemiology, aetiologic spectr #### Addiction psychiatry — behavioural addictions (2) - [Gambling disorder](https://www.medvellum.com/s/psychiatry/topics/addiction/gambling-disorder) — Exam-exhaustive fellowship reference on gambling disorder — DSM-5-TR/ICD-11 criteria and reclassification; epidemiology, suicide and debt ri - [Gaming and internet addiction](https://www.medvellum.com/s/psychiatry/topics/addiction/gaming-and-internet-addiction) — Exam-exhaustive fellowship reference on gaming disorder and broader problematic internet use — ICD-11 clinical gaming disorder vs DSM-5-TR S #### Specialty psychiatry — gender diversity ethics and systems (1) - [Gender diversity: broader clinical and ethical issues](https://www.medvellum.com/s/psychiatry/topics/specialty/gender-diversity-beyond-dysphoria) — Exam-exhaustive fellowship reference on gender diversity beyond the narrow gender-dysphoria diagnostic pathway — minority stress and structu #### Specialty psychiatry — gender and sexuality (1) - [Gender dysphoria and affirming care](https://www.medvellum.com/s/psychiatry/topics/specialty/gender-dysphoria-and-affirming-care) — Exam-exhaustive fellowship reference on gender dysphoria (DSM-5-TR) and ICD-11 gender incongruence — comprehensive assessment, minority stre #### General adult psychiatry — anxiety disorders (6) - [Generalised anxiety disorder](https://www.medvellum.com/s/psychiatry/topics/general-adult/generalised-anxiety-disorder) — Exam-exhaustive fellowship reference on generalised anxiety disorder — DSM-5-TR and ICD-11 criteria; epidemiology and burden; neurobiology a - [Panic disorder and agoraphobia](https://www.medvellum.com/s/psychiatry/topics/general-adult/panic-disorder-and-agoraphobia) — Exam-exhaustive fellowship reference on panic disorder and agoraphobia — DSM-5-TR and ICD-11 criteria; epidemiology; catastrophic misinterpr - [Selective mutism](https://www.medvellum.com/s/psychiatry/topics/general-adult/selective-mutism) — Exam-exhaustive fellowship reference on selective mutism — DSM-5-TR and ICD-11 criteria, anxiety-chapter reclassification, epidemiology, beh - [Separation anxiety disorder](https://www.medvellum.com/s/psychiatry/topics/general-adult/separation-anxiety-disorder) — Exam-exhaustive fellowship reference on separation anxiety disorder across the lifespan — DSM-5-TR and ICD-11 criteria, child vs adult durat - [Social anxiety disorder](https://www.medvellum.com/s/psychiatry/topics/general-adult/social-anxiety-disorder) — Exam-exhaustive fellowship reference on social anxiety disorder — DSM-5-TR and ICD-11 criteria; performance-only specifier; epidemiology; Cl - [Specific phobia](https://www.medvellum.com/s/psychiatry/topics/general-adult/specific-phobia) — Exam-exhaustive fellowship reference on specific phobia — DSM-5-TR and ICD-11 criteria; five type specifiers; epidemiology; fear acquisition #### Addiction psychiatry — hallucinogen-related disorders (1) - [Hallucinogen-related disorders](https://www.medvellum.com/s/psychiatry/topics/addiction/hallucinogen-use-disorders) — Fellowship-depth atlas on hallucinogen-related disorders — classic serotonergic psychedelics (LSD, psilocybin, mescaline, DMT), intoxication #### Addiction psychiatry — public health and systems (1) - [Harm reduction and public health approaches](https://www.medvellum.com/s/psychiatry/topics/addiction/harm-reduction-and-public-health) — Exam-exhaustive fellowship reference on harm reduction and public-health approaches to drug use — principles and ethics; needle-syringe prog #### Consultation-liaison — hepatic encephalopathy and advanced transplant psychiatry (1) - [Hepatic encephalopathy and advanced transplant psychiatry](https://www.medvellum.com/s/psychiatry/topics/consultation-liaison/hepatic-and-transplant-psychiatry-advanced) — Exam-exhaustive fellowship reference on hepatic encephalopathy for the C-L psychiatrist (West Haven and covert–overt classification, gut–liv #### Foundations — history (1) - [History of psychiatry](https://www.medvellum.com/s/psychiatry/topics/foundations/history-of-psychiatry) — Exam-exhaustive fellowship reference on the history of psychiatry — emergence of the specialty, moral treatment and asylum eras, Kraepelinia #### Forensic psychiatry — homicide (1) - [Homicide and mental disorder](https://www.medvellum.com/s/psychiatry/topics/forensic/homicide-and-mental-disorder) — Exam-exhaustive fellowship reference on homicide and mental disorder — absolute vs relative risk, myth versus epidemiology, first-episode un #### Foundations (1) - [Human development across the lifespan](https://www.medvellum.com/s/psychiatry/topics/foundations/human-development-across-the-lifespan) — Exam-exhaustive fellowship reference on human development across the lifespan for psychiatry — Piaget, Erikson, Kohlberg/Gilligan, adult dev #### General adult psychiatry — somatic symptom and related (1) - [Illness anxiety disorder](https://www.medvellum.com/s/psychiatry/topics/general-adult/illness-anxiety-disorder) — Exam-exhaustive fellowship reference on illness anxiety disorder — DSM-5-TR criteria and care-seeking/care-avoidant subtypes; DSM-IV hypocho #### General adult psychiatry — impulse-control disorders (1) - [Impulse-control disorders overview](https://www.medvellum.com/s/psychiatry/topics/general-adult/impulse-control-disorders-overview) — Exam-exhaustive fellowship atlas on impulse-control disorders as a group — DSM-5-TR Disruptive/Impulse-Control/Conduct chapter versus ICD-11 #### Addiction psychiatry — inhalant-related disorders (1) - [Inhalant-related disorders](https://www.medvellum.com/s/psychiatry/topics/addiction/inhalant-use-disorders) — Fellowship-depth atlas on inhalant-related disorders — volatile solvent, aerosol and hydrocarbon gas misuse (including petrol sniffing and c #### Specialty psychiatry — sleep medicine interface (6) - [Insomnia disorder](https://www.medvellum.com/s/psychiatry/topics/specialty/insomnia-disorder) — Exam-exhaustive fellowship atlas on insomnia disorder — DSM-5-TR/ICSD-3 nosology, Spielman 3P and hyperarousal models, epidemiology and depr - [Narcolepsy and hypersomnolence disorders](https://www.medvellum.com/s/psychiatry/topics/specialty/narcolepsy-and-hypersomnolence) — Exam-exhaustive fellowship atlas on narcolepsy and central hypersomnolence — ICSD-3/DSM-5-TR nosology, orexin loss, tetrad presentation, MSL - [Obstructive sleep apnoea and psychiatry](https://www.medvellum.com/s/psychiatry/topics/specialty/obstructive-sleep-apnoea-and-psychiatry) — Exam-exhaustive fellowship reference on obstructive sleep apnoea at the psychiatry interface — ICSD-3/AASM severity, epidemiology, mood and - [Parasomnias](https://www.medvellum.com/s/psychiatry/topics/specialty/parasomnias) — Exam-exhaustive fellowship atlas on parasomnias — NREM disorders of arousal versus REM parasomnias (nightmare disorder, RBD), ICSD-3/DSM-5-T - [Restless legs syndrome](https://www.medvellum.com/s/psychiatry/topics/specialty/restless-legs-syndrome) — Exam-exhaustive fellowship atlas on restless legs syndrome (Willis–Ekbom disease) for psychiatry — IRLSSG five criteria, primary vs secondar - [Sleep disorders in psychiatry](https://www.medvellum.com/s/psychiatry/topics/specialty/sleep-disorders-in-psychiatry) — Exam-exhaustive fellowship reference on sleep disorders at the psychiatry interface — DSM-5-TR/ICSD-3 insomnia and hypersomnia nosology, OSA #### General adult psychiatry — impulse control (2) - [Intermittent explosive disorder](https://www.medvellum.com/s/psychiatry/topics/general-adult/intermittent-explosive-disorder) — Exam-exhaustive fellowship reference on intermittent explosive disorder — DSM-5-TR A1/A2 frequency criteria, impulsive vs instrumental aggre - [Kleptomania and pyromania](https://www.medvellum.com/s/psychiatry/topics/general-adult/kleptomania-and-pyromania) — Exam-exhaustive fellowship reference on kleptomania and pyromania — DSM-5-TR and ICD-11 criteria, urge–act–aftermath phenomenology, epidemio #### Psychopharmacology — ketamine and esketamine (1) - [Ketamine and esketamine](https://www.medvellum.com/s/psychiatry/topics/psychopharmacology/ketamine-and-esketamine) — Exam-exhaustive fellowship reference on ketamine and esketamine for treatment-resistant depression — pharmacology, 0.5 mg/kg IV protocols, I #### Psychopharmacology — lamotrigine (1) - [Lamotrigine](https://www.medvellum.com/s/psychiatry/topics/psychopharmacology/lamotrigine) — Exam-exhaustive fellowship monograph on lamotrigine — depression-pole maintenance evidence (Calabrese, Bowden, Goodwin pooled, Geddes meta), #### Old age psychiatry — anxiety disorders (1) - [Late-life anxiety disorders](https://www.medvellum.com/s/psychiatry/topics/old-age/late-life-anxiety-disorders) — Exam-exhaustive fellowship reference on late-life anxiety disorders — DSM-5-TR/ICD-11 framing, epidemiology (Beekman LASA, Byers NCS-R), GAD #### Old age psychiatry — mood disorders (2) - [Late-life bipolar disorder](https://www.medvellum.com/s/psychiatry/topics/old-age/late-life-bipolar-disorder) — Exam-exhaustive fellowship reference on late-life bipolar disorder — early-onset vs late-onset bipolarity, secondary/organic mania, lithium - [Late-life depression](https://www.medvellum.com/s/psychiatry/topics/old-age/late-life-depression) — Exam-exhaustive fellowship reference on late-life depression — early- vs late-onset and vascular depression constructs; suicide risk and hig #### Old age psychiatry — psychosis (1) - [Late-onset psychosis](https://www.medvellum.com/s/psychiatry/topics/old-age/late-onset-psychosis) — Exam-exhaustive fellowship reference on late-onset and very late-onset schizophrenia-like psychosis (LOS/VLOSLP) — Howard consensus age cut- #### Professional — leadership and clinical governance (1) - [Leadership and clinical governance](https://www.medvellum.com/s/psychiatry/topics/professional/leadership-and-clinical-governance) — Exam-exhaustive fellowship reference on clinical governance (Scally–Donaldson), Donabedian quality, systems vs person approaches to error, j #### Foundations — learning theory and behavioural science (1) - [Learning theory and behavioural science](https://www.medvellum.com/s/psychiatry/topics/foundations/learning-theory-and-behavioural-science) — Exam-exhaustive fellowship reference on learning theory and behavioural science for psychiatrists — classical, operant, and observational le #### Professional — LGBTQ+ affirming psychiatric care (1) - [LGBTQ+ affirming psychiatric care](https://www.medvellum.com/s/psychiatry/topics/professional/lgbtq-affirming-psychiatric-care) — Exam-exhaustive fellowship topic on LGBTQ+ affirming psychiatric care: Meyer minority stress, disparities in depression anxiety substance us #### Psychopharmacology — lithium (1) - [Lithium](https://www.medvellum.com/s/psychiatry/topics/psychopharmacology/lithium) — Exam-exhaustive fellowship monograph on lithium — initiation and 12-hour trough levels, acute mania and bipolar maintenance evidence (BALANC #### Psychopharmacology — long-acting injectable antipsychotics (1) - [Long-acting injectable antipsychotics](https://www.medvellum.com/s/psychiatry/topics/psychopharmacology/long-acting-injectable-antipsychotics) — Exam-exhaustive fellowship reference on long-acting injectable antipsychotics — agent map, oral overlap and loading, indications and adheren #### General adult psychiatry — mood disorders (6) - [Major depressive disorder](https://www.medvellum.com/s/psychiatry/topics/general-adult/major-depressive-disorder) — Exam-exhaustive fellowship reference on major depressive disorder — DSM-5-TR and ICD-11 criteria and specifiers; epidemiology and suicide ri - [Melancholic and atypical depression specifiers](https://www.medvellum.com/s/psychiatry/topics/general-adult/melancholic-and-atypical-specifiers) — Exam-exhaustive fellowship reference on DSM-5-TR melancholic features and atypical features as depressive episode specifiers — operational c - [Persistent depressive disorder (dysthymia)](https://www.medvellum.com/s/psychiatry/topics/general-adult/persistent-depressive-disorder) — Exam-exhaustive fellowship reference on persistent depressive disorder (dysthymia) — DSM-5-TR consolidation of dysthymia and chronic major d - [Psychotic depression](https://www.medvellum.com/s/psychiatry/topics/general-adult/psychotic-depression) — Exam-exhaustive fellowship reference on major depression with psychotic features — DSM-5-TR/ICD-11 framing, mood-congruent vs incongruent co - [Seasonal and atypical depression](https://www.medvellum.com/s/psychiatry/topics/general-adult/seasonal-and-atypical-depression) — Exam-exhaustive fellowship reference on seasonal pattern major depression (SAD) and depression with atypical features — DSM-5-TR/ICD framing - [Treatment-resistant depression](https://www.medvellum.com/s/psychiatry/topics/general-adult/treatment-resistant-depression) — Exam-exhaustive fellowship reference on treatment-resistant depression — operational definitions and staging, pseudo-resistance, STAR*D sequ #### Forensic psychiatry — mental health law (1) - [Mental health law and involuntary treatment](https://www.medvellum.com/s/psychiatry/topics/forensic/mental-health-law-and-involuntary-treatment) — Exam-exhaustive fellowship reference on mental health law and involuntary treatment — principles of compulsory care, least restrictive alter #### Professional skills — mental state examination (1) - [Mental state examination](https://www.medvellum.com/s/psychiatry/topics/professional/mental-state-examination) — Exam-exhaustive fellowship reference on the Mental State Examination — all core domains (appearance, behaviour, speech, mood, affect, though #### Psychotherapy (3) - [Mentalisation-based treatment](https://www.medvellum.com/s/psychiatry/topics/psychotherapy/mentalisation-based-treatment) — Exam-exhaustive fellowship reference on mentalisation-based treatment (MBT): definition of mentalising, pre-mentalising modes, attachment-ar - [Schema therapy](https://www.medvellum.com/s/psychiatry/topics/psychotherapy/schema-therapy) — Exam-exhaustive fellowship reference on schema therapy (ST/SFT): early maladaptive schemas, schema domains, coping styles, schema modes, lim - [Trauma-focused CBT and EMDR](https://www.medvellum.com/s/psychiatry/topics/psychotherapy/trauma-focused-cbt-and-emdr) — Exam-exhaustive fellowship reference on trauma-focused psychological therapies — PE, CPT, CT-PTSD/TF-CBT, child TF-CBT, and EMDR — with Ehle #### Psychopharmacology — metabolic syndrome and psychotropic monitoring (1) - [Metabolic syndrome and psychotropic monitoring](https://www.medvellum.com/s/psychiatry/topics/psychopharmacology/metabolic-syndrome-and-psychotropics) — Exam-exhaustive fellowship reference on metabolic syndrome and psychotropic monitoring — NCEP/IDF criteria, agent ranking by cardiometabolic #### Public and community psychiatry — military and veteran psychiatry (1) - [Military and veteran psychiatry](https://www.medvellum.com/s/psychiatry/topics/public-community/military-and-veteran-psychiatry) — Exam-exhaustive fellowship reference on military and veteran psychiatry — deployment epidemiology, barriers to care, moral injury as formula #### Psychopharmacology — atypical and multimodal antidepressants (1) - [Mirtazapine, bupropion and multimodal antidepressants](https://www.medvellum.com/s/psychiatry/topics/psychopharmacology/mirtazapine-bupropion-and-multimodal) — Exam-exhaustive fellowship pharmacology of mirtazapine (NaSSA), bupropion (NDRI) and multimodal agents (vortioxetine, vilazodone, agomelatin #### Psychopharmacology — monoamine oxidase inhibitors (1) - [Monoamine oxidase inhibitors](https://www.medvellum.com/s/psychiatry/topics/psychopharmacology/maois) — Exam-exhaustive fellowship pharmacology of monoamine oxidase inhibitors — irreversible nonselective agents, RIMA moclobemide, selegiline tra #### Psychopharmacology — mood stabilisers (1) - [Mood stabilisers](https://www.medvellum.com/s/psychiatry/topics/psychopharmacology/mood-stabilisers) — Exam-exhaustive fellowship psychopharmacology of mood stabilisers — lithium, valproate, lamotrigine, carbamazepine: mechanisms, levels, moni #### Forensic psychiatry — morbid jealousy and erotomania (1) - [Morbid jealousy and erotomania](https://www.medvellum.com/s/psychiatry/topics/forensic/morbid-jealousy-and-erotomania) — Exam-exhaustive fellowship reference on morbid (pathological/delusional) jealousy including Othello syndrome and erotomania (de Clérambault) #### Professional — motivational interviewing (1) - [Motivational interviewing](https://www.medvellum.com/s/psychiatry/topics/professional/motivational-interviewing) — Exam-exhaustive fellowship reference on motivational interviewing — spirit (PACE), OARS, four processes, change vs sustain talk (DARN-CAT), #### Addiction psychiatry — psychosocial interventions (1) - [Mutual help programmes and contingency management](https://www.medvellum.com/s/psychiatry/topics/addiction/mutual-help-and-contingency-management) — Exam-exhaustive fellowship reference on mutual-help programmes (AA, NA, SMART Recovery, TSF) and contingency management (voucher and prize-b #### General adult psychiatry — psychosis (2) - [Negative and cognitive symptoms of schizophrenia](https://www.medvellum.com/s/psychiatry/topics/general-adult/negative-and-cognitive-symptoms-of-schizophrenia) — Exam-exhaustive fellowship reference on negative and cognitive symptoms of schizophrenia — primary versus secondary negatives, deficit syndr - [Treatment-resistant schizophrenia](https://www.medvellum.com/s/psychiatry/topics/general-adult/treatment-resistant-schizophrenia) — Exam-exhaustive fellowship reference on treatment-resistant schizophrenia — TRRIP criteria, pseudo-resistance, LAI before labelling, clozapi #### Addiction psychiatry — neonatal abstinence (1) - [Neonatal abstinence syndrome](https://www.medvellum.com/s/psychiatry/topics/addiction/neonatal-abstinence-syndrome) — Exam-exhaustive fellowship reference on neonatal abstinence syndrome and neonatal opioid withdrawal syndrome — definition, epidemiology, mec #### Addiction psychiatry — nicotine and behavioural addictions (1) - [Nicotine and behavioural addictions](https://www.medvellum.com/s/psychiatry/topics/addiction/nicotine-and-behavioural-addictions) — Exam-exhaustive fellowship reference on nicotine/tobacco use disorder (FTND, combination NRT, varenicline, bupropion, e-cigarettes, EAGLES, #### Addiction psychiatry — substance use disorders (2) - [Opioid substitution therapy and withdrawal](https://www.medvellum.com/s/psychiatry/topics/addiction/opioid-substitution-and-withdrawal) — Fellowship-depth leaf on opioid withdrawal and substitution: COWS staging, symptomatic care, methadone and buprenorphine induction/titration - [Opioid use disorder](https://www.medvellum.com/s/psychiatry/topics/addiction/opioid-use-disorder) — Exam-exhaustive fellowship reference on opioid use disorder — DSM-5-TR/ICD-11 criteria; overdose and naloxone; COWS withdrawal; methadone an #### Child and adolescent psychiatry — psychopharmacology (1) - [Paediatric psychopharmacology](https://www.medvellum.com/s/psychiatry/topics/child-adolescent/paediatric-psychopharmacology) — Exam-exhaustive fellowship reference on paediatric psychopharmacology — developmental PK/PD, when to medicate, SSRI black-box communication #### Specialty psychiatry — clinical paraphilic disorders (1) - [Paraphilic disorders (clinical)](https://www.medvellum.com/s/psychiatry/topics/specialty/paraphilic-disorders-clinical) — Exam-exhaustive fellowship atlas on clinical paraphilic disorders — DSM-5-TR/ICD-11 interest-versus-disorder threshold, epidemiology of inte #### General adult psychiatry — perinatal (2) - [Perinatal mood and anxiety disorders](https://www.medvellum.com/s/psychiatry/topics/general-adult/perinatal-mood-and-anxiety-disorders) — Exam-exhaustive fellowship reference on perinatal mood and anxiety disorders — antenatal and postnatal depression, postpartum psychosis, per - [Postpartum psychosis](https://www.medvellum.com/s/psychiatry/topics/general-adult/postpartum-psychosis) — Exam-exhaustive fellowship reference on postpartum psychosis — onset timing, bipolar spectrum link, dual mother-infant risk, organic differe #### Foundations — personality theory (1) - [Personality theory for psychiatrists](https://www.medvellum.com/s/psychiatry/topics/foundations/personality-theory-for-psychiatrists) — Exam-exhaustive fellowship reference on personality theory for psychiatrists — trait models (FFM/Big Five, Cloninger), psychodynamic and cog #### Addiction psychiatry — pharmaceutical and OTC misuse (1) - [Pharmaceutical and over-the-counter drug misuse](https://www.medvellum.com/s/psychiatry/topics/addiction/pharmaceutical-and-otc-drug-misuse) — Exam-exhaustive fellowship reference on pharmaceutical and over-the-counter drug misuse — codeine and Australian rescheduling, gabapentinoid #### Psychopharmacology — pharmacogenomics (1) - [Pharmacogenomics in psychiatry](https://www.medvellum.com/s/psychiatry/topics/psychopharmacology/pharmacogenomics-in-psychiatry) — Exam-exhaustive fellowship reference on psychiatric pharmacogenomics — CYP metaboliser phenotypes, CPIC antidepressant and atomoxetine guida #### Psychopharmacology — phototherapy and chronotherapy (1) - [Phototherapy and chronotherapy](https://www.medvellum.com/s/psychiatry/topics/psychopharmacology/phototherapy-and-chronotherapy) — Exam-exhaustive fellowship reference on phototherapy (bright light therapy) and chronotherapy — 10,000 lux protocols, SAD and nonseasonal de #### Foundations — physical examination and investigations (1) - [Physical examination and investigations in psychiatry](https://www.medvellum.com/s/psychiatry/topics/foundations/physical-examination-and-investigations) — Exam-exhaustive fellowship reference on physical examination and investigations in psychiatry — neurological exam essentials, tiered baselin #### Emergency psychiatry — police liaison and community emergency detention (1) - [Police liaison and community emergency detention](https://www.medvellum.com/s/psychiatry/topics/emergency/police-liaison-and-sectioning-in-community) — Exam-exhaustive fellowship reference on police–mental-health liaison in the community, emergency detention principles (public-place vs priva #### Old age psychiatry — psychotropic prescribing (1) - [Prescribing psychotropics in older adults](https://www.medvellum.com/s/psychiatry/topics/old-age/prescribing-in-older-adults) — Exam-exhaustive fellowship reference on prescribing psychotropics in older adults — age-related PK/PD, Beers and STOPP/START, start-low-go-s #### Foundations — prevention and early intervention (1) - [Prevention and early intervention in mental health](https://www.medvellum.com/s/psychiatry/topics/foundations/prevention-and-early-intervention) — Exam-exhaustive fellowship reference on prevention and early intervention in mental health: Gordon and Caplan frameworks, Rose population st #### Forensic psychiatry — prison mental health (1) - [Prison mental health](https://www.medvellum.com/s/psychiatry/topics/forensic/prison-mental-health) — Exam-exhaustive fellowship reference on prison mental health — prevalence of SMI and SUD, reception screening, suicide and self-harm, dual d #### Foundations — nosology (1) - [Psychiatric classification: DSM-5-TR and ICD-11](https://www.medvellum.com/s/psychiatry/topics/foundations/psychiatric-classification-dsm5tr-icd11) — Exam-exhaustive fellowship reference on psychiatric classification — ICD vs DSM history and governance, categorical vs dimensional models, I #### foundations — psychiatric genetics and epigenetics (1) - [Psychiatric genetics and epigenetics](https://www.medvellum.com/s/psychiatry/topics/foundations/psychiatric-genetics-and-epigenetics) — Exam-exhaustive psychiatric genetics and epigenetics for FRANZCP and MRCPsych: heritability and twin/adoption designs; liability-threshold a #### Public and community psychiatry — rehabilitation and recovery services (1) - [Psychiatric rehabilitation and recovery services](https://www.medvellum.com/s/psychiatry/topics/public-community/rehabilitation-and-recovery-services) — Exam-exhaustive fellowship topic on psychiatric rehabilitation and recovery services: clinical, functional and personal recovery (CHIME); ev #### Foundations — psychological and neuropsychological testing (1) - [Psychological and neuropsychological testing](https://www.medvellum.com/s/psychiatry/topics/foundations/psychological-and-neuropsychological-testing) — Exam-exhaustive fellowship reference on psychological and neuropsychological testing for psychiatrists — bedside screens (MMSE, MoCA, FAB, C #### Foundations — psychoneuroendocrinology and psychoimmunology (1) - [Psychoneuroendocrinology and psychoimmunology](https://www.medvellum.com/s/psychiatry/topics/foundations/psychoneuroendocrinology-and-psychoimmunology) — Exam-exhaustive fellowship foundation on psychoneuroendocrinology and psychoimmunology: HPA/HPG/HPT axes, allostatic load, glucocorticoid re #### Psychopharmacology — pregnancy and lactation (1) - [Psychopharmacology in pregnancy and lactation](https://www.medvellum.com/s/psychiatry/topics/psychopharmacology/psychopharmacology-in-pregnancy-and-lactation) — Exam-exhaustive fellowship perinatal psychopharmacology — untreated illness versus drug risks, antidepressants (cardiac absolute risk, PNAS, #### General adult psychiatry — psychosocial rehabilitation in psychosis (1) - [Psychosocial rehabilitation in psychosis](https://www.medvellum.com/s/psychiatry/topics/general-adult/psychosocial-rehabilitation-in-psychosis) — Exam-exhaustive fellowship topic on psychosocial rehabilitation for schizophrenia-spectrum and other psychotic disorders — recovery construc #### General adult psychiatry — secondary / organic psychosis (1) - [Psychotic disorder due to another medical condition](https://www.medvellum.com/s/psychiatry/topics/general-adult/psychosis-due-to-medical-condition) — Exam-exhaustive fellowship reference on psychotic disorder due to another medical condition — DSM-5-TR/ICD-11 framing, endocrine/neuro/autoi #### Psychopharmacology — renal and hepatic disease (1) - [Psychotropics in renal and hepatic disease](https://www.medvellum.com/s/psychiatry/topics/psychopharmacology/psychotropics-in-renal-and-hepatic-disease) — Exam-exhaustive fellowship monograph on psychotropic prescribing in renal impairment (including dialysis) and hepatic disease — PK/PD princi #### Psychopharmacology — sedation and driving (1) - [Psychotropics, sedation and driving advice](https://www.medvellum.com/s/psychiatry/topics/psychopharmacology/psychotropics-and-driving) — Exam-exhaustive fellowship monograph on psychotropic medications, residual sedation and fitness to drive — illness vs drug effects, BZD and #### Foundations — rating scales and measurement-based care (1) - [Rating scales and measurement-based care](https://www.medvellum.com/s/psychiatry/topics/foundations/rating-scales-and-measurement-based-care) — Exam-exhaustive fellowship reference on psychiatric rating scales and measurement-based care — PHQ-9, GAD-7, HAM-D, MADRS, PANSS, YMRS, CGI, #### General adult psychiatry — reactive attachment and disinhibited social engagement (1) - [Reactive attachment and disinhibited social engagement disorders](https://www.medvellum.com/s/psychiatry/topics/general-adult/reactive-attachment-disorder) — Exam-exhaustive general-adult fellowship reference on RAD and DSED — DSM-5-TR and ICD-11 criteria, disorder versus style, BEIP and ERA evide #### Public and community psychiatry — refugee and asylum seeker mental health (1) - [Refugee and asylum seeker mental health](https://www.medvellum.com/s/psychiatry/topics/public-community/refugee-and-asylum-seeker-mental-health) — Exam-exhaustive fellowship reference on refugee and asylum seeker mental health — legal status versus diagnosis, pre/peri/post-migration det #### Foundations — research methods and study design (1) - [Research methods and study design](https://www.medvellum.com/s/psychiatry/topics/foundations/research-methods-and-study-design) — Exam-exhaustive research methods for FRANZCP and MRCPsych: match design to PICO question; RCT anatomy (randomisation, concealment, blinding, #### Forensic psychiatry — risk assessment (1) - [Risk assessment in forensic settings](https://www.medvellum.com/s/psychiatry/topics/forensic/risk-assessment-in-forensic-settings) — Exam-exhaustive fellowship reference on risk assessment in forensic settings — UCJ vs actuarial vs SPJ; HCR-20 conceptual domains; formulati #### Psychopharmacology — rTMS, VNS and DBS (1) - [rTMS, VNS and deep brain stimulation](https://www.medvellum.com/s/psychiatry/topics/psychopharmacology/tms-vns-and-dbs) — Exam-exhaustive fellowship reference on rTMS/iTBS, implanted vagus nerve stimulation, and deep brain stimulation for treatment-resistant dep #### Public and community psychiatry — school and workplace mental health (1) - [School and workplace mental health](https://www.medvellum.com/s/psychiatry/topics/public-community/school-and-workplace-mental-health) — Exam-exhaustive fellowship reference on school and workplace mental health: multi-tiered school systems, SEL, SEYLE/YAM, Good Behavior Game, #### Child and adolescent psychiatry — school refusal and school anxiety (1) - [School refusal and school anxiety](https://www.medvellum.com/s/psychiatry/topics/child-adolescent/school-refusal-and-school-anxiety) — Exam-exhaustive fellowship reference on school refusal and school anxiety — behaviour not diagnosis, Kearney four-function analysis, Egger c #### Public and community psychiatry — restrictive practices (1) - [Seclusion, restraint and least-restrictive care](https://www.medvellum.com/s/psychiatry/topics/public-community/seclusion-restraint-and-least-restrictive-care) — Exam-exhaustive fellowship reference on seclusion, physical/mechanical/chemical restraint, and least-restrictive care — definitions, harms e #### Psychopharmacology — SSRIs (1) - [Selective serotonin reuptake inhibitors](https://www.medvellum.com/s/psychiatry/topics/psychopharmacology/ssris) — Exam-exhaustive fellowship class monograph on selective serotonin reuptake inhibitors — agents, adult doses, pharmacokinetics and CYP differ #### Emergency psychiatry — self-harm and crisis (1) - [Self-harm and crisis intervention](https://www.medvellum.com/s/psychiatry/topics/emergency/self-harm-and-crisis-intervention) — Exam-exhaustive fellowship reference on self-harm presentations and crisis response — NSSI vs suicide attempt on the intent continuum; epide #### Specialty psychiatry — sexual dysfunction and paraphilias (1) - [Sexual dysfunction and paraphilias](https://www.medvellum.com/s/psychiatry/topics/specialty/sexual-dysfunction-and-paraphilias) — Exam-exhaustive fellowship reference on sexual dysfunction across desire, arousal, orgasm and pain phases; medication-induced sexual side-ef #### Forensic psychiatry — sexual offending (1) - [Sexual offending](https://www.medvellum.com/s/psychiatry/topics/forensic/sexual-offending) — Exam-exhaustive fellowship reference on sexual offending for forensic psychiatry — legal vs clinical constructs; pedophilia vs child sexual #### Psychopharmacology — SNRIs and NRIs (1) - [SNRIs and norepinephrine reuptake inhibitors](https://www.medvellum.com/s/psychiatry/topics/psychopharmacology/snris-and-nris) — Exam-exhaustive fellowship pharmacology of SNRIs and selective NRIs — venlafaxine dose-dependent SERT/NET occupancy, desvenlafaxine, duloxet #### foundations — social determinants of mental health (1) - [Social determinants of mental health](https://www.medvellum.com/s/psychiatry/topics/foundations/social-determinants-of-mental-health) — Exam-exhaustive social determinants of mental health for FRANZCP and MRCPsych: Marmot/Allen/Lund frameworks; structural vs intermediate dete #### Foundations — social psychology and group dynamics (1) - [Social psychology and group dynamics](https://www.medvellum.com/s/psychiatry/topics/foundations/social-psychology-and-group-dynamics) — Exam-exhaustive fellowship reference on social psychology and group dynamics for psychiatrists — attribution, attitudes and dissonance, conf #### General adult psychiatry — somatic symptom and related disorders (1) - [Somatic symptom disorder](https://www.medvellum.com/s/psychiatry/topics/general-adult/somatic-symptom-disorder) — Exam-exhaustive fellowship reference on somatic symptom disorder — DSM-5-TR criteria and the medically unexplained pivot, ICD-11 bodily dist #### Professional — spirituality and religion in psychiatry (1) - [Spirituality and religion in psychiatry](https://www.medvellum.com/s/psychiatry/topics/professional/spirituality-and-religion-in-psychiatry) — Exam-exhaustive fellowship reference on spirituality and religion in psychiatric practice: definitions, WPA position, HOPE/FICA assessment, #### Forensic psychiatry — stalking and harassment (1) - [Stalking and harassment](https://www.medvellum.com/s/psychiatry/topics/forensic/stalking-and-harassment) — Exam-exhaustive fellowship reference on stalking and harassment for forensic psychiatry — legal vs clinical constructs; Mullen and RECON typ #### Professional — stigma, recovery and rights-based care (1) - [Stigma, recovery and rights-based care](https://www.medvellum.com/s/psychiatry/topics/professional/stigma-recovery-and-rights-based-care) — Exam-exhaustive fellowship topic on mental health stigma (public, self, structural, courtesy), recovery models including CHIME, rights-based #### Addiction psychiatry — stimulant and methamphetamine use (1) - [Stimulant and methamphetamine use](https://www.medvellum.com/s/psychiatry/topics/addiction/stimulant-and-methamphetamine-use) — Exam-exhaustive fellowship reference on stimulant and methamphetamine use — intoxication and withdrawal, methamphetamine-associated psychosi #### Addiction psychiatry — stimulant intoxication and withdrawal (1) - [Stimulant intoxication and withdrawal](https://www.medvellum.com/s/psychiatry/topics/addiction/stimulant-intoxication-and-withdrawal) — Fellowship-depth atlas on stimulant intoxication and withdrawal as acute clinical states — medical toxicity (hyperthermia, ACS, rhabdomyolys #### Psychopharmacology — stimulants and ADHD medications (1) - [Stimulants and ADHD medications](https://www.medvellum.com/s/psychiatry/topics/psychopharmacology/stimulants-and-adhd-medications) — Exam-exhaustive fellowship pharmacology of ADHD medications — methylphenidate and amphetamine formulations with doses and monitoring, atomox #### Addiction psychiatry — substance-induced mood and anxiety disorders (1) - [Substance-induced mood and anxiety disorders](https://www.medvellum.com/s/psychiatry/topics/addiction/substance-induced-mood-anxiety-disorders) — Exam-exhaustive fellowship reference on substance/medication-induced mood and anxiety disorders — DSM-5-TR and ICD-11 timing rules, alcohol #### General adult psychiatry — substance/medication-induced psychosis (1) - [Substance/medication-induced psychotic disorder](https://www.medvellum.com/s/psychiatry/topics/general-adult/substance-induced-psychosis) — Exam-exhaustive fellowship reference on substance/medication-induced psychotic disorder — DSM-5-TR and ICD-11 criteria, temporal rules versu #### Emergency psychiatry — suicide risk (1) - [Suicide risk assessment](https://www.medvellum.com/s/psychiatry/topics/emergency/suicide-risk-assessment) — Exam-exhaustive fellowship reference on suicide risk assessment and management — epidemiology; static vs dynamic vs protective factors; idea #### Professional — teaching and supervision skills (1) - [Teaching and supervision skills for psychiatrists](https://www.medvellum.com/s/psychiatry/topics/professional/teaching-and-supervision-skills) — Exam-exhaustive fellowship reference on teaching and supervision for psychiatrists: definitions of educational vs clinical vs managerial sup #### Forensic psychiatry — therapeutic security (1) - [Therapeutic security and secure care levels](https://www.medvellum.com/s/psychiatry/topics/forensic/therapeutic-security) — Exam-exhaustive fellowship reference on therapeutic security and secure care levels — physical, procedural and relational domains; high/medi #### Child and adolescent psychiatry — service interface (1) - [Transition from CAMHS to adult services](https://www.medvellum.com/s/psychiatry/topics/child-adolescent/transition-from-camhs-to-adult-services) — Exam-exhaustive fellowship reference on transition from CAMHS/CAP to adult mental health services — transfer versus transition, TRACK and MI #### Consultation-liaison — transplant and ICU psychiatry (1) - [Transplant and ICU psychiatry](https://www.medvellum.com/s/psychiatry/topics/consultation-liaison/transplant-and-icu-psychiatry) — Exam-exhaustive fellowship reference on transplant psychiatry (pre-listing psychosocial evaluation, SIPAT/ISHLT-style domains, adherence, su #### General adult psychiatry — OCRD / BFRB (1) - [Trichotillomania and excoriation disorder](https://www.medvellum.com/s/psychiatry/topics/general-adult/trichotillomania-and-excoriation-disorder) — Exam-exhaustive fellowship reference on trichotillomania and excoriation (skin-picking) disorder — DSM-5-TR OCRD criteria; automatic vs focu #### Psychopharmacology — TCAs and heterocyclics (1) - [Tricyclic and heterocyclic antidepressants](https://www.medvellum.com/s/psychiatry/topics/psychopharmacology/tcas-and-heterocyclics) — Exam-exhaustive fellowship monograph on tricyclic and heterocyclic antidepressants — tertiary vs secondary amines, residual indications (MDD #### Psychopharmacology — valproate (1) - [Valproate](https://www.medvellum.com/s/psychiatry/topics/psychopharmacology/valproate) — Exam-exhaustive fellowship psychopharmacology of valproate/divalproex — acute mania and oral loading, trough levels, BALANCE maintenance lim #### Forensic psychiatry — victimology and trauma (1) - [Victimology and trauma in forensic settings](https://www.medvellum.com/s/psychiatry/topics/forensic/victimology-and-trauma) — Exam-exhaustive fellowship reference on victimology in forensic settings: crime-related trauma spectra (ASD/PTSD/ICD-11 cPTSD), poly-victimi #### Emergency psychiatry — violence risk (1) - [Violence risk assessment](https://www.medvellum.com/s/psychiatry/topics/emergency/violence-risk-assessment) — Exam-exhaustive fellowship reference on violence risk assessment — static vs dynamic vs protective factors; HCR-20 and structured profession #### Professional — working with interpreters and CALD communities (1) - [Working with interpreters and CALD communities](https://www.medvellum.com/s/psychiatry/topics/professional/working-with-interpreters-and-cald) — Exam-exhaustive fellowship reference on working with professional interpreters and CALD communities in psychiatry — language concordance, ad #### Forensic psychiatry — young offenders (1) - [Young offenders](https://www.medvellum.com/s/psychiatry/topics/forensic/young-offenders) — Exam-exhaustive fellowship reference on young offenders and youth justice mental health — detention prevalence, Moffitt developmental pathwa #### Child and adolescent psychiatry — youth self-harm and suicide (1) - [Youth self-harm and suicide](https://www.medvellum.com/s/psychiatry/topics/child-adolescent/youth-self-harm-and-suicide) — Exam-exhaustive fellowship reference on youth (child and adolescent) self-harm and suicide — epidemiology, developmental risk and protective ### MEQs / SAQs Index: https://www.medvellum.com/s/psychiatry/saqs #### Consultation-liaison psychiatry — abnormal illness behaviour (1) - [Abnormal illness behaviour and the sick role — C-L MEQ](https://www.medvellum.com/s/psychiatry/saqs/abnormal-illness-behaviour) — FRANZCP-style MEQ on Pilowsky AIB, Parsons sick role, mapping to SSD/IAD, CHAMP/Barsky CBT, Henningsen principles, and non-dualistic C-L car #### Emergency psychiatry — absconding and missing patients (1) - [Absconding from acute ward with suicide risk (MEQ)](https://www.medvellum.com/s/psychiatry/saqs/absconding-and-missing-patients) — FRANZCP-style MEQ on missing detained inpatient with psychosis and suicide risk — definitions, immediate response, formulation, prevention e #### Emergency psychiatry (7) - [Acute agitation and rapid tranquillisation ladder (MEQ)](https://www.medvellum.com/s/psychiatry/saqs/acute-agitation-and-rapid-tranquillisation) — FRANZCP-style MEQ on acute agitation: de-escalation, RT ladder with combination ban, TREC/ANZ agent logic, capacity/least-restrictive care, - [Acute agitation and toxidrome emergency — assessment and management (MEQ)](https://www.medvellum.com/s/psychiatry/saqs/psychiatric-emergencies) — FRANZCP-style MEQ on psychiatric emergency: safety, medical mimics, RT ladder with the IM olanzapine–parenteral benzodiazepine ban, serotoni - [Acute behavioural disturbance and contested excited delirium (MEQ)](https://www.medvellum.com/s/psychiatry/saqs/excited-delirium-and-acute-behavioural-disturbance) — FRANZCP-style MEQ on ABD-first framing, hyperthermia, prone restraint risk, droperidol/ketamine pathways, combination ban, capacity and disp - [Deliberate self-poisoning with mixed psychotropics (MEQ)](https://www.medvellum.com/s/psychiatry/saqs/overdose-and-toxicology-for-psychiatrists) — FRANZCP-style MEQ on mixed TCA/benzo/possible paracetamol OD: ABCDE, QRS/bicarbonate, charcoal/airway, flumazenil caution, NAC thinking, pos - [Lithium toxicity — acute-on-chronic emergency (MEQ)](https://www.medvellum.com/s/psychiatry/saqs/lithium-toxicity) — FRANZCP-style MEQ on chronic/acute-on-chronic lithium toxicity: interactions, EXTRIP, supportive care, SILENT risk, restart decision. - [Neuroleptic malignant syndrome diagnosis and management (MEQ)](https://www.medvellum.com/s/psychiatry/saqs/neuroleptic-malignant-syndrome) — FRANZCP-style MEQ on NMS: Gurrera-style criteria, differential, stop-and-support care, adjunct evidence, and rechallenge. - [Serotonin toxicity recognition and management (MEQ)](https://www.medvellum.com/s/psychiatry/saqs/serotonin-syndrome) — FRANZCP-style MEQ on serotonin toxicity: Hunter criteria, MAOI+tramadol trap, benzodiazepines and cyproheptadine doses, cooling, SS vs NMS, #### Addiction psychiatry (6) - [Addiction in older adults — late-onset alcohol and long-term benzodiazepine (MEQ)](https://www.medvellum.com/s/psychiatry/saqs/addiction-in-older-adults) — FRANZCP-style MEQ on addiction in older adults: late-onset alcohol, BZD dependence, suicide/falls risk, pharmacotherapy doses, EMPOWER/Beers - [Alcohol use disorder — detox, Wernicke, and relapse prevention (MEQ)](https://www.medvellum.com/s/psychiatry/saqs/alcohol-use-disorder) — FRANZCP-style MEQ on AUD nosology, CIWA-Ar, benzodiazepine detox, Caine/Wernicke thiamine, naltrexone/acamprosate/disulfiram, psychosocial p - [Alcohol withdrawal and delirium tremens — CIWA, seizures, DT, thiamine (MEQ)](https://www.medvellum.com/s/psychiatry/saqs/alcohol-withdrawal-and-delirium-tremens) — FRANZCP-style MEQ on alcohol withdrawal timeline, CIWA-Ar/PAWSS, benzodiazepine protocols, DT risk, Caine/Wernicke thiamine, disposition. - [Alcohol-related brain injury and Korsakoff — Wernicke emergency to long-term care (MEQ)](https://www.medvellum.com/s/psychiatry/saqs/alcohol-related-brain-injury-and-korsakoff) — FRANZCP-style MEQ on ARBI spectrum, Caine/Wernicke, parenteral thiamine EFNS vs UK high-dose teaching, MRI, Korsakoff neuropsychology, long- - [Anti-craving pharmacotherapy — agent selection, COMBINE, and safety (MEQ)](https://www.medvellum.com/s/psychiatry/saqs/anti-craving-pharmacotherapy) — FRANZCP-style MEQ on naltrexone/acamprosate/disulfiram doses, liver/renal gates, opioid-free status, COMBINE literacy, and psychosocial pair - [Benzodiazepine dependence — structured taper after withdrawal seizure (MEQ)](https://www.medvellum.com/s/psychiatry/saqs/benzodiazepine-dependence) — FRANZCP-style MEQ on BZD dependence: withdrawal seizure, taper, Z-drugs, alcohol dual use, deprescribing evidence. #### Child and adolescent psychiatry — neurodevelopmental (3) - [ADHD across the lifespan — assessment and multimodal management (MEQ)](https://www.medvellum.com/s/psychiatry/saqs/adhd-across-the-lifespan) — FRANZCP-style modified essay on school-age ADHD: multi-informant assessment, differentials, stimulant and atomoxetine/guanfacine options wit - [Autism spectrum disorder — assessment to irritability management (MEQ)](https://www.medvellum.com/s/psychiatry/saqs/autism-spectrum-disorder) — FRANZCP-style MEQ on ASD criteria, differentials, early intervention evidence, irritability pharmacotherapy with monitoring, and transition/ - [Language and communication disorders — DLD, SPCD and SLT-first care (MEQ)](https://www.medvellum.com/s/psychiatry/saqs/language-and-communication-disorders) — FRANZCP-style modified essay on language vs speech vs pragmatics, DLD/CATALISE, SLT evidence, Lidcombe, comorbidity and differentials. #### General adult psychiatry — trauma and stressor-related (2) - [Adjustment disorders — diagnosis, risk and stepped care (MEQ)](https://www.medvellum.com/s/psychiatry/saqs/adjustment-disorders) — FRANZCP-style MEQ on adjustment disorder after job loss: criteria vs MDD/PTSD, suicide risk nuance, brief interventions, selective pharmacot - [Grief and prolonged grief disorder — criteria, differential and CGT plan (MEQ)](https://www.medvellum.com/s/psychiatry/saqs/grief-and-prolonged-grief-disorder) — FRANZCP-style MEQ on PGD after child loss: DSM-5-TR vs ICD-11, differential from MDD, suicide/reunion risk, CGT ingredients, selective SSRI, #### Child and adolescent psychiatry — eating disorders (1) - [Adolescent anorexia nervosa — medical risk, FBT and refeeding (MEQ)](https://www.medvellum.com/s/psychiatry/saqs/eating-disorders-adolescent) — FRANZCP-style MEQ on adolescent AN: criteria, medical risk, refeeding, FBT, fluoxetine boundaries, capacity. FRANZCP-primary, globally tagge #### Specialty psychiatry — sleep medicine interface (6) - [Adolescent delayed sleep-wake phase with school failure (MEQ)](https://www.medvellum.com/s/psychiatry/saqs/circadian-rhythm-sleep-wake-disorders) — FRANZCP-style MEQ on DSWPD: free-day recovery pattern, light/melatonin timing, school failure framing, ADHD interface. FRANZCP-primary, glob - [Chronic insomnia disorder with residual depression and long-term Z-drug use (MEQ)](https://www.medvellum.com/s/psychiatry/saqs/insomnia-disorder) — FRANZCP-style MEQ on insomnia disorder: CBT-I first-line, Z-drug dependence, OSA screen, occupational sleepiness, depression bidirectional r - [Chronic insomnia with depression and hypnotic dependence (MEQ)](https://www.medvellum.com/s/psychiatry/saqs/sleep-disorders-in-psychiatry) — FRANZCP-style MEQ on chronic insomnia: CBT-I first-line, hypnotic dependence, OSA screen, occupational sleepiness, depression bidirectional - [Restless legs syndrome with SSRI-associated worsening and low-normal ferritin (MEQ)](https://www.medvellum.com/s/psychiatry/saqs/restless-legs-syndrome) — FRANZCP-style MEQ on RLS: IRLSSG criteria, ferritin threshold, SSRI aggravation, α2δ vs dopamine agonist strategy, augmentation. - [Suspected narcolepsy type 1 with near-miss driving and cataplexy (MEQ)](https://www.medvellum.com/s/psychiatry/saqs/narcolepsy-and-hypersomnolence) — FRANZCP-style MEQ on narcolepsy type 1: tetrad, MSLT, orexin, modafinil/oxybate/antidepressants, driving safety, depression comorbidity. - [Treatment-resistant depression with probable OSA (MEQ)](https://www.medvellum.com/s/psychiatry/saqs/obstructive-sleep-apnoea-and-psychiatry) — FRANZCP-style MEQ on OSA at the TRD interface: screening, PAP first-line, sedative risk, driving safety, SAVE framing. #### foundations — advanced EBM and evidence synthesis (1) - [Advanced appraisal of a psychiatry meta-analysis and non-inferiority claim (MEQ)](https://www.medvellum.com/s/psychiatry/saqs/critical-appraisal-advanced) — Advanced MEQ on prediction intervals, heterogeneity, GRADE, publication bias, absolute effects, non-inferiority misuse, and external validit #### Old age psychiatry — Alzheimer disease (1) - [Alzheimer disease — diagnosis, enhancers, and BPSD care (MEQ)](https://www.medvellum.com/s/psychiatry/saqs/alzheimer-disease) — FRANZCP-style MEQ on Alzheimer disease: McKhann probable AD, biomarkers caution, donepezil/memantine dosing with ECG caution, DICE BPSD, cap #### Specialty psychiatry — eating disorders (1) - [Anorexia nervosa — medical risk, refeeding, and stepped care (MEQ)](https://www.medvellum.com/s/psychiatry/saqs/anorexia-nervosa) — FRANZCP-style modified essay on adolescent AN: diagnosis/severity, medical instability, refeeding, FBT, capacity/compulsory care. FRANZCP-pr #### General adult psychiatry — personality disorders (10) - [Antisocial personality disorder — dual diagnosis crisis and risk (MEQ)](https://www.medvellum.com/s/psychiatry/saqs/antisocial-personality-disorder) — FRANZCP-style modified essay on ASPD with stimulant use and IPV threat: operational diagnosis, psychopathy/BPD discriminators, risk formulat - [Avoidant personality disorder — criteria, differentials and stepped care (MEQ)](https://www.medvellum.com/s/psychiatry/saqs/avoidant-personality-disorder) — FRANZCP-style modified essay on avoidant personality disorder: DSM criteria, SAD continuum, schizoid/ASD differentials, post-rejection risk, - [Borderline personality disorder — crisis assessment and stepped management (MEQ)](https://www.medvellum.com/s/psychiatry/saqs/borderline-personality-disorder) — FRANZCP-style modified essay on BPD crisis: risk formulation, differentials including bipolar and substance use, least-restrictive crisis ca - [Cluster A and C personality — differentials and stepped management (MEQ)](https://www.medvellum.com/s/psychiatry/saqs/cluster-a-and-cluster-c-personality) — FRANZCP-style MEQ on avoidant PD with OCPD traits: SAD/ASD/schizoid differentials, CBT/schema plan, limited SSRI use, ICD-11 severity framin - [Dependent personality disorder — criteria, risk and stepped care (MEQ)](https://www.medvellum.com/s/psychiatry/saqs/dependent-personality-disorder) — FRANZCP-style modified essay on dependent personality disorder: DSM ≥5/8 criteria, AVPD/BPD differentials, post-separation risk and IPV, CBT - [Histrionic personality disorder — criteria, differentials and frame-based care (MEQ)](https://www.medvellum.com/s/psychiatry/saqs/histrionic-personality-disorder) — FRANZCP-style modified essay on histrionic personality disorder: DSM criteria, construct validity pointer status, BPD/NPD/mania differential - [ICD-11 dimensional personality disorder — diagnostic formulation and stepped care (MEQ)](https://www.medvellum.com/s/psychiatry/saqs/personality-disorder-icd11-dimensional) — FRANZCP-style MEQ on ICD-11 dimensional PD diagnosis, differentials, risk, severity-guided psychotherapy, and limited medication. FRANZCP-pr - [Narcissistic and Cluster B spectrum — crisis, formulation and management limits (MEQ)](https://www.medvellum.com/s/psychiatry/saqs/narcissistic-and-cluster-b-spectrum) — FRANZCP-style modified essay on NPD/Cluster B spectrum: formulation, suicide risk after narcissistic injury, countertransference, management - [Paranoid personality disorder — workplace grievance and risk (MEQ)](https://www.medvellum.com/s/psychiatry/saqs/paranoid-personality-disorder) — FRANZCP-style modified essay on PPD with workplace grievance and alcohol use: operational diagnosis, key differentials, mechanisms, risk/all - [Schizotypal personality disorder — assessment and stepped management (MEQ)](https://www.medvellum.com/s/psychiatry/saqs/schizotypal-personality-disorder) — FRANZCP-style modified essay on STPD: criteria and differentials including schizophrenia and ASD, risk/conversion monitoring, alliance-first #### General adult psychiatry — feeding and eating disorders (2) - [ARFID — diagnosis, medical risk, and specialised treatment (MEQ)](https://www.medvellum.com/s/psychiatry/saqs/avoidant-restrictive-food-intake-disorder) — FRANZCP-style modified essay on adolescent ARFID: mixed sensory/fear presentation, medical instability, refeeding, CBT-AR/adapted FBT, limit - [Pica and rumination — medical risk, discrimination, and first-line treatment (MEQ)](https://www.medvellum.com/s/psychiatry/saqs/pica-and-rumination-disorder) — FRANZCP-style modified essay combining pica with iron deficiency and lead risk, and adult rumination misdiagnosed as GORD with diaphragmatic #### Child and adolescent psychiatry — attachment disorders (1) - [Attachment disorders in children — RAD/DSED assessment and caregiving-first care (MEQ)](https://www.medvellum.com/s/psychiatry/saqs/attachment-disorders-in-children) — FRANZCP-style MEQ on childhood attachment disorders: RAD vs DSED, assessment, caregiving-first treatment, reject coercive therapies, prognos #### Intellectual disability psychiatry — neurodevelopmental dual diagnosis (1) - [Autism and ID dual diagnosis — assessment to behaviour and epilepsy (MEQ)](https://www.medvellum.com/s/psychiatry/saqs/autism-and-id-comorbidity) — FRANZCP-style MEQ on autism–ID dual diagnosis: relative developmental rule, AAC, epilepsy, PBS, and irritability pharmacotherapy contrasted #### Consultation-liaison psychiatry (16) - [Autoimmune encephalitis presenting as first-episode psychosis (MEQ)](https://www.medvellum.com/s/psychiatry/saqs/autoimmune-encephalitis-and-organic-psychosis) — FRANZCP-style MEQ on anti-NMDAR/autoimmune encephalitis red flags, work-up, immunotherapy, and psychiatry's role in FEP interface. - [Cardiac psychiatry — post-ACS depression, trials, safety (MEQ)](https://www.medvellum.com/s/psychiatry/saqs/cardiac-psychiatry) — FRANZCP-style MEQ on post-ACS depression, AHA risk framing, SADHART/CREATE/ENRICHD literacy, SSRI dosing with dual antiplatelets, and beta-b - [Delirium diagnosis, work-up, and management (MEQ)](https://www.medvellum.com/s/psychiatry/saqs/delirium) — FRANZCP-style MEQ on delirium: CAM/hypoactive miss, causes, non-drug first care, limited antipsychotics with trial evidence, and capacity. - [Dementia and major NCD — assessment, BPSD, and pharmacotherapy (MEQ)](https://www.medvellum.com/s/psychiatry/saqs/dementia-and-major-ncd) — FRANZCP-style MEQ on major NCD/DLB phenotype, delirium superimposition, antipsychotic caution, AChEI/memantine, and Appelbaum capacity. - [Demoralisation vs adjustment vs MDD in medical illness (MEQ)](https://www.medvellum.com/s/psychiatry/saqs/demoralisation-and-adjustment-to-illness) — FRANZCP-style MEQ on demoralisation vs adjustment vs MDD, DS/DS-II, DHD, dignity/MCP/CALM, Rayner antidepressant logic, and C-L disposition. - [Endocrine psychiatry: thyroid, Cushing, Addison, and steroids (MEQ)](https://www.medvellum.com/s/psychiatry/saqs/endocrine-psychiatry) — FRANZCP-style MEQ on endocrine psychiatry covering syndrome map, Cushing depression, steroid psychosis, AI crisis, lithium–thyroid, and resi - [FND in the medical setting — C-L ward MEQ](https://www.medvellum.com/s/psychiatry/saqs/functional-neurological-disorder-cl) — FRANZCP-style MEQ on hospital FND: rule-in diagnosis, liaison explanation, team language, Physio4FMD/CODES-era pathways, and safety-nets. - [HD depression, irritability, suicide risk, and VMAT2 interface (MEQ)](https://www.medvellum.com/s/psychiatry/saqs/huntington-disease-psychiatry) — FRANZCP-style MEQ on HD neuropsychiatry, suicide, irritability algorithms, and VMAT2 cautions. - [Lupus psychosis and attribution in NPSLE (MEQ)](https://www.medvellum.com/s/psychiatry/saqs/sle-and-autoimmune-neuropsychiatry) — FRANZCP-style MEQ on lupus psychosis, ACR syndromes, attribution, EULAR-aligned management, and family communication. - [Mild cognitive impairment — diagnosis, conversion, and management (MEQ)](https://www.medvellum.com/s/psychiatry/saqs/mild-cognitive-impairment) — FRANZCP-style MEQ on MCI/mild NCD vs major NCD, reversible factors, conversion literacy, lifestyle care, and AChEI non-indication in MCI. - [MS depression, suicide risk, PBA, and steroid mania (MEQ)](https://www.medvellum.com/s/psychiatry/saqs/multiple-sclerosis-psychiatry) — FRANZCP-style MEQ on MS depression, suicide, PBA, steroid mania, and joint neurology care. - [Perinatal psychiatry on the maternity ward: PPP, OCD, lithium, and disposition (MEQ)](https://www.medvellum.com/s/psychiatry/saqs/perinatal-medical-cl) — FRANZCP-style MEQ on hospital perinatal CL: PPP vs OCD, emergency dual-risk care, lithium (Patorno), Bergink treatment framing, and MBU disp - [Postictal psychosis and interictal depression after seizure cluster (MEQ)](https://www.medvellum.com/s/psychiatry/saqs/epilepsy-and-psychiatry) — FRANZCP-style MEQ on postictal psychosis, NDDI-E depression, AED behavioural effects, and psychotropics in epilepsy. - [SSD, illness anxiety, and chronic pain dual diagnosis (MEQ)](https://www.medvellum.com/s/psychiatry/saqs/pain-psychiatry-and-somatic-symptom) — FRANZCP-style MEQ on SSD vs IAD, PHQ-15, CBT evidence, SNRI/TCA caution, and opioid dual-diagnosis principles. - [Stroke psychiatry — PSD, location myth, capacity (MEQ)](https://www.medvellum.com/s/psychiatry/saqs/stroke-and-post-stroke-psychiatry) — FRANZCP-style MEQ on post-stroke depression, Carson location myth, SSRI monitoring with dual antiplatelets, FLAME vs FOCUS/AFFINITY/EFFECTS, - [TBI psychiatry — depression, aggression, capacity (MEQ)](https://www.medvellum.com/s/psychiatry/saqs/traumatic-brain-injury-psychiatry) — FRANZCP-style MEQ on post-TBI depression, aggression ladder including beta-blockers, personality change framing, and decision-specific capac #### Foundations — basic neuroscience for psychiatry (1) - [Basic neuroscience for psychiatry — MEQ](https://www.medvellum.com/s/psychiatry/saqs/basic-neuroscience-for-psychiatry) — FRANZCP-style MEQ on multilevel neuroscience, LTP, dopamine pathways, methods critique, and syndrome translation. #### Psychotherapy (9) - [Behavioural activation for major depression (MEQ)](https://www.medvellum.com/s/psychiatry/saqs/behavioural-activation) — FRANZCP/MRCPsych-style MEQ integrating BA definition, model, technique, evidence, and safety limits. - [Cognitive analytic therapy (MEQ)](https://www.medvellum.com/s/psychiatry/saqs/cognitive-analytic-therapy) — FRANZCP-style MEQ on CAT definition, target procedures, phases/tools, landmark evidence, differentials, and fidelity pitfalls. - [Mentalisation-based treatment (MEQ)](https://www.medvellum.com/s/psychiatry/saqs/mentalisation-based-treatment) — FRANZCP-style MEQ on MBT definition, pre-mentalising modes, structure/stance, landmark evidence, and stepped care when dual-format MBT is un - [MEQ: ACT formulation and plan for anxiety with control agenda](https://www.medvellum.com/s/psychiatry/saqs/acceptance-and-commitment-therapy) — FRANZCP-style MEQ on ACT definition, hexaflex, avoidance/fusion formulation, treatment sequence, combined care, and safety priorities. - [MEQ: Couples therapy for depression with marital discord and safety rules](https://www.medvellum.com/s/psychiatry/saqs/couples-therapy) — FRANZCP-style MEQ on couples therapy definition, models, depression and SUD evidence, IPV/safety, and combined care. - [MEQ: Designing and leading an outpatient group for depression](https://www.medvellum.com/s/psychiatry/saqs/group-psychotherapy) — FRANZCP-style MEQ on group definition, selection, frame, leadership, and depression/format evidence including cohesion. - [MEQ: IPT formulation and treatment plan after partner role dispute](https://www.medvellum.com/s/psychiatry/saqs/interpersonal-psychotherapy) — FRANZCP-style MEQ on IPT definition, four foci, role dispute formulation, initial/middle phase, combined care, and safety priorities. - [Schema therapy (MEQ)](https://www.medvellum.com/s/psychiatry/saqs/schema-therapy) — FRANZCP-style MEQ on schema therapy definition (EMS/modes/coping), techniques, landmark evidence, comparators, and stepped care when special - [Supportive psychotherapy techniques (MEQ)](https://www.medvellum.com/s/psychiatry/saqs/supportive-psychotherapy-techniques) — FRANZCP/MRCPsych-style MEQ integrating definition, technique toolkit, medication-visit structure, evidence, and safety limits for supportive #### Intellectual disability psychiatry — genetic syndromes (1) - [Behavioural phenotypes and genetic syndromes (MEQ)](https://www.medvellum.com/s/psychiatry/saqs/behavioural-phenotypes-genetic-syndromes) — FRANZCP-style MEQ covering probabilistic behavioural phenotypes, 22q11.2DS/VCFS psychosis, comparative syndrome phenotypes, investigations a #### Psychopharmacology — benzodiazepine prescribing and tapering (1) - [Benzodiazepine initiation, conversion and taper (MEQ)](https://www.medvellum.com/s/psychiatry/saqs/benzodiazepine-prescribing-and-tapering) — FRANZCP-style MEQ on benzodiazepine prescribing craft: opioid synergy, diazepam substitution, taper scaffold, deprescribing and escalation. #### Old age psychiatry — grief and loss (1) - [Bereavement in later life — assessment and management (MEQ)](https://www.medvellum.com/s/psychiatry/saqs/bereavement-in-later-life) — FRANZCP-style MEQ on late-life bereavement: definitions, duration clocks, PGD vs MDD, suicide risk in widowers, Shear 2014 CGT, selective ph #### Foundations — biostatistics for psychiatry exams (1) - [Biostatistics calculations from a psychiatry abstract (MEQ)](https://www.medvellum.com/s/psychiatry/saqs/biostatistics-for-psychiatry-exams) — FRANZCP/MRCPsych-style MEQ on ARR/NNT, RR vs OR, p-value definition, CI reading, and base-rate dependence of PPV. #### General adult psychiatry — bipolar and related disorders (4) - [Bipolar I disorder — acute mania and maintenance (MEQ)](https://www.medvellum.com/s/psychiatry/saqs/bipolar-i-disorder) — FRANZCP-style MEQ on first manic episode bipolar I: criteria, risk/legal status, acute lithium/SGA or valproate plan with monitoring, STEP-B - [First manic episode and bipolar I initiation (MEQ)](https://www.medvellum.com/s/psychiatry/saqs/bipolar-affective-disorder) — FRANZCP-style modified essay on first manic episode: risk and medical exclusion, differential including substance-induced mania, acute pharm - [Missed bipolar II, antidepressant monotherapy, and polarity-safe rebuild (MEQ)](https://www.medvellum.com/s/psychiatry/saqs/bipolar-ii-and-cyclothymia) — FRANZCP-style MEQ on bipolar II recognition after unipolar misdiagnosis, hypomania criteria, STEP-BD antidepressant limits, quetiapine/lithi - [Mixed features crisis and rapid-cycling reformulation (MEQ)](https://www.medvellum.com/s/psychiatry/saqs/mixed-features-and-rapid-cycling) — FRANZCP-style MEQ on mixed features mania, rapid cycling, antidepressant monotherapy harm, lithium/SGA re-initiation, thyroid review, and ST #### General adult psychiatry — OCRD (3) - [Body dysmorphic disorder — assessment and stepped management (MEQ)](https://www.medvellum.com/s/psychiatry/saqs/body-dysmorphic-disorder) — FRANZCP-style modified essay on adult BDD: differential, risk, CBT-BDD/ERP elements, high-dose SSRI, cosmetic non-collusion, insight. FRANZC - [Hoarding disorder — assessment, differential and stepped care (MEQ)](https://www.medvellum.com/s/psychiatry/saqs/hoarding-and-related-disorders) — FRANZCP-style modified essay on adult hoarding disorder: differential vs OCD/squalor, SI-R/CIR, capacity and fire risk, specialised CBT, lim - [Obsessive-compulsive disorder — assessment and stepped management (MEQ)](https://www.medvellum.com/s/psychiatry/saqs/obsessive-compulsive-disorder) — FRANZCP-style modified essay on adult OCD: differential, Y-BOCS, ERP, high-dose SSRI, accommodation, augmentation and Simpson trial logic. F #### Professional — boundary violations and sexual misconduct (1) - [Boundary violations and sexual misconduct (MEQ)](https://www.medvellum.com/s/psychiatry/saqs/boundary-violations-and-sexual-misconduct) — FRANZCP-style MEQ on crossing vs violation, slippery-slope self-management, historical SBV disclosure response, early warnings, and post-ter #### Old age psychiatry — dementia neuropsychiatry (1) - [BPSD — assessment, non-drug care and antipsychotic risk (MEQ)](https://www.medvellum.com/s/psychiatry/saqs/behavioural-and-psychological-symptoms-of-dementia) — FRANZCP-style MEQ on BPSD: DICE assessment, delirium/pain differentials, non-drug and pain protocols, cautious risperidone use with black-bo #### Psychopharmacology — phototherapy and chronotherapy (1) - [Bright light therapy and chronotherapy for winter depression (MEQ)](https://www.medvellum.com/s/psychiatry/saqs/phototherapy-and-chronotherapy) — FRANZCP-style MEQ on BLT parameters, Can-SAD, safety, and chronotherapy escalation. #### Public-community — disaster and mass casualty psychiatry (1) - [Bushfire mass casualty — stepped disaster mental health response (MEQ)](https://www.medvellum.com/s/psychiatry/saqs/disaster-and-mass-casualty-psychiatry) — FRANZCP-style MEQ on disaster/mass casualty psychiatry: phases, epidemiology, Hobfoll/PFA vs CISD, stepped treatment, and system pitfalls. #### Addiction psychiatry — cannabis and psychosis (1) - [Cannabis use and psychosis — dual formulation to integrated care (MEQ)](https://www.medvellum.com/s/psychiatry/saqs/cannabis-use-and-psychosis) — FRANZCP-style MEQ on cannabis–psychosis dual diagnosis: classification, potency/frequency assessment, parallel treatment, SIP conversion ris #### Intellectual disability — capacity and supported decision-making (1) - [Capacity and supported decision-making in ID (MEQ)](https://www.medvellum.com/s/psychiatry/saqs/capacity-and-supported-decision-making-id) — FRANZCP-style MEQ on decision-specific capacity in intellectual disability, supported decision-making, UNCRPD Article 12, guardianship princ #### Consultation-liaison — capacity and consent (1) - [Capacity assessment for surgical refusal after psychosis (MEQ)](https://www.medvellum.com/s/psychiatry/saqs/capacity-and-informed-consent) — FRANZCP-style MEQ on decision-specific capacity, four abilities, assessment method, MHA vs capacity interface, and emergency/substitute path #### Old age psychiatry — capacity, guardianship and end of life (1) - [Capacity, guardianship and goals of care in dementia (MEQ)](https://www.medvellum.com/s/psychiatry/saqs/capacity-guardianship-end-of-life) — FRANZCP-style MEQ on capacity in dementia, fluctuating delirium risk, enduring powers, family conflict, ACP, and palliative psychiatry. #### Psychopharmacology — carbamazepine and oxcarbazepine (1) - [Carbamazepine and oxcarbazepine: mania evidence, autoinduction, HLA and hyponatraemia (MEQ)](https://www.medvellum.com/s/psychiatry/saqs/carbamazepine-and-oxcarbazepine) — FRANZCP-style MEQ on CBZ/OXC antimanic evidence, autoinduction, HLA-B*1502, hyponatraemia, levels and interactions. #### Public and community psychiatry — carers and family-inclusive practice (1) - [Carers and family-inclusive practice — from EE to structured FPE (MEQ)](https://www.medvellum.com/s/psychiatry/saqs/carers-and-family-inclusive-practice) — FRANZCP-style MEQ on carers and family-inclusive practice: EE, assessment, confidentiality, FPE components, evidence, carer support. #### General adult psychiatry (2) - [Catatonia recognition and management (MEQ)](https://www.medvellum.com/s/psychiatry/saqs/catatonia) — FRANZCP-style MEQ on catatonia: DSM-5-TR criteria, Bush-Francis, lorazepam pathway, ECT triggers, complications. - [Functional neurological disorder — diagnosis and MDT care (MEQ)](https://www.medvellum.com/s/psychiatry/saqs/functional-neurological-disorder) — FRANZCP-style MEQ on FND rule-in diagnosis, communication, Physio4FMD/CODES-era treatment, and differentials. #### Intellectual disability psychiatry (3) - [Challenging behaviour and PBS — functional analysis to limited medication (MEQ)](https://www.medvellum.com/s/psychiatry/saqs/challenging-behaviour-and-pbs) — FRANZCP-style MEQ on challenging behaviour definition, functional analysis, PBS, NICE NG11, Tyrer trial, and deprescribing/monitoring of ant - [Epilepsy in intellectual disability — peri-ictal behaviour to SUDEP (MEQ)](https://www.medvellum.com/s/psychiatry/saqs/epilepsy-and-id) — FRANZCP-style MEQ on epilepsy in intellectual disability: McGrother epidemiology, peri-ictal formulation, Kerr-aligned joint care, seizure-a - [Psychiatric disorders in intellectual disability — dual diagnosis MEQ](https://www.medvellum.com/s/psychiatry/saqs/psychiatric-disorders-in-intellectual-disability) — FRANZCP-style MEQ on dual diagnosis: overshadowing, modified presentation, DC-LD, hierarchical assessment, and evidence-based psychotropic c #### Child and adolescent psychiatry — anxiety disorders (1) - [Child and adolescent anxiety — school refusal, CBT and SSRI evidence (MEQ)](https://www.medvellum.com/s/psychiatry/saqs/child-and-adolescent-anxiety) — FRANZCP-style MEQ on youth separation anxiety with school refusal: formulation, CBT, SSRI evidence, return-to-school, monitoring. #### Child and adolescent psychiatry — depression (1) - [Child and adolescent depression — assessment and TADS/ADAPT-informed management (MEQ)](https://www.medvellum.com/s/psychiatry/saqs/child-and-adolescent-depression) — FRANZCP-style MEQ on moderate adolescent MDD with self-harm and family conflict: multi-informant assessment, confidentiality limits, stepped #### Child and adolescent psychiatry — child protection for psychiatrists (1) - [Child protection thresholds and multi-agency response (MEQ)](https://www.medvellum.com/s/psychiatry/saqs/child-protection-for-psychiatrists) — FRANZCP-style MEQ on child protection thresholds, documentation, multi-agency working, dual loyalty, parental capacity, and trauma-informed #### Child and adolescent psychiatry — childhood trauma and maltreatment (1) - [Childhood maltreatment — assessment, reporting and TF-CBT (MEQ)](https://www.medvellum.com/s/psychiatry/saqs/childhood-trauma-and-maltreatment) — FRANZCP-style MEQ on childhood sexual abuse disclosure: safety, mandatory reporting principles, trauma-informed assessment, ACE formulation, #### Child and adolescent psychiatry — OCRD (1) - [Childhood-onset OCD — ERP, POTS and SSRI monitoring (MEQ)](https://www.medvellum.com/s/psychiatry/saqs/childhood-ocd) — FRANZCP-style modified essay on paediatric OCD diagnosis, CY-BOCS, family accommodation, ERP, SSRI monitoring, and POTS evidence. #### Child and adolescent psychiatry — children of parents with mental illness (1) - [Children of parents with mental illness — family-focused care (MEQ)](https://www.medvellum.com/s/psychiatry/saqs/children-of-parents-with-mental-illness) — FRANZCP-style MEQ on COPMI identification, safety, dual loyalty, STAR*D/Beardslee/Siegenthaler prevention principles, and multi-agency care. #### Foundations — research methods and study design (1) - [Choosing and defending study designs in psychiatry (MEQ)](https://www.medvellum.com/s/psychiatry/saqs/research-methods-and-study-design) — FRANZCP/MRCPsych-style MEQ on design–question matching, bias threats, and CONSORT/STROBE/COREQ reporting for psychiatry research scenarios. #### Psychopharmacology — first-generation antipsychotics (1) - [Choosing and monitoring a first-generation antipsychotic (MEQ)](https://www.medvellum.com/s/psychiatry/saqs/first-generation-antipsychotics) — FRANZCP-style MEQ on FGA evidence, potency selection, monitoring, EPS emergencies, depot and TRS pathways. #### Psychopharmacology — antipsychotics (1) - [Choosing and monitoring an antipsychotic in first-episode psychosis (MEQ)](https://www.medvellum.com/s/psychiatry/saqs/antipsychotics) — FRANZCP-style MEQ on antipsychotic selection in FEP, monitoring, adequate trials, LAI/clozapine thresholds, and acute dystonia management. #### Psychopharmacology — antidepressants (1) - [Choosing, monitoring and escalating antidepressants in treatment-resistant depression (MEQ)](https://www.medvellum.com/s/psychiatry/saqs/antidepressants) — FRANZCP-style MEQ on antidepressant optimisation, STAR*D, augmentation, sexual SE, and MAOI safety. #### Forensic psychiatry — civil (1) - [Civil forensic psychiatry — testamentary capacity and disability IME (MEQ)](https://www.medvellum.com/s/psychiatry/saqs/civil-forensic-psychiatry) — FRANZCP-style MEQ covering testamentary capacity, undue influence, deathbed delirium, and psychiatric disability IME method without invented #### General adult psychiatry — clinical high risk / attenuated psychosis (1) - [Clinical high risk and attenuated psychosis — assessment to stepped care (MEQ)](https://www.medvellum.com/s/psychiatry/saqs/clinical-high-risk-and-attenuated-psychosis) — FRANZCP-style MEQ on clinical high risk: UHR boxes, conversion rates, CAARMS/SIPS, stepped indicated prevention, omega-3 equipoise, and esca #### Addiction psychiatry — pharmaceutical and OTC misuse (1) - [Codeine combination dependence and OTC misuse (MEQ)](https://www.medvellum.com/s/psychiatry/saqs/pharmaceutical-and-otc-drug-misuse) — FRANZCP-style MEQ on pharmaceutical/OTC misuse: Frei-type codeine-ibuprofen morbidity, OAT for pharmaceutical opioids, 2018 rescheduling, ga #### Foundations — cognitive psychology (1) - [Cognitive psychology applied to depression, panic, and psychosis (MEQ)](https://www.medvellum.com/s/psychiatry/saqs/cognitive-psychology-for-psychiatry) — FRANZCP/MRCPsych-style MEQ integrating working memory, overgeneral memory, Beck/Clark models, and schizophrenia cognition/social cognition w #### Public and community psychiatry — collaborative care and primary care (1) - [Collaborative care — principles to multimorbidity implementation (MEQ)](https://www.medvellum.com/s/psychiatry/saqs/collaborative-care-and-primary-care-psychiatry) — FRANZCP-style MEQ on collaborative care design: principles, roles, measurement, landmark trials, implementation, escalation. #### Professional — complaint management and regulation (1) - [Complaint management and professional regulation (MEQ)](https://www.medvellum.com/s/psychiatry/saqs/complaint-management-and-regulation) — FRANZCP-style MEQ on complaint vs claim vs regulation, open disclosure after suicide, second-victim support, recurrent complaint risk, and l #### General adult psychiatry — trauma and stressor-related disorders (2) - [Complex PTSD — diagnosis, differential and phase-based management (MEQ)](https://www.medvellum.com/s/psychiatry/saqs/complex-ptsd-and-trauma-informed-care) — FRANZCP-style MEQ on ICD-11 complex PTSD: DSO triad, BPD differential, ITQ/PCL-5, STAIR sequencing, DBT-PTSD/TF therapies, SSRI dosing, and - [PTSD and acute stress disorder — assessment and trauma-focused management (MEQ)](https://www.medvellum.com/s/psychiatry/saqs/ptsd-and-acute-stress) — FRANZCP-style modified essay on PTSD after occupational trauma: criteria and differentials, trauma-informed assessment, PE/CPT/TF-CBT/EMDR, #### Child and adolescent psychiatry — disruptive behaviour (1) - [Conduct and oppositional disorders — multi-domain assessment and stepped care (MEQ)](https://www.medvellum.com/s/psychiatry/saqs/conduct-and-oppositional-disorders) — FRANZCP-style MEQ on ODD/CD: assessment, Moffitt pathways, parent training and MST, limited pharmacotherapy, ASPD trajectory counselling. #### Professional practice — critical appraisal and EBM (1) - [Critical appraisal of an antidepressant RCT abstract (MEQ)](https://www.medvellum.com/s/psychiatry/saqs/critical-appraisal-for-psychiatry-exams) — FRANZCP/MRCPsych-style MEQ on RCT validity, bias taxonomy, ARR/NNT calculation, and applicability in psychiatry. #### Professional — cultural formulation and Indigenous mental health (1) - [Cultural formulation for an Aboriginal man with depression and mistrust (MEQ)](https://www.medvellum.com/s/psychiatry/saqs/cultural-formulation-and-indigenous-mental-health) — FRANZCP-style MEQ on CFI/OCF domains, culturally safe assessment of an Aboriginal man with depression and service mistrust, SEWB, family/AHW #### Professional — psychological therapies (2) - [DBT and third-wave therapies (MEQ)](https://www.medvellum.com/s/psychiatry/saqs/dbt-and-third-wave-therapies) — FRANZCP-style MEQ on DBT structure, biosocial theory, evidence (including McMain), third-wave comparators, and stepped care when full DBT is - [MEQ: CBT formulation and treatment plan for panic with agoraphobia](https://www.medvellum.com/s/psychiatry/saqs/cbt-fundamentals-for-psychiatrists) — FRANZCP-style MEQ on Clark panic model, five-area formulation, session structure, behavioural experiments, and meds/risk integration for pan #### Old age psychiatry — delirium and acute cognitive syndromes (1) - [Delirium in older adults — assessment and management (MEQ)](https://www.medvellum.com/s/psychiatry/saqs/delirium-in-older-adults) — FRANZCP-style MEQ on geriatric delirium: CAM, hypoactive miss, multifactorial causes, multicomponent care, avoid benzos, low-dose AP careful #### General adult psychiatry — psychotic disorders (4) - [Delusional disorder — diagnosis, risk and management (MEQ)](https://www.medvellum.com/s/psychiatry/saqs/delusional-disorder) — FRANZCP-style MEQ on delusional disorder with mixed persecutory and jealous themes: criteria, differentials, Othello risk, engagement, antip - [First-episode schizophrenia — assessment and initial management (MEQ)](https://www.medvellum.com/s/psychiatry/saqs/schizophrenia-spectrum-disorders) — FRANZCP-style modified essay on first-episode psychosis: risk and medical exclusion, differential diagnosis, antipsychotic initiation with m - [Schizoaffective disorder — diagnosis and management (MEQ)](https://www.medvellum.com/s/psychiatry/saqs/schizoaffective-disorder) — FRANZCP-style MEQ on schizoaffective bipolar type: longitudinal criteria, differentials, suicide risk, antipsychotic plus mood-stabiliser st - [Schizophreniform and brief psychotic disorder — duration, prognosis and FEP care (MEQ)](https://www.medvellum.com/s/psychiatry/saqs/schizophreniform-and-brief-psychotic-disorder) — FRANZCP-style MEQ on schizophreniform vs brief psychosis duration, good prognostic features, organic/substance differentials, FEP-style trea #### Forensic psychiatry — morbid jealousy and erotomania (1) - [Delusional jealousy with partner assault and alcohol dependence (MEQ)](https://www.medvellum.com/s/psychiatry/saqs/morbid-jealousy-and-erotomania) — FRANZCP-style MEQ on morbid/delusional jealousy with alcohol, IPV, child exposure, and treatment/risk planning. #### Old age psychiatry — Lewy body dementias (1) - [Dementia with Lewy bodies — diagnosis and safe prescribing (MEQ)](https://www.medvellum.com/s/psychiatry/saqs/dementia-with-lewy-bodies-and-parkinson) — FRANZCP-style MEQ on DLB: core features, 1-year rule, neuroleptic sensitivity, ChEI dosing, RBD, biomarkers. #### foundations — descriptive psychopathology (1) - [Descriptive psychopathology domains, first-rank symptoms, and MSE language (MEQ)](https://www.medvellum.com/s/psychiatry/saqs/descriptive-psychopathology-and-phenomenology) — FRANZCP-style MEQ on descriptive psychopathology vocabulary, first-rank symptoms, insight, organic flags, and exam technique. #### Foundations — psychological and neuropsychological testing (1) - [Design a cognitive assessment pathway for complex presentations (MEQ)](https://www.medvellum.com/s/psychiatry/saqs/psychological-and-neuropsychological-testing) — FRANZCP-style MEQ on screens vs batteries, MoCA caveats, NP referral, schizophrenia cognition evidence, and communication. #### Foundations — rating scales and measurement-based care (1) - [Design and defend a measurement-based care pathway (MEQ)](https://www.medvellum.com/s/psychiatry/saqs/rating-scales-and-measurement-based-care) — FRANZCP-style MEQ on MBC workflow, PHQ-9/GAD-7 interpretation, clinician scales, evidence, and psychometrics. #### Child and adolescent psychiatry — developmental assessment (1) - [Developmental assessment in CAP — history, tools, adaptive function and formulation (MEQ)](https://www.medvellum.com/s/psychiatry/saqs/developmental-assessment-in-cap) — FRANZCP-style MEQ on developmental assessment in CAP: history, milestones, psychometrics hierarchy, adaptive function, formulation and multi #### General adult psychiatry — DID and dissociative amnesia (1) - [DID and dissociative amnesia — assessment, differential and phase-oriented management (MEQ)](https://www.medvellum.com/s/psychiatry/saqs/dissociative-identity-and-amnesia) — FRANZCP-style MEQ on DID and dissociative amnesia/fugue: organic exclusion, psychosis/BPD differentials, DES/SCID-D, suicide risk, ISSTD pha #### Child and adolescent psychiatry — DMDD (1) - [Disruptive mood dysregulation disorder — assessment, hierarchy, and management (MEQ)](https://www.medvellum.com/s/psychiatry/saqs/disruptive-mood-dysregulation-disorder) — FRANZCP-style MEQ on DMDD criteria and hierarchy, multi-informant assessment, psychosocial-first care with ADHD optimisation, and lithium-ne #### General adult psychiatry — dissociative disorders (1) - [Dissociative disorders — assessment, differential and phase-oriented management (MEQ)](https://www.medvellum.com/s/psychiatry/saqs/dissociative-disorders) — FRANZCP-style modified essay on suspected DID/complex dissociation: differentials, DES/SCID-D, suicide risk, ISSTD phases, TOP DD evidence q #### Professional — doctor health, burnout and impairment (1) - [Doctor health, burnout and impairment (MEQ)](https://www.medvellum.com/s/psychiatry/saqs/doctor-health-and-burnout) — FRANZCP-style MEQ on Maslach burnout, differential from depression/impairment, registrar crisis management, organisation-directed interventi #### Intellectual disability psychiatry — Down syndrome (1) - [Down syndrome and mental health (MEQ)](https://www.medvellum.com/s/psychiatry/saqs/down-syndrome-mental-health) — FRANZCP-style MEQ on depression versus dementia in Down syndrome, medical mimics, APP mechanism, DSQIID/CAMDEX tools and management. #### Psychopharmacology — drug interactions and QTc (1) - [Drug interactions, smoking and QTc risk (MEQ)](https://www.medvellum.com/s/psychiatry/saqs/drug-interactions-and-qtc) — FRANZCP-style MEQ integrating CYP1A2 interactions, QTc stacking with macrolide and hypokalaemia, and TdP readiness. #### Addiction psychiatry — dual diagnosis and integrated care (1) - [Dual diagnosis — models of care to integrated recovery (MEQ)](https://www.medvellum.com/s/psychiatry/saqs/dual-diagnosis-and-integrated-care) — FRANZCP-style MEQ on dual diagnosis: care models, stages of change, MI, etiological models, integrated plan, recovery, and evidence honesty. #### Child and adolescent psychiatry — early-onset psychosis (1) - [Early-onset psychosis — CAP assessment to clozapine threshold (MEQ)](https://www.medvellum.com/s/psychiatry/saqs/early-onset-psychosis) — FRANZCP-style MEQ on early-onset psychosis: age definitions, CAP differentials, organic/baseline work-up, start-low antipsychotic, family/sc #### Foundations — EEG and clinical neurophysiology (1) - [EEG and clinical neurophysiology in psychiatry — MEQ](https://www.medvellum.com/s/psychiatry/saqs/eeg-and-clinical-neurophysiology) — FRANZCP-style MEQ on psychiatric EEG indications, NCSE, clozapine, research biomarkers, and anti-NMDA EEG literacy. #### Old age psychiatry — elder abuse and vulnerability (1) - [Elder abuse in dementia caregiving (MEQ)](https://www.medvellum.com/s/psychiatry/saqs/elder-abuse-and-vulnerability) — FRANZCP-style MEQ on elder abuse subtypes, private assessment, capacity, multi-agency safeguarding, and disposition in dementia caregiving. #### Child and adolescent psychiatry — elimination disorders (1) - [Elimination disorders — enuresis and encopresis stepped care (MEQ)](https://www.medvellum.com/s/psychiatry/saqs/elimination-disorders) — FRANZCP-style MEQ on enuresis and retentive encopresis: classification, assessment, alarm vs desmopressin, disimpaction/PEG, non-punitive ca #### Foundations — epidemiologic methods for psychiatry (1) - [Epidemiologic measures and inference in psychiatry (MEQ)](https://www.medvellum.com/s/psychiatry/saqs/epidemiology-methods-for-psychiatry) — FRANZCP/MRCPsych-style MEQ on frequency measures, RR/OR/PAF, bias families, screening base rates, and causal language. #### Psychopharmacology (1) - [EPS spectrum and tardive dyskinesia management (MEQ)](https://www.medvellum.com/s/psychiatry/saqs/eps-and-tardive-dyskinesia) — FRANZCP-style MEQ spanning acute dystonia, akathisia, and tardive dyskinesia with VMAT2 trial names. #### Specialty psychiatry — sexual medicine interface (2) - [Erectile disorder and premature ejaculation — assessment and management (MEQ)](https://www.medvellum.com/s/psychiatry/saqs/erectile-and-ejaculatory-disorders) — FRANZCP-style MEQ covering organic ED, concurrent PE, nitrate/GTN safety, SSRI effects, and stepped management. FRANZCP-primary, globally ta - [Female sexual interest/arousal disorder after SSRI treatment and comorbid dyspareunia (MEQ)](https://www.medvellum.com/s/psychiatry/saqs/female-sexual-interest-arousal-and-pain) — FRANZCP-style MEQ on FSIAD with SSRI contribution and pain interface: formulation, FSFI-informed assessment, antidepressant optimisation, ps #### Forensic psychiatry — expert evidence (1) - [Expert evidence and forensic report writing (MEQ)](https://www.medvellum.com/s/psychiatry/saqs/expert-evidence-and-report-writing) — FRANZCP-style MEQ on expert role ethics, forensic assessment method, report architecture, testimony craft, and classic pitfalls without inve #### Psychotherapy — behavioural therapies (1) - [Exposure and response prevention for residual OCD on an SRI (MEQ)](https://www.medvellum.com/s/psychiatry/saqs/exposure-and-response-prevention) — FRANZCP/MRCPsych-style MEQ on ERP definition, technique, landmark evidence, fidelity, and SRI combination for residual OCD. #### Forensic psychiatry — FII / medical child abuse (1) - [Fabricated or induced illness — recognition, safeguarding, and forensic role (MEQ)](https://www.medvellum.com/s/psychiatry/saqs/munchausen-by-proxy-and-fabricated-illness) — FRANZCP-style MEQ on fabricated or induced illness covering terminology, red flags, safeguarding, differential, and forensic opinion limits #### General adult psychiatry — factitious disorder and malingering (1) - [Factitious disorder vs malingering — assessment, ethics and non-collusive management (MEQ)](https://www.medvellum.com/s/psychiatry/saqs/factitious-disorder-and-malingering) — FRANZCP-style MEQ on hospital factitious disorder: nosology, Bass/Halligan assessment principles, Eastwood management evidence limits, ethic #### Old age psychiatry — falls polypharmacy frailty (1) - [Falls, polypharmacy and frailty in old-age psychiatry (MEQ)](https://www.medvellum.com/s/psychiatry/saqs/falls-polypharmacy-and-frailty) — FRANZCP-style MEQ on falls, polypharmacy and frailty at the old-age psychiatry interface: Fried/Rockwood, FRIDs, multifactorial prevention, #### Professional — psychosocial interventions (1) - [Family intervention after first-episode psychosis (MEQ)](https://www.medvellum.com/s/psychiatry/saqs/family-and-systemic-interventions) — FRANZCP-style MEQ on EE, family intervention for psychosis, engagement, and safety limits. #### General adult psychiatry — early psychosis pathway (1) - [First-episode psychosis pathway — assessment to recovery (MEQ)](https://www.medvellum.com/s/psychiatry/saqs/first-episode-psychosis) — FRANZCP-style MEQ on the first-episode psychosis pathway: DUP, organic exclusion, low-dose antipsychotic initiation, OPUS/RAISE multi-elemen #### Forensic psychiatry — fitness and criminal responsibility (1) - [Fitness to stand trial and mental impairment defence (MEQ)](https://www.medvellum.com/s/psychiatry/saqs/fitness-to-stand-trial-and-criminal-responsibility) — FRANZCP-style MEQ on fitness versus criminal responsibility, Presser/Pritchard/Dusky-mapped assessment, restoration, mental impairment analy #### Intellectual disability — neurodevelopmental (2) - [Foetal alcohol spectrum disorder — diagnosis, neurobehaviour and management (MEQ)](https://www.medvellum.com/s/psychiatry/saqs/foetal-alcohol-spectrum-disorder) — FRANZCP-style MEQ on FASD diagnostic systems, neurobehavioural profile, differentials, secondary disability prevention, comorbidity pharmaco - [Fragile X syndrome — genetics, phenotype and management (MEQ)](https://www.medvellum.com/s/psychiatry/saqs/fragile-x-syndrome) — FRANZCP-style MEQ on FXS allele classes, FMRP loss vs RNA toxicity, behavioural phenotype, molecular diagnosis, cascade counselling, and com #### Forensic psychiatry — risk assessment (1) - [Forensic risk assessment for leave and step-down (MEQ)](https://www.medvellum.com/s/psychiatry/saqs/risk-assessment-in-forensic-settings) — FRANZCP-style MEQ on forensic SPJ risk assessment for leave/step-down, static vs dynamic vs protective factors, actuarial limits, scenarios, #### Old age psychiatry — neurocognitive disorders (2) - [Frontotemporal dementia — assessment and management (MEQ)](https://www.medvellum.com/s/psychiatry/saqs/frontotemporal-dementia) — FRANZCP-style MEQ on bvFTD: Rascovsky features, psychiatric misdiagnosis trap, gene triad, C9orf72–ALS overlap, capacity/risk, non-drug care - [Young-onset dementia — assessment and management (MEQ)](https://www.medvellum.com/s/psychiatry/saqs/young-onset-dementia) — FRANZCP-style MEQ on young-onset dementia: under-65 definition, EOAD vs FTD spectrum, APP/PSEN1/PSEN2, work-up, capacity/working-age needs, #### Addiction psychiatry — behavioural addictions (2) - [Gambling disorder — criteria, risk, CBT, and naltrexone (MEQ)](https://www.medvellum.com/s/psychiatry/saqs/gambling-disorder) — FRANZCP-style MEQ on gambling disorder: DSM-5-TR criteria/severity, suicide-debt risk, CBT first-line, naltrexone off-label evidence, comorb - [Gaming and internet addiction — ICD-11, CBT, and comorbidity (MEQ)](https://www.medvellum.com/s/psychiatry/saqs/gaming-and-internet-addiction) — FRANZCP-style MEQ on gaming disorder: ICD-11 vs DSM research criteria, risk, CBT/family first-line care, limited pharmacotherapy, pitfalls. #### Specialty psychiatry — gender diversity ethics and systems (1) - [Gender diversity — minority stress, ethics, and systems care (MEQ)](https://www.medvellum.com/s/psychiatry/saqs/gender-diversity-beyond-dysphoria) — FRANZCP-style modified essay on gender diversity beyond the dysphoria/GAHT pathway: minority stress, conversion ethics, healthcare avoidance #### Specialty psychiatry — gender and sexuality (1) - [Gender dysphoria — assessment, risk, and affirming pathway (MEQ)](https://www.medvellum.com/s/psychiatry/saqs/gender-dysphoria-and-affirming-care) — FRANZCP-style modified essay on adolescent gender dysphoria: differential, risk, autism interface, conversion harms, capacity, and stepped a #### General adult psychiatry — anxiety disorders (6) - [Generalised anxiety disorder — assessment and stepped management (MEQ)](https://www.medvellum.com/s/psychiatry/saqs/generalised-anxiety-disorder) — FRANZCP-style modified essay on moderate-severe GAD: criteria-based diagnosis, differentials, CBT, SSRI dosing, benzo cautions, pregabalin/b - [Panic disorder and agoraphobia — assessment and stepped management (MEQ)](https://www.medvellum.com/s/psychiatry/saqs/panic-disorder-and-agoraphobia) — FRANZCP-style modified essay on panic disorder with agoraphobia: medical exclusion, dual diagnosis coding, CBT with interoceptive/situationa - [Selective mutism — school silence and stepped care (MEQ)](https://www.medvellum.com/s/psychiatry/saqs/selective-mutism) — FRANZCP-style modified essay on classic school-entry selective mutism: DSM criteria and duration traps, language/hearing exclusions, behavio - [Separation anxiety disorder — school refusal and adult under-recognition (MEQ)](https://www.medvellum.com/s/psychiatry/saqs/separation-anxiety-disorder) — FRANZCP-style modified essay on child SeAD with school refusal and comorbid adult SeAD in a parent: criteria and dual duration thresholds, f - [Social anxiety disorder — assessment and stepped management (MEQ)](https://www.medvellum.com/s/psychiatry/saqs/social-anxiety-disorder) — FRANZCP-style modified essay on moderate-severe social anxiety disorder: criteria-based diagnosis, differentials, CBT ingredients, SSRI dosi - [Specific phobia — assessment and exposure-first management (MEQ)](https://www.medvellum.com/s/psychiatry/saqs/specific-phobia) — FRANZCP-style modified essay on blood-injection-injury and situational specific phobias: criteria, applied tension, exposure/OST, limited me #### Addiction psychiatry — hallucinogen-related disorders (1) - [Hallucinogen-related disorders — bad trip, HPPD, and PAT interface (MEQ)](https://www.medvellum.com/s/psychiatry/saqs/hallucinogen-use-disorders) — FRANZCP-style MEQ on classic psychedelic intoxication, talk-down care, dual formulation of psychosis, HPPD, and accurate reading of PAT tria #### Addiction psychiatry — public health and systems (1) - [Harm reduction package for an open drug scene (MEQ)](https://www.medvellum.com/s/psychiatry/saqs/harm-reduction-and-public-health) — FRANZCP-style MEQ on harm reduction systems design: NSP, OAT mortality evidence, supervised consumption, take-home naloxone, stigma, and ind #### Specialty psychiatry — clinical paraphilic disorders (1) - [Help-seeking pedophilic disorder with occupational access risk (MEQ)](https://www.medvellum.com/s/psychiatry/saqs/paraphilic-disorders-clinical) — FRANZCP-style MEQ on clinical paraphilic disorder: interest vs disorder, child protection, suicide risk, WFSBP stepped care, CSBD differenti #### Forensic psychiatry — homicide and mental disorder (1) - [Homicide during untreated first-episode psychosis (MEQ)](https://www.medvellum.com/s/psychiatry/saqs/homicide-and-mental-disorder) — FRANZCP-style MEQ on psychotic homicide in untreated FEP: epidemiology humility, responsibility analysis, temporal triad, suicide risk, secu #### General adult psychiatry — somatic symptom and related (1) - [Illness anxiety disorder — assessment and stepped management (MEQ)](https://www.medvellum.com/s/psychiatry/saqs/illness-anxiety-disorder) — FRANZCP-style modified essay on adult illness anxiety disorder: nosology, CBT, SSRI, collaborative care, suicide risk. FRANZCP-primary, glob #### Addiction psychiatry — inhalant-related disorders (1) - [Inhalant-related disorders — chroming, sudden sniffing death, and N2O myeloneuropathy (MEQ)](https://www.medvellum.com/s/psychiatry/saqs/inhalant-use-disorders) — FRANZCP-style MEQ on chroming, sudden sniffing death, adolescent comorbidity, psychosocial care without licensed anti-craving standard, and #### Psychopharmacology — long-acting injectable antipsychotics (1) - [Initiating a long-acting injectable antipsychotic (MEQ)](https://www.medvellum.com/s/psychiatry/saqs/long-acting-injectable-antipsychotics) — FRANZCP-style MEQ on LAI indication, PRELAPSE/Tiihonen evidence, oral overlap, monitoring, and TRS boundary. #### Psychopharmacology — monoamine oxidase inhibitors (1) - [Initiating an irreversible MAOI safely in treatment-resistant depression (MEQ)](https://www.medvellum.com/s/psychiatry/saqs/maois) — FRANZCP-style MEQ on MAOI initiation, tyramine, washouts, selegiline contrast optional, crisis differentials. #### Psychopharmacology — lithium (1) - [Initiating and monitoring lithium in bipolar I with suicide risk (MEQ)](https://www.medvellum.com/s/psychiatry/saqs/lithium) — FRANZCP-style MEQ on lithium initiation, TDM, interactions, suicide evidence, and toxicity/EXTRIP. #### Psychopharmacology — cognitive enhancers (1) - [Initiating and reviewing cognitive enhancers in Alzheimer disease (MEQ)](https://www.medvellum.com/s/psychiatry/saqs/cognitive-enhancers) — FRANZCP-style MEQ on AChEI/memantine initiation, monitoring, DOMINO-AD, and realistic counselling. #### Psychopharmacology — clozapine (1) - [Initiating clozapine in treatment-resistant schizophrenia (MEQ)](https://www.medvellum.com/s/psychiatry/saqs/clozapine) — FRANZCP-style MEQ on clozapine entry criteria, initiation, monitoring, smoking interaction, and CIGH prevention. #### Psychopharmacology — ketamine and esketamine (1) - [Initiating ketamine/esketamine for treatment-resistant depression (MEQ)](https://www.medvellum.com/s/psychiatry/saqs/ketamine-and-esketamine) — FRANZCP-style MEQ on TRD entry, esketamine/ketamine protocols, safety monitoring, and ECT comparison. #### Psychopharmacology — stimulants and ADHD medications (1) - [Initiating, monitoring and switching ADHD pharmacotherapy (MEQ)](https://www.medvellum.com/s/psychiatry/saqs/stimulants-and-adhd-medications) — FRANZCP-style MEQ on adult ADHD medication choice, monitoring, NMA evidence, switching, and diversion/SUD risk. #### intellectual disability psychiatry (1) - [Intellectual disability — assessment, classification and aetiological workup (MEQ)](https://www.medvellum.com/s/psychiatry/saqs/intellectual-disability-assessment-and-classification) — FRANZCP-style MEQ on ID diagnostic triad, adaptive domains, genetics workup, differentials and services including CIPOLD mortality awareness #### General adult psychiatry — impulse control (2) - [Intermittent explosive disorder — ED assault and dual diagnosis (MEQ)](https://www.medvellum.com/s/psychiatry/saqs/intermittent-explosive-disorder) — FRANZCP-style modified essay on IED with alcohol use and IPV risk: operational diagnosis, differentials, acute safety, CBT and fluoxetine pl - [Kleptomania and pyromania — retail arrest and arson differential (MEQ)](https://www.medvellum.com/s/psychiatry/saqs/kleptomania-and-pyromania) — FRANZCP-style modified essay on kleptomania diagnosis/treatment and pyromania exclusions with public-safety planning. #### Professional — working with interpreters and CALD communities (1) - [Interpreter-mediated assessment after overdose in a CALD woman (MEQ)](https://www.medvellum.com/s/psychiatry/saqs/working-with-interpreters-and-cald) — FRANZCP-style MEQ on professional interpreters, refusal of child ad hoc interpreting, acute risk assessment via phone interpreter, workflow, #### Forensic psychiatry — mental health law (1) - [Involuntary admission vs capacity pathway and CTO decision (MEQ)](https://www.medvellum.com/s/psychiatry/saqs/mental-health-law-and-involuntary-treatment) — FRANZCP-style MEQ on involuntary treatment principles, capacity interface, least restrictive care, CTO evidence (OCTET/Cochrane), rights, an #### Psychopharmacology — lamotrigine (1) - [Lamotrigine initiation with valproate and OCP counselling (MEQ)](https://www.medvellum.com/s/psychiatry/saqs/lamotrigine) — FRANZCP-style MEQ on lamotrigine polarity evidence, valproate-adjusted titration, OCP pharmacokinetics, SJS stop rules, and pregnancy hierar #### Old age psychiatry — anxiety disorders (1) - [Late-life anxiety disorders — assessment and management (MEQ)](https://www.medvellum.com/s/psychiatry/saqs/late-life-anxiety-disorders) — FRANZCP-style MEQ on late-life GAD: formulation, GAD-7, suicide risk, SSRI with hyponatraemia/diuretic caution, CBT evidence (Stanley), Beer #### Old age psychiatry — mood disorders (2) - [Late-life bipolar disorder — assessment and management (MEQ)](https://www.medvellum.com/s/psychiatry/saqs/late-life-bipolar-disorder) — FRANZCP-style MEQ on late-life bipolar: EOBD continuation, lithium toxicity risk with NSAID/thiazide, GERI-BD-informed mania treatment, suic - [Late-life depression — assessment and management (MEQ)](https://www.medvellum.com/s/psychiatry/saqs/late-life-depression) — FRANZCP-style MEQ on late-life depression: suicide lethality and means, vascular phenotype, depression-related cognitive complaints, SSRI st #### Old age psychiatry — psychosis (1) - [Late-onset psychosis — assessment and management (MEQ)](https://www.medvellum.com/s/psychiatry/saqs/late-onset-psychosis) — FRANZCP-style MEQ on late-onset / VLOSLP: Howard cut-offs, partition delusions, organic work-up, sensory impairment, low-dose antipsychotic, #### Foundations — behavioural science (1) - [Learning theory applied to panic and avoidance (MEQ)](https://www.medvellum.com/s/psychiatry/saqs/learning-theory-and-behavioural-science) — FRANZCP/MRCPsych-style MEQ integrating classical/operant learning, extinction/relapse, inhibitory-learning exposure design, and safety limit #### Consultation-liaison — transplant and ICU psychiatry (1) - [Liver transplant candidate with depression and prior alcohol use (MEQ)](https://www.medvellum.com/s/psychiatry/saqs/transplant-and-icu-psychiatry) — FRANZCP-style MEQ on transplant psychosocial evaluation, alcohol-associated disease, depression, adherence, and evidence anchors (SIPAT/ISHL #### General adult psychiatry — mood disorders (5) - [Major depressive disorder — assessment and stepped management (MEQ)](https://www.medvellum.com/s/psychiatry/saqs/major-depressive-disorder) — FRANZCP-style modified essay on moderate-severe recurrent MDD: risk and medical exclusion, differential including bipolar and alcohol, first - [Melancholic vs atypical features — diagnosis and treatment (MEQ)](https://www.medvellum.com/s/psychiatry/saqs/melancholic-and-atypical-specifiers) — FRANZCP-style MEQ contrasting melancholic and atypical feature specifiers: criteria hinge, differentials, ECT for severe melancholia, MAOI h - [Psychotic depression — acute management and evidence (MEQ)](https://www.medvellum.com/s/psychiatry/saqs/psychotic-depression) — FRANZCP-style MEQ on psychotic depression: diagnosis, differentials, suicide risk, combination AD+AP (STOP-PD), ECT thresholds, STOP-PD II c - [Seasonal and atypical depression — assessment and management (MEQ)](https://www.medvellum.com/s/psychiatry/saqs/seasonal-and-atypical-depression) — FRANZCP-style MEQ on winter seasonal MDD and atypical reverse vegetative features: specifier criteria, light therapy, fluoxetine/SSRI option - [Treatment-resistant depression — sequential management (MEQ)](https://www.medvellum.com/s/psychiatry/saqs/treatment-resistant-depression) — FRANZCP-style MEQ on TRD: pseudo-resistance critique, reassessment, adequate trials, lithium/ECT thresholds, psychotherapy and STAR*D sequen #### Foundations — attachment (1) - [MEQ: Attachment theory — Strange Situation, AAI, RAD/DSED, and clinical application](https://www.medvellum.com/s/psychiatry/saqs/attachment-theory-and-early-relationships) — FRANZCP-style MEQ covering Bowlby constructs, SSP/AAI classification, style vs RAD/DSED, BEIP/AACAP management principles, and rejection of #### Professional — formulation (1) - [MEQ: BPS and 4P formulation for first-episode psychosis with cannabis](https://www.medvellum.com/s/psychiatry/saqs/formulation-biopsychosocial-and-4ps) — FRANZCP-style MEQ requiring definition of formulation vs diagnosis, a full BPS×4P matrix for FEP with cannabis, mapped management plan, and #### Psychotherapy — trauma-focused CBT and EMDR (1) - [MEQ: Choosing and planning trauma-focused therapy after assault](https://www.medvellum.com/s/psychiatry/saqs/trauma-focused-cbt-and-emdr) — FRANZCP-style MEQ on Ehlers–Clark formulation, PE/CPT/EMDR choice, consent and readiness, alcohol/medication, and stepped non-response. #### Psychotherapy — combined treatment (1) - [MEQ: Designing combined treatment for chronic depression with partial SSRI response](https://www.medvellum.com/s/psychiatry/saqs/combining-psychotherapy-and-pharmacotherapy) — FRANZCP-style MEQ on combined vs sequential treatment, Keller/Cuijpers/CoBalT/Guidi–Fava evidence, and practical integrated care for chronic #### Foundations — history of psychiatry (1) - [MEQ: History of psychiatry — landmarks, reform, and modern practice](https://www.medvellum.com/s/psychiatry/saqs/history-of-psychiatry) — FRANZCP-style MEQ on historiography landmarks, psychopharmacology, deinstitutionalisation, DSM-III, and Rosenhan critique for fellowship tea #### Psychopharmacology — metabolic syndrome and psychotropic monitoring (1) - [Metabolic syndrome risk, monitoring and metformin after olanzapine (MEQ)](https://www.medvellum.com/s/psychiatry/saqs/metabolic-syndrome-and-psychotropics) — FRANZCP-style MEQ integrating MetS criteria, agent ranking, ADA/APA monitoring, early intervention and the clozapine exception. #### Psychopharmacology — atypical and multimodal antidepressants (1) - [Mirtazapine vs bupropion phenotype matching and combination literacy (MEQ)](https://www.medvellum.com/s/psychiatry/saqs/mirtazapine-bupropion-and-multimodal) — FRANZCP-style MEQ on choosing between bupropion and mirtazapine, dosing, smoking niche, and combination evidence literacy. #### Psychopharmacology — mood stabilisers (1) - [Mood stabiliser choice, lithium monitoring and pregnancy hierarchy (MEQ)](https://www.medvellum.com/s/psychiatry/saqs/mood-stabilisers) — FRANZCP-style MEQ on mood stabiliser selection, lithium monitoring, valproate pregnancy hierarchy, lamotrigine titration, and lithium toxici #### Professional practice — psychological therapies (1) - [Motivational interviewing in dual diagnosis engagement (MEQ)](https://www.medvellum.com/s/psychiatry/saqs/motivational-interviewing) — FRANZCP/MRCPsych-style MEQ integrating MI definition, spirit/skills, change-talk coding, evidence, and safety limits in dual diagnosis. #### Addiction psychiatry — psychosocial interventions (1) - [Mutual-help linkage and contingency management for stimulant relapse (MEQ)](https://www.medvellum.com/s/psychiatry/saqs/mutual-help-and-contingency-management) — FRANZCP-style MEQ integrating CM protocol design for methamphetamine, secular mutual-help alternatives, ethics of reinforcement, and risk ov #### General adult psychiatry — psychosis (2) - [Negative and cognitive symptoms of schizophrenia — primary vs secondary and treatment honesty (MEQ)](https://www.medvellum.com/s/psychiatry/saqs/negative-and-cognitive-symptoms-of-schizophrenia) — FRANZCP-style MEQ on primary vs secondary negatives, SANS/PANSS/MATRICS, limited pharmacotherapy evidence, cariprazine/clozapine nuance, cog - [Treatment-resistant schizophrenia — TRRIP and clozapine pathway (MEQ)](https://www.medvellum.com/s/psychiatry/saqs/treatment-resistant-schizophrenia) — FRANZCP-style MEQ on TRS: pseudo-resistance critique, LAI before label, TRRIP, clozapine core, ultra-TRS and ECT. FRANZCP-primary, globally #### Addiction psychiatry — neonatal abstinence (1) - [Neonatal abstinence syndrome — assessment and dyad care (MEQ)](https://www.medvellum.com/s/psychiatry/saqs/neonatal-abstinence-syndrome) — FRANZCP-style MEQ on NAS/NOWS after maternal methadone: definition, mimics, ESC/supportive care, pharmacotherapy thresholds, breastfeeding, #### foundations — neuroscience for fellowship psychiatry (1) - [Neural circuits localisation MEQ (psychosis and frontal change)](https://www.medvellum.com/s/psychiatry/saqs/neuroanatomy-circuits-for-psychiatrists) — FRANZCP/MRCPsych-style MEQ integrating dopamine pathways, frontal syndromes, triple-network model, and organic work-up. #### Addiction psychiatry — nicotine and behavioural addictions (1) - [Nicotine, varenicline, and dual diagnosis smoking — MEQ](https://www.medvellum.com/s/psychiatry/saqs/nicotine-and-behavioural-addictions) — FRANZCP-style MEQ integrating FTND-level dependence, combination NRT/varenicline, EAGLES, clozapine-smoking interaction, and gambling risk/s #### Intellectual disability — forensic dual disability (1) - [Offending and intellectual disability (MEQ)](https://www.medvellum.com/s/psychiatry/saqs/offending-and-intellectual-disability) — FRANZCP-style MEQ on offending and intellectual disability covering epidemiology method traps, suggestibility, fitness, risk limits, RNR-ada #### Addiction psychiatry — substance use disorders (2) - [Opioid substitution and withdrawal — induction, COWS, pregnancy (MEQ)](https://www.medvellum.com/s/psychiatry/saqs/opioid-substitution-and-withdrawal) — FRANZCP-style MEQ on COWS, methadone/buprenorphine induction, pregnancy OAT, naloxone, and Sordo retention mortality framing. - [Opioid use disorder — assessment, overdose, and OAT (MEQ)](https://www.medvellum.com/s/psychiatry/saqs/opioid-use-disorder) — FRANZCP-style MEQ on OUD: naloxone/ABCs, COWS, OAT choice and induction safety, harm reduction, comorbidity, and Sordo/retention mortality f #### general-adult (1) - [OSFED — atypical anorexia and residual ED assessment (MEQ)](https://www.medvellum.com/s/psychiatry/saqs/other-specified-feeding-eating-disorders) — FRANZCP-style MEQ on atypical AN within OSFED: medical risk at non-low BMI, differentials, CBT-E/family elements, suicide risk. FRANZCP-prim #### General adult psychiatry — perinatal (2) - [Perinatal mood and anxiety disorders — assessment and emergency pathway (MEQ)](https://www.medvellum.com/s/psychiatry/saqs/perinatal-mood-and-anxiety-disorders) — FRANZCP-style MEQ on postpartum psychosis: diagnosis, dual risk assessment, MBU/admission, Bergink-informed acute treatment, ECT threshold, - [Postpartum psychosis — emergency assessment and treatment (MEQ)](https://www.medvellum.com/s/psychiatry/saqs/postpartum-psychosis) — FRANZCP-style MEQ on postpartum psychosis: diagnosis, dual risk, MBU/admission, Bergink-informed treatment, ECT, recurrence prevention. #### Psychopharmacology — pregnancy and lactation (1) - [Perinatal psychopharmacology risk–benefit and class hierarchy (MEQ)](https://www.medvellum.com/s/psychiatry/saqs/psychopharmacology-in-pregnancy-and-lactation) — FRANZCP-style MEQ on perinatal psychopharmacology: untreated illness, valproate avoid, lithium shared decision, neonatal SSRI signals, lacta #### Foundations — personality science (1) - [Personality theory in formulation and nosology (MEQ)](https://www.medvellum.com/s/psychiatry/saqs/personality-theory-for-psychiatrists) — FRANZCP/MRCPsych-style MEQ integrating trait theory, AMPD/ICD-11 dimensional nosology, formulation, and safety/ethics pitfalls. #### Psychopharmacology — pharmacogenomics (1) - [Pharmacogenomics in psychiatry (MEQ)](https://www.medvellum.com/s/psychiatry/saqs/pharmacogenomics-in-psychiatry) — FRANZCP-style MEQ integrating HLA carbamazepine safety, commercial panel limits, CPIC CYP guidance, and trial literacy. #### foundations — philosophy of mind (1) - [Philosophy of mind, multilevel explanation, and capacity (MEQ)](https://www.medvellum.com/s/psychiatry/saqs/philosophy-of-mind-and-psychiatry) — FRANZCP-style MEQ on philosophy of mind applied to formulation, free will rhetoric, BPS critique, and capacity. #### Psychopharmacology — ECT and neurostimulation (1) - [Planning ECT for severe depression and discussing neurostimulation tiers (MEQ)](https://www.medvellum.com/s/psychiatry/saqs/ect-and-neurostimulation) — FRANZCP-style MEQ covering ECT indication, consent/cognition, placement/dosing, anaesthesia interface, continuation, and evidence-tiered alt #### General adult psychiatry — mood disorders / women's mental health (1) - [Premenstrual dysphoric disorder — assessment and management (MEQ)](https://www.medvellum.com/s/psychiatry/saqs/premenstrual-dysphoric-disorder) — FRANZCP-style MEQ on PMDD: prospective confirmation, PME differential, SSRI continuous vs luteal dosing, drospirenone/EE, GnRH chemical meno #### Old age psychiatry — psychopharmacology (1) - [Prescribing psychotropics in older adults — safety and deprescribing (MEQ)](https://www.medvellum.com/s/psychiatry/saqs/prescribing-in-older-adults) — FRANZCP-style MEQ on geriatric psychotropic safety: Beers/STOPP, PK/PD, antipsychotic black-box in dementia, deprescribing, SSRI-SIADH, QTc #### Foundations — prevention and early intervention (1) - [Prevention and early intervention — district design MEQ](https://www.medvellum.com/s/psychiatry/saqs/prevention-and-early-intervention) — FRANZCP/MRCPsych-style MEQ integrating Gordon/Rose frameworks, indicated depression and UHR care, EIS package, and implementation realism. #### Forensic psychiatry — prison mental health (1) - [Prison mental health — reception crisis and care pathway (MEQ)](https://www.medvellum.com/s/psychiatry/saqs/prison-mental-health) — FRANZCP-style MEQ on prison reception: suicide, psychosis, withdrawal, dual diagnosis, segregation harms, equivalence of care, and post-rele #### Foundations — psychiatric genetics and epigenetics (1) - [Psychiatric genetics and epigenetics — family counselling MEQ](https://www.medvellum.com/s/psychiatry/saqs/psychiatric-genetics-and-epigenetics) — FRANZCP/MRCPsych-style MEQ integrating heritability concepts, family counselling, GWAS/PRS limits, 22q11.2DS, and ethics. #### Psychotherapy — psychoeducation and family interventions (1) - [Psychoeducation and family psychoeducation after first-episode psychosis (MEQ)](https://www.medvellum.com/s/psychiatry/saqs/psychoeducation-and-family-psychoeducation) — FRANZCP/MRCPsych-style MEQ integrating PE/FPE definitions, EE, programme structure, landmark evidence, and safety/professional limits after #### Foundations — psychoneuroendocrinology and psychoimmunology (1) - [Psychoneuroendocrinology and psychoimmunology — MEQ](https://www.medvellum.com/s/psychiatry/saqs/psychoneuroendocrinology-and-psychoimmunology) — FRANZCP-style MEQ on HPA axis, glucocorticoid models, cytokine–brain signalling, investigation limits, prolactin, and clinical application. #### General adult psychiatry — psychosis rehabilitation (1) - [Psychosocial rehabilitation in psychosis — multi-component package (MEQ)](https://www.medvellum.com/s/psychiatry/saqs/psychosocial-rehabilitation-in-psychosis) — FRANZCP-style MEQ on psychosocial rehabilitation in psychosis: recovery constructs, IPS, family PE, cognitive remediation, ACT/ICM, PORT, Sl #### Forensic psychiatry — arson and fire-setting (1) - [Psychotic arson of the family home (MEQ)](https://www.medvellum.com/s/psychiatry/saqs/arson-and-fire-setting) — FRANZCP-style MEQ on psychotic arson: terminology triad, epidemiology, responsibility analysis, temporal triad, suicide and fire safety, spe #### General adult psychiatry — secondary / organic psychosis (1) - [Psychotic disorder due to another medical condition — assessment to management (MEQ)](https://www.medvellum.com/s/psychiatry/saqs/psychosis-due-to-medical-condition) — FRANZCP-style MEQ on medical-cause psychosis: differential, tiered work-up, imaging/LP thresholds, cause-directed treatment with cautious an #### Psychopharmacology — renal and hepatic disease (1) - [Psychotropics in CKD and cirrhosis (MEQ)](https://www.medvellum.com/s/psychiatry/saqs/psychotropics-in-renal-and-hepatic-disease) — FRANZCP-style MEQ on lithium in falling eGFR, depression in CKD/cirrhosis, BZD–HE risk, and EXTRIP. #### Psychopharmacology — fitness to drive (1) - [Psychotropics, sedation and driving (MEQ)](https://www.medvellum.com/s/psychiatry/saqs/psychotropics-and-driving) — FRANZCP-style MEQ on BZD/zopiclone residual impairment, older-driver polypharmacy crash risk, counselling and documentation. #### Public-community — quality improvement and patient safety (1) - [Quality improvement and patient safety in psychiatry (MEQ)](https://www.medvellum.com/s/psychiatry/saqs/quality-improvement-and-patient-safety) — FRANZCP-style MEQ integrating taxonomy, PDSA measures, systems thinking, just culture, Safewards, and While/NCI pearl. #### General adult psychiatry — reactive attachment and disinhibited social engagement (1) - [Reactive attachment and DSED — nosology, residual adult risk and caregiving-first care (MEQ)](https://www.medvellum.com/s/psychiatry/saqs/reactive-attachment-disorder) — FRANZCP-style MEQ bridging childhood DSED/RAD nosology with transition-age residual risk, adult residual formulation after early deprivation #### Public-community — military and veteran psychiatry (1) - [Recently transitioned combat veteran with nightmares, alcohol use, and passive death wishes (MEQ)](https://www.medvellum.com/s/psychiatry/saqs/military-and-veteran-psychiatry) — FRANZCP-style MEQ on military/veteran psychiatry: multi-domain formulation, weapons-aware risk assessment, landmark epidemiology, trauma-foc #### Consultation-liaison — hepatic encephalopathy and advanced transplant psychiatry (1) - [Recurrent HE and liver transplant listing psychosocial evaluation (MEQ)](https://www.medvellum.com/s/psychiatry/saqs/hepatic-and-transplant-psychiatry-advanced) — FRANZCP-style MEQ integrating HE classification/management with advanced liver transplant psychosocial evaluation, alcohol-associated diseas #### Public and community psychiatry — rural and remote (1) - [Rural and remote psychiatry — service design MEQ](https://www.medvellum.com/s/psychiatry/saqs/rural-and-remote-psychiatry) — FRANZCP/MRCPsych-style MEQ integrating remoteness classification, rural suicide, telepsychiatry standards, collaborative care, cultural safe #### Public and community psychiatry — school and workplace mental health (1) - [School and workplace mental health — multi-tier design and RTW (MEQ)](https://www.medvellum.com/s/psychiatry/saqs/school-and-workplace-mental-health) — FRANZCP-style MEQ on school MTSS, SEYLE/YAM, workplace risk models, organisational interventions, and RTW. #### Child and adolescent psychiatry — school refusal and school anxiety (1) - [School refusal and school anxiety — functional analysis, CBT and return-to-school (MEQ)](https://www.medvellum.com/s/psychiatry/saqs/school-refusal-and-school-anxiety) — FRANZCP-style MEQ on adolescent school refusal with social-evaluative and tangible-reward functions: formulation, CBT, graded return, pharma #### Public-community psychiatry — restrictive practices (1) - [Seclusion decision, least-restrictive ladder and reduction frameworks (MEQ)](https://www.medvellum.com/s/psychiatry/saqs/seclusion-restraint-and-least-restrictive-care) — FRANZCP-style MEQ on seclusion/restraint definitions, least-restrictive ladder, Chieze harms, Six Core Strategies, Safewards, Project BETA p #### Psychopharmacology — rTMS, VNS and DBS (1) - [Selecting and consenting rTMS, VNS or DBS for TRD (MEQ)](https://www.medvellum.com/s/psychiatry/saqs/tms-vns-and-dbs) — FRANZCP-style MEQ on neurostimulation selection, rTMS/iTBS protocols, VNS and DBS evidence honesty, and ECT comparator. #### Emergency psychiatry — self-harm and crisis (1) - [Self-harm presentation — psychosocial assessment and crisis aftercare (MEQ)](https://www.medvellum.com/s/psychiatry/saqs/self-harm-and-crisis-intervention) — FRANZCP-style MEQ on self-harm vs NSSI vs attempt, psychosocial assessment, safety planning, brief interventions, therapy evidence, and disp #### Consultation-liaison — burns and critical illness psychiatry (1) - [Self-inflicted burns with depression and evolving PTSD risk (MEQ)](https://www.medvellum.com/s/psychiatry/saqs/burns-and-critical-illness-psychiatry) — FRANZCP-style MEQ on self-inflicted burns, depression, trauma symptoms, capacity, and evidence anchors. #### Specialty psychiatry — sexual dysfunction and paraphilias (1) - [Sexual dysfunction and paraphilic risk — assessment and management (MEQ)](https://www.medvellum.com/s/psychiatry/saqs/sexual-dysfunction-and-paraphilias) — FRANZCP-style MEQ covering SSRI sexual side-effects, exhibitionistic disorder threshold, risk/confidentiality, and stepped management. FRANZ #### Forensic psychiatry — sexual offending (1) - [Sexual offending — assessment, risk, and treatment principles (MEQ)](https://www.medvellum.com/s/psychiatry/saqs/sexual-offending) — FRANZCP-style MEQ on sexual-offending assessment, Static/dynamic risk, motivation–facilitation formulation, RNR treatment, and report struct #### Psychopharmacology — anxiolytics and hypnotics (1) - [Short-term anxiolytic choice, interactions and taper planning (MEQ)](https://www.medvellum.com/s/psychiatry/saqs/anxiolytics-and-hypnotics) — FRANZCP-style MEQ on anxiolytic/hypnotic choice, opioid interaction, short-term use, non-GABAergic options, and taper. #### Psychopharmacology — SNRIs and NRIs (1) - [SNRIs after SSRI failure — dosing, dual action and safety (MEQ)](https://www.medvellum.com/s/psychiatry/saqs/snris-and-nris) — FRANZCP-style MEQ on SNRI switch after SSRI, venlafaxine dual-action dosing, BP/monitoring, discontinuation counselling, duloxetine pain nic #### Foundations — social determinants of mental health (1) - [Social determinants of mental health — multi-level MEQ](https://www.medvellum.com/s/psychiatry/saqs/social-determinants-of-mental-health) — FRANZCP/MRCPsych-style MEQ integrating SDMH frameworks, gradient, ACE/poverty mechanisms, Rose/Gordon prevention, and clinical multi-level p #### Foundations — social psychology (1) - [Social psychology applied to family EE, teams, and stigma (MEQ)](https://www.medvellum.com/s/psychiatry/saqs/social-psychology-and-group-dynamics) — FRANZCP/MRCPsych-style MEQ integrating EE/attributions, social influence types, stigma interventions, and ethics of authority research. #### General adult psychiatry — somatic symptom and related disorders (1) - [Somatic symptom disorder — criteria, assessment and stepped care (MEQ)](https://www.medvellum.com/s/psychiatry/saqs/somatic-symptom-disorder) — FRANZCP-style modified essay on adult SSD: criteria pivot, differential, PHQ-15, stepped care, CBT evidence, pharmacotherapy humility, anti- #### Child and adolescent psychiatry — specific learning disorder (1) - [Specific learning disorder — domains, identification and multiagency plan (MEQ)](https://www.medvellum.com/s/psychiatry/saqs/specific-learning-disorder) — FRANZCP-style MEQ on specific learning disorder: definition, domains, identification science, mechanisms and educational management. #### Professional — spirituality and religion in psychiatry (1) - [Spiritual assessment and boundaries after first-episode psychosis with religious content (MEQ)](https://www.medvellum.com/s/psychiatry/saqs/spirituality-and-religion-in-psychiatry) — FRANZCP-style MEQ on R/S definitions, HOPE/FICA assessment, religious content in psychosis, boundaries, and evidence anchors. #### Psychopharmacology — SSRIs (1) - [SSRI selection, black box, QTc and discontinuation (MEQ)](https://www.medvellum.com/s/psychiatry/saqs/ssris) — FRANZCP-style MEQ on SSRI class prescribing: agent choice, black-box monitoring, QTc ceilings, and discontinuation syndrome. #### Forensic psychiatry — stalking and harassment (1) - [Stalking and harassment — assessment and multi-domain management (MEQ)](https://www.medvellum.com/s/psychiatry/saqs/stalking-and-harassment) — FRANZCP-style MEQ on rejected ex-intimate stalking, multi-domain risk, parallel victim/stalker management, and protective duties. #### Professional — stigma, recovery and rights-based care (1) - [Stigma, recovery and rights-based care (MEQ)](https://www.medvellum.com/s/psychiatry/saqs/stigma-recovery-and-rights-based-care) — FRANZCP-style MEQ integrating stigma mapping, CHIME recovery planning, SDM for LAI vs oral, rights-based principles, and landmark evidence a #### Addiction psychiatry — stimulant and methamphetamine use (1) - [Stimulant and methamphetamine use — acute MAP to definitive care (MEQ)](https://www.medvellum.com/s/psychiatry/saqs/stimulant-and-methamphetamine-use) — FRANZCP-style MEQ on methamphetamine-associated psychosis, acute stabilisation, withdrawal, contingency management, limited pharmacotherapy #### Addiction psychiatry — acute stimulant syndromes (1) - [Stimulant intoxication and withdrawal — MAP, toxicity, and anti-craving vacuum (MEQ)](https://www.medvellum.com/s/psychiatry/saqs/stimulant-intoxication-and-withdrawal) — FRANZCP-style MEQ on stimulant toxicity, MAP, McGregor crash timeline, no approved anti-craving standard, CM/psychosocial first-line, and du #### Professional skills — mental state examination (1) - [Structure and interpret a complete Mental State Examination (MEQ)](https://www.medvellum.com/s/psychiatry/saqs/mental-state-examination) — FRANZCP-style MEQ on complete MSE structure, worked psychosis pattern, organic discriminators, insight, and evidence anchors. #### Addiction psychiatry — substance-induced mood and anxiety disorders (1) - [Substance-induced mood and anxiety — timing, alcohol and dual care (MEQ)](https://www.medvellum.com/s/psychiatry/saqs/substance-induced-mood-anxiety-disorders) — FRANZCP-style MEQ on substance-induced depression: DSM timing rules, assessment, watchful waiting vs SSRI, naltrexone, Brown/Schuckit and Nu #### General adult psychiatry — substance/medication-induced psychosis (1) - [Substance-induced psychosis — timeline, conversion and dual care (MEQ)](https://www.medvellum.com/s/psychiatry/saqs/substance-induced-psychosis) — FRANZCP-style MEQ on substance-induced psychosis: DSM criteria and discriminators, assessment, named antipsychotic plan, Starzer/Murrie conv #### Emergency psychiatry — suicide risk (1) - [Suicide risk assessment and safety planning after overdose (MEQ)](https://www.medvellum.com/s/psychiatry/saqs/suicide-risk-assessment) — FRANZCP-style MEQ on post-overdose suicide risk assessment, safety planning, means restriction, disposition, post-crisis peak risk, and lith #### Professional — teaching and supervision skills (1) - [Teaching and supervision skills for psychiatrists (MEQ)](https://www.medvellum.com/s/psychiatry/saqs/teaching-and-supervision-skills) — FRANZCP-style MEQ on teaching/supervision definitions, Miller pyramid, WBA, feedback models, underperformance safety plan, and failure-to-fa #### Public and community psychiatry — telepsychiatry (1) - [Telepsychiatry — service design and safe practice MEQ](https://www.medvellum.com/s/psychiatry/saqs/telepsychiatry) — FRANZCP/MRCPsych-style MEQ integrating telepsychiatry modalities, Shore/Hilty/Fortney evidence, emergency process standards, collaborative c #### Forensic psychiatry — therapeutic security (1) - [Therapeutic security — placement and step-down (MEQ)](https://www.medvellum.com/s/psychiatry/saqs/therapeutic-security) — FRANZCP-style MEQ on therapeutic security domains, secure care levels, DUNDRUM-style placement, long-stay step-down, and discharge outcomes. #### Child and adolescent psychiatry — service interface (1) - [Transition from CAMHS to adult services — managed transition plan (MEQ)](https://www.medvellum.com/s/psychiatry/saqs/transition-from-camhs-to-adult-services) — FRANZCP-style MEQ on CAMHS–adult boundary: transfer vs transition, dual-threshold gap, managed transition package, ADHD/depression medicatio #### General adult psychiatry — OCRD / BFRB (1) - [Trichotillomania and excoriation disorder — assessment and management (MEQ)](https://www.medvellum.com/s/psychiatry/saqs/trichotillomania-and-excoriation-disorder) — FRANZCP-style MEQ on TTM/SPD: OCRD placement, differential, HRT, adult NAC vs paediatric null, medical complications. #### Forensic psychiatry — victimology (1) - [Victimology and trauma in forensic settings — secondary victimisation and IPV pathway (MEQ)](https://www.medvellum.com/s/psychiatry/saqs/victimology-and-trauma) — FRANZCP-style MEQ on secondary victimisation, IPV safety, trauma nosology, and stepped management without invented statutes. #### Emergency psychiatry — violence risk (1) - [Violence risk assessment after named threats in first-episode psychosis (MEQ)](https://www.medvellum.com/s/psychiatry/saqs/violence-risk-assessment) — FRANZCP-style MEQ on violence risk assessment in untreated first-episode psychosis with substance use, weapons, named victim, SPJ formulatio #### Forensic psychiatry — young offenders (1) - [Young offenders — detention reception and multi-system plan (MEQ)](https://www.medvellum.com/s/psychiatry/saqs/young-offenders) — FRANZCP-style MEQ on youth detention reception: suicide, ADHD/SUD/trauma, Moffitt framing, isolation harms, MST/FFT, multi-agency care, thro #### Child and adolescent psychiatry — youth self-harm and suicide (1) - [Youth self-harm — assessment, safety planning, family/school, and disposition (MEQ)](https://www.medvellum.com/s/psychiatry/saqs/youth-self-harm-and-suicide) — FRANZCP-style MEQ on youth self-harm continuum, private interview and family work, safety planning, school interface, DBT-A/family evidence, ### CASC / OSCE Index: https://www.medvellum.com/s/psychiatry/cases #### Addiction psychiatry (5) - [Addiction in older adults — CASC communication station](https://www.medvellum.com/s/psychiatry/cases/addiction-in-older-adults) — MRCPsych/FRANZCP-style communication station: non-stigmatising engagement, explain age-related harm and falls, reject abrupt stop of zopiclo - [Benzodiazepine dependence counselling — CASC communication station](https://www.medvellum.com/s/psychiatry/cases/benzodiazepine-dependence) — MRCPsych/FRANZCP-style communication station: explain dependence vs moral failure, seizure risk of abrupt stop, gradual taper plan, alcohol - [Explaining alcohol withdrawal, seizures, DT, and thiamine — CASC communication station](https://www.medvellum.com/s/psychiatry/cases/alcohol-withdrawal-and-delirium-tremens) — MRCPsych/FRANZCP-style communication station: explain AWS timeline, seizure and DT risk, CIWA-guided benzodiazepine detox as short-term medi - [Explaining alcohol withdrawal, thiamine, and recovery medications — CASC communication station](https://www.medvellum.com/s/psychiatry/cases/alcohol-use-disorder) — MRCPsych/FRANZCP-style communication station: explain AUD and withdrawal timeline, Wernicke prevention, CIWA-guided detox, naltrexone/acampr - [Explaining Wernicke, Korsakoff, and long-term supports — CASC communication station](https://www.medvellum.com/s/psychiatry/cases/alcohol-related-brain-injury-and-korsakoff) — MRCPsych/FRANZCP-style communication station: explain WE vs KS vs ARBI, thiamine rationale and doses in plain language, imaging limits, prog #### foundations — advanced EBM and evidence synthesis (1) - [Advanced journal club facilitation — CASC/teaching station](https://www.medvellum.com/s/psychiatry/cases/critical-appraisal-advanced) — Teaching/communication station: explain forest plots, prediction intervals, publication bias, GRADE, and NMA rankings in accessible language #### Public and community psychiatry — school and workplace mental health (1) - [Advise a school and employer on mental health pathways — CASC communication station](https://www.medvellum.com/s/psychiatry/cases/school-and-workplace-mental-health) — MRCPsych/FRANZCP-style communication station: explain multi-tier school supports, SEYLE/YAM evidence in plain language, workplace psychosoci #### Emergency psychiatry — suicide risk (1) - [Assess and safety-plan after suicidal ideation — CASC communication station](https://www.medvellum.com/s/psychiatry/cases/suicide-risk-assessment) — MRCPsych/FRANZCP-style CASC: direct suicide enquiry, empathic formulation, means restriction, Stanley-Brown safety plan, involve supports, a #### Consultation-liaison — capacity and consent (1) - [Assess capacity for treatment refusal — CASC communication station](https://www.medvellum.com/s/psychiatry/cases/capacity-and-informed-consent) — MRCPsych/FRANZCP-style CASC: disclose information in plain language, use teach-back, assess four abilities, explore voluntary refusal vs inc #### Emergency psychiatry — self-harm and crisis (1) - [Assess self-harm and co-create a crisis safety plan — CASC communication station](https://www.medvellum.com/s/psychiatry/cases/self-harm-and-crisis-intervention) — MRCPsych/FRANZCP-style CASC: non-stigmatising self-harm assessment, intent continuum, Stanley-Brown safety plan, means restriction, and clea #### Emergency psychiatry — violence risk (1) - [Assess violence risk and explain the plan — CASC communication station](https://www.medvellum.com/s/psychiatry/cases/violence-risk-assessment) — MRCPsych/FRANZCP-style CASC: gather collateral on violence risk, balance confidentiality with safety, explain dynamic factors and next steps #### Old age psychiatry — capacity, guardianship and end of life (1) - [Capacity for treatment refusal and goals of care — CASC communication station](https://www.medvellum.com/s/psychiatry/cases/capacity-guardianship-end-of-life) — MRCPsych/FRANZCP-style CASC: goals-of-care and capacity-sensitive communication with patient (and optionally brief spouse joining). #### Psychotherapy (9) - [CASC: Behavioural activation — evening withdrawal in depression](https://www.medvellum.com/s/psychiatry/cases/behavioural-activation) — Ten-minute station: engage a patient with depression who waits for motivation, deliver outside-in BA psychoeducation, co-create a graded nex - [CASC: Supportive psychotherapy — demoralisation after job loss](https://www.medvellum.com/s/psychiatry/cases/supportive-psychotherapy-techniques) — Ten-minute station: engage a demoralised patient with depression after job loss, deliver supportive psychotherapy techniques (alliance, vali - [Explain ACT and set a values-based action — CASC communication station](https://www.medvellum.com/s/psychiatry/cases/acceptance-and-commitment-therapy) — MRCPsych/FRANZCP-style CASC: plain-language ACT explanation, control agenda, willingness, one values-linked homework, medication questions, - [Explain CAT and negotiate a time-limited reformulation plan — CASC communication station](https://www.medvellum.com/s/psychiatry/cases/cognitive-analytic-therapy) — MRCPsych/FRANZCP-style CASC: engage a person seeking CAT, explain tools simply, co-create a safety-aware brief therapy plan, and manage expe - [Explain couples therapy and negotiate a safe dual-client plan — CASC communication station](https://www.medvellum.com/s/psychiatry/cases/couples-therapy) — MRCPsych/FRANZCP-style CASC: explain couples therapy, IPV private screen rationale, depression+discord dual targets, combined care with SSRI - [Explain group CBT and limited confidentiality — CASC communication station](https://www.medvellum.com/s/psychiatry/cases/group-psychotherapy) — MRCPsych/FRANZCP-style CASC: explain group psychotherapy for depression, set frame and limited confidentiality, address fear of judgement, o - [Explain IPT and choose a focus — CASC communication station](https://www.medvellum.com/s/psychiatry/cases/interpersonal-psychotherapy) — MRCPsych/FRANZCP-style CASC: explain IPT medical model, map role transition after redundancy, set time limit, address medication questions, - [Explain MBT and negotiate structured care — CASC communication station](https://www.medvellum.com/s/psychiatry/cases/mentalisation-based-treatment) — MRCPsych/FRANZCP-style CASC: engage a person seeking MBT, explain mentalising simply, address partial programmes honestly, and collaborate o - [Explain schema therapy and negotiate structured care — CASC communication station](https://www.medvellum.com/s/psychiatry/cases/schema-therapy) — MRCPsych/FRANZCP-style CASC: engage a person seeking schema therapy, explain schemas/modes simply, address partial programmes honestly, and #### Foundations — cognitive psychology / psychological therapies (1) - [CASC: Explaining cognitive maintenance of panic and setting a behavioural experiment](https://www.medvellum.com/s/psychiatry/cases/cognitive-psychology-for-psychiatry) — Ten-minute station: engage a patient with panic, explain catastrophic misinterpretation and safety behaviours in plain language, introduce a #### Foundations — behavioural science / psychological therapies (1) - [CASC: Explaining exposure and dropping safety behaviours in panic](https://www.medvellum.com/s/psychiatry/cases/learning-theory-and-behavioural-science) — Ten-minute station: engage a patient with panic and agoraphobia, explain classical and operant maintenance in plain language, introduce inhi #### Foundations — social psychology / early psychosis (1) - [CASC: Explaining family EE and stigma after first-episode psychosis](https://www.medvellum.com/s/psychiatry/cases/social-psychology-and-group-dynamics) — Ten-minute station: engage a critical carer after first-episode psychosis discharge, reframe blaming attributions without shaming, explain h #### Psychotherapy — communication and psychoeducation (1) - [CASC: Family psychoeducation after first-episode psychosis](https://www.medvellum.com/s/psychiatry/cases/psychoeducation-and-family-psychoeducation) — Ten-minute communication station: engage a parent after FEP, deliver non-blaming psychoeducation, explain EE-aware collaboration without jar #### Professional — communication and psychological therapies (1) - [CASC: Motivational interviewing — alcohol cut-down in dual diagnosis](https://www.medvellum.com/s/psychiatry/cases/motivational-interviewing) — Ten-minute motivational interviewing station: engage a patient with schizophrenia and hazardous drinking, use OARS, evoke change talk, avoid #### Psychotherapy — behavioural therapies (1) - [CASC: Negotiate first ERP session for contamination OCD](https://www.medvellum.com/s/psychiatry/cases/exposure-and-response-prevention) — Ten-minute station: explain ERP rationale, build a first exposure with response prevention, address partner accommodation, set homework, and #### Child and adolescent psychiatry — child protection for psychiatrists (1) - [Child protection disclosure — CASC communication station](https://www.medvellum.com/s/psychiatry/cases/child-protection-for-psychiatrists) — MRCPsych/FRANZCP-style CASC: respond to child maltreatment disclosure, explain reporting, assess safety and sibling risk, agree plan. #### Psychopharmacology — atypical and multimodal antidepressants (1) - [Choosing bupropion after SSRI sexual dysfunction (CASC)](https://www.medvellum.com/s/psychiatry/cases/mirtazapine-bupropion-and-multimodal) — CASC-style station: explain NaSSA vs NDRI trade-offs, accurate seizure risk counselling, sexual side-effect management, smoking opportunity, #### Professional — formulation (1) - [Co-construct a formulation with the patient — CASC communication station](https://www.medvellum.com/s/psychiatry/cases/formulation-biopsychosocial-and-4ps) — MRCPsych/FRANZCP-style CASC: elicit the person's explanatory model, build a shared 4P formulation, include strengths, check cultural meaning #### Child and adolescent psychiatry — children of parents with mental illness (1) - [COPMI family discussion — CASC communication station](https://www.medvellum.com/s/psychiatry/cases/children-of-parents-with-mental-illness) — MRCPsych/FRANZCP-style CASC: family-inclusive explanation of COPMI care, dual loyalty, and collaborative safety planning. #### Psychopharmacology — pregnancy and lactation (1) - [Counselling psychotropics in an unplanned pregnancy (CASC)](https://www.medvellum.com/s/psychiatry/cases/psychopharmacology-in-pregnancy-and-lactation) — CASC-style station: shared decision on perinatal psychopharmacology — untreated illness risk, valproate switch hierarchy, lithium absolute-r #### Consultation-liaison — hepatic encephalopathy and advanced transplant psychiatry (1) - [Covert HE, driving concern, and pre-listing depression — CASC communication station](https://www.medvellum.com/s/psychiatry/cases/hepatic-and-transplant-psychiatry-advanced) — MRCPsych/FRANZCP-style CASC: explain HE in accessible clinical language, screen depression and alcohol recovery, discuss capacity/driving as #### Professional — cultural formulation and Indigenous mental health (1) - [Cultural formulation interview with an Aboriginal woman — CASC communication station](https://www.medvellum.com/s/psychiatry/cases/cultural-formulation-and-indigenous-mental-health) — MRCPsych/FRANZCP-style CASC: person-centred CFI skills, SEWB awareness, non-racist communication, risk, and collaborative plan with optional #### Emergency psychiatry (7) - [De-escalation and rapid tranquillisation explanation — CASC communication station](https://www.medvellum.com/s/psychiatry/cases/acute-agitation-and-rapid-tranquillisation) — MRCPsych/FRANZCP-style station: de-escalate, offer oral RT with named options, explain IM pathway and combination ban if needed, discuss cap - [Explaining ABD care and contested labels — CASC communication station](https://www.medvellum.com/s/psychiatry/cases/excited-delirium-and-acute-behavioural-disturbance) — MRCPsych/FRANZCP-style station: explain ABD framing, medical priorities, sedation and monitoring, restraint safety, avoid contested ExDS as - [Explaining NMS and emergency plan to family — CASC communication station](https://www.medvellum.com/s/psychiatry/cases/neuroleptic-malignant-syndrome) — MRCPsych/FRANZCP-style station: explain NMS in plain language, acknowledge medication association without abandoning hope, outline stop-and- - [Explaining overdose care and means restriction after self-poisoning — CASC communication station](https://www.medvellum.com/s/psychiatry/cases/overdose-and-toxicology-for-psychiatrists) — MRCPsych/FRANZCP-style communication station: explain mixed OD care, paracetamol/NAC rationale, relative toxicity without scaremongering, re - [Explaining serotonin toxicity and medication safety — CASC communication station](https://www.medvellum.com/s/psychiatry/cases/serotonin-syndrome) — MRCPsych/FRANZCP-style station: explain serotonin toxicity in plain language, Hunter-relevant features without jargon overload, management a - [Lithium toxicity counselling — CASC communication station](https://www.medvellum.com/s/psychiatry/cases/lithium-toxicity) — MRCPsych/FRANZCP-style communication station: explain lithium toxicity, interaction precipitants, sick-day rules, EXTRIP-level seriousness w - [Suicidal crisis safety planning and least-restrictive care — CASC communication station](https://www.medvellum.com/s/psychiatry/cases/psychiatric-emergencies) — MRCPsych/FRANZCP-style station: assess residual suicide risk, co-create a safety plan, discuss voluntary versus involuntary care principles #### Psychopharmacology — long-acting injectable antipsychotics (1) - [Discussing a long-acting injectable with a young adult and parent (CASC)](https://www.medvellum.com/s/psychiatry/cases/long-acting-injectable-antipsychotics) — CASC-style communication station: shared decision on LAI after early relapses, oral overlap explanation, benefits and risks, and boundary th #### Professional practice — epidemiology and public mental health (1) - [District public mental health briefing — CASC/communication station](https://www.medvellum.com/s/psychiatry/cases/epidemiology-and-public-mental-health) — Teaching/communication station: translate epidemiology into stepped care, prevention mix, and anti-stigma action without statistical intimid #### Intellectual disability — forensic dual disability (1) - [Dual-disability court liaison — CASC communication station](https://www.medvellum.com/s/psychiatry/cases/offending-and-intellectual-disability) — MRCPsych/FRANZCP-style CASC: accessible explanation of fitness and supports, management of yes-saying, multiagency next steps, and dignity-p #### Old age psychiatry — elder abuse and vulnerability (1) - [Elder abuse disclosure — CASC communication station](https://www.medvellum.com/s/psychiatry/cases/elder-abuse-and-vulnerability) — MRCPsych/FRANZCP-style CASC: respond to elder abuse disclosure, assess immediate safety and wishes, explore capacity issues lightly, offer o #### Professional skills — mental state examination (1) - [Elicit and summarise a Mental State Examination — CASC communication station](https://www.medvellum.com/s/psychiatry/cases/mental-state-examination) — MRCPsych/FRANZCP-style CASC: open-to-focused MSE elicitation, mood/affect, thought form/content, perception, cognition screen, multidimensio #### foundations — descriptive psychopathology (1) - [Elicit descriptive psychopathology safely — CASC communication station](https://www.medvellum.com/s/psychiatry/cases/descriptive-psychopathology-and-phenomenology) — MRCPsych/FRANZCP-style CASC: open-to-focused phenomenological elicitation, form vs content, FRS-type phenomena, risk, culture, and non-jargo #### Professional — psychological therapies (2) - [Engage and orient to DBT / skills-based care — CASC communication station](https://www.medvellum.com/s/psychiatry/cases/dbt-and-third-wave-therapies) — MRCPsych/FRANZCP-style CASC: engage a person seeking DBT, explain modes/skills simply, address waitlists/partial care honestly, and collabor - [Explain CBT and co-design a first experiment — CASC communication station](https://www.medvellum.com/s/psychiatry/cases/cbt-fundamentals-for-psychiatrists) — MRCPsych/FRANZCP-style CASC: explain CBT collaborative empiricism, five-area map for social anxiety, drop safety behaviours concept, design #### Professional — psychosocial interventions (1) - [Engaging a high-EE family after first-episode psychosis (CASC)](https://www.medvellum.com/s/psychiatry/cases/family-and-systemic-interventions) — CASC communication station: psychoeducation, EE-aware engagement, non-blaming stance, family intervention offer, confidentiality. #### Public-community — disaster and mass casualty psychiatry (1) - [Evacuation centre survivor after bushfire — CASC communication station](https://www.medvellum.com/s/psychiatry/cases/disaster-and-mass-casualty-psychiatry) — MRCPsych/FRANZCP-style CASC: trauma-informed disaster assessment, Hobfoll/PFA framing, risk, and collaborative stepped plan. #### Intellectual disability psychiatry — genetic syndromes (1) - [Explain 22q11.2DS psychosis risk and supports to parents — CASC communication station](https://www.medvellum.com/s/psychiatry/cases/behavioural-phenotypes-genetic-syndromes) — MRCPsych/FRANZCP-style communication station: explain probabilistic behavioural phenotype and high but not universal psychosis risk in 22q11 #### Forensic psychiatry — civil (1) - [Explain a civil forensic disability opinion to counsel — CASC communication station](https://www.medvellum.com/s/psychiatry/cases/civil-forensic-psychiatry) — MRCPsych/FRANZCP-style CASC: communicate a structured civil psychiatric disability opinion to a lawyer, maintain forensic neutrality, separa #### Foundations — rating scales and measurement-based care (1) - [Explain a symptom score and negotiate a treatment change — CASC communication station](https://www.medvellum.com/s/psychiatry/cases/rating-scales-and-measurement-based-care) — MRCPsych/FRANZCP-style CASC: explain MBC, interpret PHQ-9/GAD-7, risk screen, shared decision on optimisation, plan remeasure. #### Consultation-liaison psychiatry — abnormal illness behaviour (1) - [Explain abnormal illness behaviour and a collaborative plan — CASC communication station](https://www.medvellum.com/s/psychiatry/cases/abnormal-illness-behaviour) — MRCPsych/FRANZCP-style communication station: repair alliance after pejorative labelling, explain both–and formulation, outline stepped care #### Emergency psychiatry — absconding and missing patients (1) - [Explain abscond response and engage family — CASC communication station](https://www.medvellum.com/s/psychiatry/cases/absconding-and-missing-patients) — MRCPsych/FRANZCP-style CASC: calm transparent communication about a missing inpatient, collateral for location and risk, police threshold ex #### General adult psychiatry — trauma and stressor-related (2) - [Explain adjustment disorder and brief therapy plan — CASC communication station](https://www.medvellum.com/s/psychiatry/cases/adjustment-disorders) — MRCPsych/FRANZCP-style communication station: explain AD vs depression, watchful waiting and brief psychological care, selective medication, - [Explain prolonged grief and grief-focused therapy — CASC communication station](https://www.medvellum.com/s/psychiatry/cases/grief-and-prolonged-grief-disorder) — MRCPsych/FRANZCP-style communication station: explain PGD vs normal grief vs MDD, CGT rationale, limited medication role, cultural respect, #### Child and adolescent psychiatry — depression (1) - [Explain adolescent depression and fluoxetine plan to a parent — CASC communication station](https://www.medvellum.com/s/psychiatry/cases/child-and-adolescent-depression) — MRCPsych/FRANZCP-style communication station: explain youth depression, rationale for fluoxetine with starting dose and monitoring, black-bo #### Forensic psychiatry — arson and fire-setting (1) - [Explain adolescent firesetting risk to worried parents — CASC communication station](https://www.medvellum.com/s/psychiatry/cases/arson-and-fire-setting) — MRCPsych/FRANZCP-style CASC: communicate firesetting concepts, youth pathway, safety planning, and myths about pyromania to parents. #### Child and adolescent psychiatry — neurodevelopmental (3) - [Explain adult ADHD diagnosis and treatment plan — CASC communication station](https://www.medvellum.com/s/psychiatry/cases/adhd-across-the-lifespan) — MRCPsych/FRANZCP-style communication station: explain adult ADHD formulation, multimodal treatment including medication monitoring, diversio - [Explain autism diagnosis and irritability treatment to parents — CASC communication station](https://www.medvellum.com/s/psychiatry/cases/autism-spectrum-disorder) — MRCPsych/FRANZCP-style communication station: explain DSM-framed ASD without jargon overload, early supports, no-core-drug principle, risper - [Explain language disorder and the school plan to parents — CASC communication station](https://www.medvellum.com/s/psychiatry/cases/language-and-communication-disorders) — MRCPsych/FRANZCP-style communication station: explain language disorder/DLD, correct bilingual and autism myths, outline SLT-first care and #### General adult psychiatry — anxiety disorders (6) - [Explain adult separation anxiety and a graded plan (not lifelong diazepam) — CASC communication station](https://www.medvellum.com/s/psychiatry/cases/separation-anxiety-disorder) — MRCPsych/FRANZCP-style communication station: explain adult SeAD after DSM-5, differentiate panic context, outline exposure and SSRI option, - [Explain GAD and start sertraline with CBT — CASC communication station](https://www.medvellum.com/s/psychiatry/cases/generalised-anxiety-disorder) — MRCPsych/FRANZCP-style communication station: explain GAD in plain language, outline sertraline start with monitoring, sell CBT for worry, a - [Explain panic disorder and treatment plan — CASC communication station](https://www.medvellum.com/s/psychiatry/cases/panic-disorder-and-agoraphobia) — MRCPsych/FRANZCP-style communication station: explain panic false-alarm model, outline sertraline start with early activation warning, descr - [Explain selective mutism and a school speech plan (not forced assembly talking) — CASC communication station](https://www.medvellum.com/s/psychiatry/cases/selective-mutism) — MRCPsych/FRANZCP-style communication station: explain anxiety-based selective mutism, school-inclusive behavioural plan, accommodation reduc - [Explain social anxiety disorder and start sertraline with CBT — CASC communication station](https://www.medvellum.com/s/psychiatry/cases/social-anxiety-disorder) — MRCPsych/FRANZCP-style communication station: explain SAD in plain language, outline sertraline start with monitoring, sell CBT that drops s - [Explain specific phobia and start exposure (not daily diazepam) — CASC communication station](https://www.medvellum.com/s/psychiatry/cases/specific-phobia) — MRCPsych/FRANZCP-style communication station: explain specific phobia types, exposure and OST rationale, applied tension for BII, medication #### Old age psychiatry — Alzheimer disease (1) - [Explain Alzheimer disease diagnosis and treatment plan to patient and spouse — CASC communication station](https://www.medvellum.com/s/psychiatry/cases/alzheimer-disease) — MRCPsych/FRANZCP-style communication station: explain AD diagnosis, care plan, donepezil start with monitoring, BPSD non-drug first approach #### Forensic psychiatry — expert evidence (1) - [Explain an expert report boundary to instructing counsel — CASC communication station](https://www.medvellum.com/s/psychiatry/cases/expert-evidence-and-report-writing) — MRCPsych/FRANZCP-style CASC: communicate forensic expert role, refuse rubber-stamping and data omission, separate diagnosis from legal concl #### Specialty psychiatry — eating disorders (1) - [Explain anorexia nervosa care and refeeding safety to a parent — CASC communication station](https://www.medvellum.com/s/psychiatry/cases/anorexia-nervosa) — MRCPsych/FRANZCP-style communication station: explain AN, medical risk, refeeding, FBT, and limits of medication to a carer. #### Specialty psychiatry — sexual dysfunction and paraphilias (1) - [Explain antidepressant sexual side-effects and paraphilia thresholds — CASC communication station](https://www.medvellum.com/s/psychiatry/cases/sexual-dysfunction-and-paraphilias) — MRCPsych/FRANZCP-style communication station: SSRI sexual SE, switch options, and non-pathologising education on paraphilic disorder thresho #### General adult psychiatry — feeding and eating disorders (2) - [Explain ARFID and graded food exposure to a parent — CASC communication station](https://www.medvellum.com/s/psychiatry/cases/avoidant-restrictive-food-intake-disorder) — MRCPsych/FRANZCP-style communication station: explain ARFID vs AN, medical risk, graded exposure, adapted family work, and limits of medicat - [Explain rumination disorder and diaphragmatic breathing to a patient — CASC communication station](https://www.medvellum.com/s/psychiatry/cases/pica-and-rumination-disorder) — MRCPsych/FRANZCP-style communication station: explain rumination mechanism, discrimination from BN/GORD, breathing training, baclofen as pos #### General adult psychiatry — personality disorders (10) - [Explain ASPD, risk and treatment limits — CASC communication station](https://www.medvellum.com/s/psychiatry/cases/antisocial-personality-disorder) — MRCPsych/FRANZCP-style communication station: explain ASPD without pejorative psychopathy collapse, outline honest treatment limits, emphasi - [Explain avoidant PD and therapy plan — CASC communication station](https://www.medvellum.com/s/psychiatry/cases/cluster-a-and-cluster-c-personality) — MRCPsych/FRANZCP-style communication station: explain AVPD without stigma, outline CBT/exposure and schema options, clarify medication role - [Explain avoidant personality disorder and therapy plan — CASC communication station](https://www.medvellum.com/s/psychiatry/cases/avoidant-personality-disorder) — MRCPsych/FRANZCP-style communication station: explain AVPD without stigma, outline CBT exposure plan, clarify limited medication role, addre - [Explain BPD diagnosis and therapy plan — CASC communication station](https://www.medvellum.com/s/psychiatry/cases/borderline-personality-disorder) — MRCPsych/FRANZCP-style communication station: explain BPD without stigma, outline structured psychotherapy (DBT or equivalent), clarify limi - [Explain dependent personality disorder and autonomy-focused plan — CASC communication station](https://www.medvellum.com/s/psychiatry/cases/dependent-personality-disorder) — MRCPsych/FRANZCP-style communication station: explain DPD without stigma, outline CBT autonomy plan, clarify limited medication role, addres - [Explain histrionic personality disorder and the treatment plan — CASC communication station](https://www.medvellum.com/s/psychiatry/cases/histrionic-personality-disorder) — MRCPsych/FRANZCP-style communication station: explain HPD without stigma, outline differentials and frame-based therapy, clarify limited med - [Explain ICD-11 personality disorder diagnosis — CASC communication station](https://www.medvellum.com/s/psychiatry/cases/personality-disorder-icd11-dimensional) — MRCPsych/FRANZCP-style communication station: explain dimensional PD without stigma, contrast with old multi-label approaches, outline sever - [Explain NPD formulation and treatment limits — CASC communication station](https://www.medvellum.com/s/psychiatry/cases/narcissistic-and-cluster-b-spectrum) — MRCPsych/FRANZCP-style communication station: explain pathological narcissism without stigma, outline frame and psychotherapy options, clari - [Explain paranoid personality disorder and treatment limits — CASC communication station](https://www.medvellum.com/s/psychiatry/cases/paranoid-personality-disorder) — MRCPsych/FRANZCP-style communication station: explain PPD without stigma or collusion, separate it from psychosis, outline alliance-first tr - [Explain schizotypal PD and care plan — CASC communication station](https://www.medvellum.com/s/psychiatry/cases/schizotypal-personality-disorder) — MRCPsych/FRANZCP-style communication station: explain STPD without stigma, spectrum adjacency without fatalism, psychosocial plan first, lim #### Addiction psychiatry — hallucinogen-related disorders (1) - [Explain bad trip care, HPPD risk, and why trial psilocybin is not a microdosing script — CASC communication station](https://www.medvellum.com/s/psychiatry/cases/hallucinogen-use-disorders) — MRCPsych/FRANZCP-style communication station: explain intoxication versus primary psychosis, supportive acute care, HPPD risk in plain langu #### Foundations — basic neuroscience for psychiatry (1) - [Explain basic brain science of psychosis and treatment to a family — CASC communication station](https://www.medvellum.com/s/psychiatry/cases/basic-neuroscience-for-psychiatry) — MRCPsych/FRANZCP-style CASC: plain-language neuroscience for families, method limits, dopamine pathway side-effect counselling, and recovery #### General adult psychiatry — OCRD (3) - [Explain BDD, CBT-BDD and SSRI to a patient — CASC communication station](https://www.medvellum.com/s/psychiatry/cases/body-dysmorphic-disorder) — MRCPsych/FRANZCP-style communication station: explain BDD, ERP-style CBT, SSRI timeline, anti-surgery advice, family accommodation, and safe - [Explain hoarding disorder, CBT and home safety to a patient — CASC communication station](https://www.medvellum.com/s/psychiatry/cases/hoarding-and-related-disorders) — MRCPsych/FRANZCP-style communication station: explain HD vs OCD, specialised CBT, harm-reduction safety, anti-forced-cleanout rationale, fam - [Explain OCD and ERP to a patient — CASC communication station](https://www.medvellum.com/s/psychiatry/cases/obsessive-compulsive-disorder) — MRCPsych/FRANZCP-style communication station: explain OCD, ERP hierarchy, SSRI timeline, family accommodation, and safety-netting for mood/s #### Child and adolescent psychiatry — elimination disorders (1) - [Explain bedwetting and soiling without shame — CASC communication station](https://www.medvellum.com/s/psychiatry/cases/elimination-disorders) — MRCPsych/FRANZCP-style communication station: explain primary MNE and retentive encopresis, stop punishment, outline alarm vs desmopressin a #### General adult psychiatry — bipolar and related disorders (4) - [Explain bipolar diagnosis and lithium — CASC communication station](https://www.medvellum.com/s/psychiatry/cases/bipolar-affective-disorder) — MRCPsych/FRANZCP-style communication station: explain bipolar I in plain language, outline lithium benefits including relapse and suicide-ri - [Explain bipolar I diagnosis and lithium plan — CASC communication station](https://www.medvellum.com/s/psychiatry/cases/bipolar-i-disorder) — MRCPsych/FRANZCP-style communication station: explain bipolar I after first mania, lithium initiation and monitoring, BALANCE maintenance ra - [Explain bipolar II, stopping the antidepressant, and starting quetiapine plus planned lamotrigine — CASC communication station](https://www.medvellum.com/s/psychiatry/cases/bipolar-ii-and-cyclothymia) — MRCPsych/FRANZCP-style communication station: plain-language bipolar II explanation, hypomania vs mania, antidepressant switch risk with STE - [Explain mixed features, suicide risk, and stopping the antidepressant — CASC communication station](https://www.medvellum.com/s/psychiatry/cases/mixed-features-and-rapid-cycling) — MRCPsych/FRANZCP-style communication station: explain mixed features and high suicide risk in plain language, justify stopping antidepressan #### Old age psychiatry — dementia neuropsychiatry (1) - [Explain BPSD management and antipsychotic risks to a family carer — CASC station](https://www.medvellum.com/s/psychiatry/cases/behavioural-and-psychological-symptoms-of-dementia) — MRCPsych/FRANZCP-style communication station: explain BPSD, non-drug first approach, pain assessment, limited role of antipsychotics includi #### General adult psychiatry — psychotic disorders (4) - [Explain brief vs schizophreniform psychosis to parents — CASC communication station](https://www.medvellum.com/s/psychiatry/cases/schizophreniform-and-brief-psychotic-disorder) — MRCPsych/FRANZCP-style communication station: duration labels, good prognostic features, FEP treatment rationale, diagnostic humility, and s - [Explain delusional disorder and safety plan — CASC communication station](https://www.medvellum.com/s/psychiatry/cases/delusional-disorder) — MRCPsych/FRANZCP-style communication station: explain partial psychosis/Othello risk, engagement principles, medication rationale, partner s - [Explain first-episode psychosis and treatment — CASC communication station](https://www.medvellum.com/s/psychiatry/cases/schizophrenia-spectrum-disorders) — MRCPsych/FRANZCP-style communication station: explain FEP diagnosis in plain language, outline antipsychotic and psychosocial plan, discuss - [Explain schizoaffective disorder and treatment plan — CASC communication station](https://www.medvellum.com/s/psychiatry/cases/schizoaffective-disorder) — MRCPsych/FRANZCP-style communication station: explain longitudinal diagnosis, type specifier, medication plan (antipsychotic + mood stabilis #### Child and adolescent psychiatry — service interface (1) - [Explain CAMHS to adult transition plan — CASC communication station](https://www.medvellum.com/s/psychiatry/cases/transition-from-camhs-to-adult-services) — MRCPsych/FRANZCP-style communication station: explain transfer vs transition, dual-threshold gap honestly, shared-care and alternative pathw #### Addiction psychiatry — cannabis and psychosis (1) - [Explain cannabis and psychosis to parents — CASC communication station](https://www.medvellum.com/s/psychiatry/cases/cannabis-use-and-psychosis) — MRCPsych/FRANZCP-style communication station: dual formulation, potency risk, parallel treatment, SIP conversion honesty, non-moralising can #### Specialty psychiatry — sleep medicine interface (5) - [Explain CBT-I and hypnotic taper for chronic insomnia disorder — CASC communication station](https://www.medvellum.com/s/psychiatry/cases/insomnia-disorder) — MRCPsych/FRANZCP-style communication station: explain insomnia model, CBT-I components, limits of chronic hypnotics, and collaborative taper - [Explain CBT-I and hypnotic taper to a patient with chronic insomnia — CASC communication station](https://www.medvellum.com/s/psychiatry/cases/sleep-disorders-in-psychiatry) — MRCPsych/FRANZCP-style communication station: explain insomnia model, CBT-I components, limits of chronic hypnotics, and collaborative taper - [Explain OSA, CPAP, and sedative risks to a patient with depression — CASC communication station](https://www.medvellum.com/s/psychiatry/cases/obstructive-sleep-apnoea-and-psychiatry) — MRCPsych/FRANZCP-style communication station: explain OSA–mood link, need for sleep testing, CPAP rationale, deprescribing temazepam, drivin - [Explain RLS diagnosis, iron, and treatment switch after dopamine-agonist augmentation — CASC communication station](https://www.medvellum.com/s/psychiatry/cases/restless-legs-syndrome) — MRCPsych/FRANZCP-style communication station: explain RLS and augmentation, iron rationale, α2δ switch, and collaborative safety plan withou - [Explain suspected narcolepsy, MSLT, and driving advice — CASC communication station](https://www.medvellum.com/s/psychiatry/cases/narcolepsy-and-hypersomnolence) — MRCPsych/FRANZCP-style communication station: explain likely narcolepsy type 1, why sleep studies matter, temporary driving risk, and treatm #### Child and adolescent psychiatry — OCRD (1) - [Explain childhood OCD and treatment options to parents — CASC communication station](https://www.medvellum.com/s/psychiatry/cases/childhood-ocd) — MRCPsych/FRANZCP-style communication station: explain paediatric OCD without psychosis myths, outline ERP and family roles, address SSRI bla #### Addiction psychiatry — inhalant-related disorders (1) - [Explain chroming risks and N2O numbness without stigma — CASC communication station](https://www.medvellum.com/s/psychiatry/cases/inhalant-use-disorders) — MRCPsych/FRANZCP-style communication station: explain sudden sniffing death risk in plain language, absence of licensed anti-craving standar #### General adult psychiatry — clinical high risk / attenuated psychosis (1) - [Explain clinical high risk to parents — CASC communication station](https://www.medvellum.com/s/psychiatry/cases/clinical-high-risk-and-attenuated-psychosis) — MRCPsych/FRANZCP-style communication station: explain UHR/CHR without fatalism, outline stepped care (CBT, comorbidity, monitoring), antipsy #### Addiction psychiatry — pharmaceutical and OTC misuse (1) - [Explain codeine dependence and OAT to a sceptical patient — CASC communication station](https://www.medvellum.com/s/psychiatry/cases/pharmaceutical-and-otc-drug-misuse) — MRCPsych/FRANZCP-style communication station: explain pharmaceutical opioid dependence, combination-product harm, Australian rescheduling co #### Public and community psychiatry — collaborative care and primary care (1) - [Explain collaborative care to a GP practice team — CASC communication station](https://www.medvellum.com/s/psychiatry/cases/collaborative-care-and-primary-care-psychiatry) — MRCPsych/FRANZCP-style communication station: explain CoCM principles, roles, measurement-based care, evidence highlights, and escalation, i #### Psychotherapy — combined treatment (1) - [Explain combined treatment and co-design a plan — CASC communication station](https://www.medvellum.com/s/psychiatry/cases/combining-psychotherapy-and-pharmacotherapy) — MRCPsych/FRANZCP-style CASC: explain concurrent combination without jargon, address false dichotomy, outline what real CBT involves, keep me #### General adult psychiatry — trauma and stressor-related disorders (2) - [Explain complex PTSD and a trauma-informed treatment plan — CASC communication station](https://www.medvellum.com/s/psychiatry/cases/complex-ptsd-and-trauma-informed-care) — MRCPsych/FRANZCP-style communication station: explain ICD-11 CPTSD in plain language, DSO triad, collaborative trauma-focused and skills-bas - [Explain PTSD diagnosis and trauma-focused treatment plan — CASC communication station](https://www.medvellum.com/s/psychiatry/cases/ptsd-and-acute-stress) — MRCPsych/FRANZCP-style communication station: explain PTSD in plain language, outline PE/CPT/TF-CBT/EMDR options, sertraline start with moni #### Forensic psychiatry — mental health law (1) - [Explain compulsory admission and rights — CASC communication station](https://www.medvellum.com/s/psychiatry/cases/mental-health-law-and-involuntary-treatment) — MRCPsych/FRANZCP-style CASC: explain involuntary status, capacity vs Act principles simply, rights, least restrictive care, alliance repair, #### Forensic psychiatry — duty to warn and third-party risk (1) - [Explain confidentiality limits and protective steps after a threat — CASC communication station](https://www.medvellum.com/s/psychiatry/cases/duty-to-warn-and-third-party-risk) — MRCPsych/FRANZCP-style CASC: explain limits of confidentiality, duty to protect principles, minimum disclosure, containment plan, and allian #### Old age psychiatry — delirium and acute cognitive syndromes (1) - [Explain delirium in an older adult to family — CASC communication station](https://www.medvellum.com/s/psychiatry/cases/delirium-in-older-adults) — MRCPsych/FRANZCP-style communication station: explain geriatric delirium, CAM-informed thinking, cause treatment and multicomponent care, av #### Old age psychiatry — Lewy body dementias (1) - [Explain dementia with Lewy bodies and treatment plan to patient and spouse — CASC communication station](https://www.medvellum.com/s/psychiatry/cases/dementia-with-lewy-bodies-and-parkinson) — MRCPsych/FRANZCP-style communication station: explain DLB core features, 1-year rule concept, ChEI plan, neuroleptic sensitivity, RBD safety #### General adult psychiatry — mood disorders (5) - [Explain depression diagnosis and antidepressant plan — CASC communication station](https://www.medvellum.com/s/psychiatry/cases/major-depressive-disorder) — MRCPsych/FRANZCP-style communication station: explain MDD in plain language, outline sertraline start with monitoring, discuss early activat - [Explain melancholic vs atypical depression and treatment choices — CASC communication station](https://www.medvellum.com/s/psychiatry/cases/melancholic-and-atypical-specifiers) — MRCPsych/FRANZCP-style communication station: explain melancholic vs atypical feature specifiers, treatment intensity differences, ECT thres - [Explain psychotic depression and combination treatment — CASC communication station](https://www.medvellum.com/s/psychiatry/cases/psychotic-depression) — MRCPsych/FRANZCP-style communication station: explain psychotic depression without stigma, combination AD+AP rationale, monitoring, continua - [Explain treatment-resistant depression and next-step options — CASC communication station](https://www.medvellum.com/s/psychiatry/cases/treatment-resistant-depression) — MRCPsych/FRANZCP-style communication station: explain TRD without stigma, outline lithium augmentation with monitoring, address ECT fears, s - [Explain winter depression, light therapy and autumn prevention — CASC communication station](https://www.medvellum.com/s/psychiatry/cases/seasonal-and-atypical-depression) — MRCPsych/FRANZCP-style communication station: explain seasonal pattern MDD, light therapy parameters and side-effects, Can-SAD framing, suic #### Intellectual disability psychiatry — Down syndrome (1) - [Explain depression versus dementia risk to carers of an adult with Down syndrome — CASC communication station](https://www.medvellum.com/s/psychiatry/cases/down-syndrome-mental-health) — MRCPsych/FRANZCP-style communication station: explain probabilistic Alzheimer risk without fatalism, outline depression and medical mimics, #### Foundations — psychiatric classification (1) - [Explain diagnosis systems to a sceptical family — CASC communication station](https://www.medvellum.com/s/psychiatry/cases/psychiatric-classification-dsm5tr-icd11) — MRCPsych/FRANZCP-style CASC: explain purposes of classification, DSM vs ICD dual systems, reliability-validity-utility in plain language, or #### General adult psychiatry — dissociative disorders (1) - [Explain dissociative symptoms, differential and treatment plan — CASC communication station](https://www.medvellum.com/s/psychiatry/cases/dissociative-disorders) — MRCPsych/FRANZCP-style communication station: explain dissociation in plain language, discuss differential without colluding or dismissing, #### Child and adolescent psychiatry — DMDD (1) - [Explain DMDD vs bipolar and the care plan to parents — CASC communication station](https://www.medvellum.com/s/psychiatry/cases/disruptive-mood-dysregulation-disorder) — MRCPsych/FRANZCP-style communication station: explain DMDD in plain language, distinguish from bipolar, outline parent training and school p #### Intellectual disability psychiatry (1) - [Explain dual diagnosis and psychotropic review to carers — CASC communication station](https://www.medvellum.com/s/psychiatry/cases/psychiatric-disorders-in-intellectual-disability) — MRCPsych/FRANZCP-style communication station: explain diagnostic overshadowing without jargon overload, modified presentation, medical check #### Addiction psychiatry — dual diagnosis and integrated care (1) - [Explain dual diagnosis integrated care — CASC communication station](https://www.medvellum.com/s/psychiatry/cases/dual-diagnosis-and-integrated-care) — MRCPsych/FRANZCP-style communication station: explain co-occurring psychosis and cannabis use, integrated care, MI engagement, recovery hope #### Intellectual disability psychiatry — neurodevelopmental dual diagnosis (1) - [Explain dual diagnosis, AAC and behaviour plan to carers — CASC communication station](https://www.medvellum.com/s/psychiatry/cases/autism-and-id-comorbidity) — MRCPsych/FRANZCP-style communication station: explain ASD+ID dual diagnosis without jargon overload, AAC as treatment, epilepsy awareness, P #### Child and adolescent psychiatry — early-onset psychosis (1) - [Explain early-onset psychosis care to parents — CASC communication station](https://www.medvellum.com/s/psychiatry/cases/early-onset-psychosis) — MRCPsych/FRANZCP-style communication station: explain EOP pathway, organic/baseline checks, start-low antipsychotic with monitoring, family #### Foundations — EEG and clinical neurophysiology (1) - [Explain EEG and clozapine seizure risk to a patient and partner — CASC communication station](https://www.medvellum.com/s/psychiatry/cases/eeg-and-clinical-neurophysiology) — MRCPsych/FRANZCP-style CASC: neurophysiology communication, clozapine counselling, and safety netting without overclaim. #### Specialty psychiatry — sexual medicine interface (2) - [Explain erectile treatment safety and PE options — CASC communication station](https://www.medvellum.com/s/psychiatry/cases/erectile-and-ejaculatory-disorders) — MRCPsych/FRANZCP-style communication station: ED counselling, PDE5 safety, and PE psychoeducation. - [Explain FSIAD care and negotiate SSRI options — CASC communication station](https://www.medvellum.com/s/psychiatry/cases/female-sexual-interest-arousal-and-pain) — MRCPsych/FRANZCP-style communication station: explain female sexual interest/arousal problems, SSRI contribution, psychosexual stepped care, #### Old age psychiatry — falls polypharmacy frailty (1) - [Explain falls risk and deprescribing to family — CASC communication station](https://www.medvellum.com/s/psychiatry/cases/falls-polypharmacy-and-frailty) — MRCPsych/FRANZCP-style communication station: explain frailty, psychotropic fall risk, multifactorial prevention, and supervised deprescribi #### Intellectual disability — neurodevelopmental (2) - [Explain FASD diagnosis and supports to kinship carers — CASC communication station](https://www.medvellum.com/s/psychiatry/cases/foetal-alcohol-spectrum-disorder) — MRCPsych/FRANZCP-style communication station: explain FASD without mother-blame, face-not-always-required concept, no disease-modifying drug - [Explain fragile X diagnosis and family implications — CASC communication station](https://www.medvellum.com/s/psychiatry/cases/fragile-x-syndrome) — MRCPsych/FRANZCP-style communication station: explain FXS without blame, allele classes in plain language, no disease-modifying core cure, s #### Child and adolescent psychiatry — eating disorders (1) - [Explain FBT and medical risk to parents of a teen with AN — CASC communication station](https://www.medvellum.com/s/psychiatry/cases/eating-disorders-adolescent) — MRCPsych/FRANZCP-style communication station: FBT psychoeducation, medical risk, refeeding concern, SSRI boundaries, collaborative legal fra #### Forensic psychiatry — homicide and mental disorder (1) - [Explain FEP homicide risk and responsibility to a worried family — CASC communication station](https://www.medvellum.com/s/psychiatry/cases/homicide-and-mental-disorder) — MRCPsych/FRANZCP-style CASC: communicate homicide risk humility, FEP urgency, substances, and responsibility vs treatment frames to a family #### Forensic psychiatry — FII / medical child abuse (1) - [Explain FII concern and safeguarding plan to a paediatric consultant colleague — CASC communication station](https://www.medvellum.com/s/psychiatry/cases/munchausen-by-proxy-and-fabricated-illness) — MRCPsych/FRANZCP-style CASC: interprofessional communication about suspected fabricated or induced illness, balancing false-positive and fal #### General adult psychiatry — early psychosis pathway (1) - [Explain first-episode psychosis care to parents — CASC communication station](https://www.medvellum.com/s/psychiatry/cases/first-episode-psychosis) — MRCPsych/FRANZCP-style communication station: explain FEP pathway, EIS multi-element care, low-dose antipsychotic plan, DUP, maintenance aft #### Forensic psychiatry — fitness and criminal responsibility (1) - [Explain fitness concerns to counsel — CASC communication station](https://www.medvellum.com/s/psychiatry/cases/fitness-to-stand-trial-and-criminal-responsibility) — MRCPsych/FRANZCP-style CASC: communicate a structured fitness opinion to a lawyer, separate responsibility issues, outline assessment/restor #### Forensic psychiatry — risk assessment (1) - [Explain forensic risk assessment and leave plan to a family member — CASC communication station](https://www.medvellum.com/s/psychiatry/cases/risk-assessment-in-forensic-settings) — MRCPsych/FRANZCP-style CASC: explain SPJ vs actuarial concepts, static/dynamic/protective factors, leave conditions, multi-agency principles #### Old age psychiatry — neurocognitive disorders (2) - [Explain frontotemporal dementia diagnosis and plan to patient and partner — CASC communication station](https://www.medvellum.com/s/psychiatry/cases/frontotemporal-dementia) — MRCPsych/FRANZCP-style communication station: explain bvFTD, contrast with psychiatric labels, outline care and medication limits, discuss g - [Explain young-onset dementia diagnosis and plan to patient and partner — CASC communication station](https://www.medvellum.com/s/psychiatry/cases/young-onset-dementia) — MRCPsych/FRANZCP-style communication station: explain YOD vs EOAD, outline work-up and genetics sensitively, discuss donepezil if AD pathway #### Addiction psychiatry — behavioural addictions (2) - [Explain gambling disorder, CBT, and naltrexone — CASC communication station](https://www.medvellum.com/s/psychiatry/cases/gambling-disorder) — MRCPsych/FRANZCP-style communication station: explain GD as a medical behavioural addiction, CBT and harm reduction first-line, realistic of - [Explain gaming disorder and a CBT plan — CASC communication station](https://www.medvellum.com/s/psychiatry/cases/gaming-and-internet-addiction) — MRCPsych/FRANZCP-style communication station: explain ICD-11 gaming disorder vs high engagement, negotiate a collaborative CBT/family plan, #### Specialty psychiatry — gender and sexuality (1) - [Explain gender dysphoria, affirming care and mental health support — CASC communication station](https://www.medvellum.com/s/psychiatry/cases/gender-dysphoria-and-affirming-care) — MRCPsych/FRANZCP-style communication station: explain gender dysphoria, affirmative care, parallel MH treatment, hormone liaison, anti-conve #### Addiction psychiatry — public health and systems (1) - [Explain harm reduction and naloxone to a sceptical family — CASC communication station](https://www.medvellum.com/s/psychiatry/cases/harm-reduction-and-public-health) — MRCPsych/FRANZCP-style communication station: explain harm reduction, NSP, OAT mortality rationale, take-home naloxone teaching, and negotia #### General adult psychiatry — somatic symptom and related (1) - [Explain illness anxiety, CBT and collaborative care — CASC communication station](https://www.medvellum.com/s/psychiatry/cases/illness-anxiety-disorder) — MRCPsych/FRANZCP-style communication station: explain IAD, CBT health anxiety, SSRI, anti-collusion with testing, family accommodation, safe #### intellectual disability psychiatry (1) - [Explain intellectual disability diagnosis and assessment plan to parents — CASC communication station](https://www.medvellum.com/s/psychiatry/cases/intellectual-disability-assessment-and-classification) — MRCPsych/FRANZCP-style communication station: explain ID triad and adaptive severity without jargon overload, outline aetiological workup pr #### Specialty psychiatry — clinical paraphilic disorders (1) - [Explain interest versus disorder and stepped care for ego-dystonic paraphilic urges — CASC communication station](https://www.medvellum.com/s/psychiatry/cases/paraphilic-disorders-clinical) — MRCPsych/FRANZCP-style communication station: destigmatise without colluding, explain interest vs disorder threshold, negotiate psychologica #### General adult psychiatry — impulse control (1) - [Explain kleptomania and treatment options — CASC communication station](https://www.medvellum.com/s/psychiatry/cases/kleptomania-and-pyromania) — MRCPsych/FRANZCP-style communication station: explain kleptomania without pejorative labels, outline CBT and off-label naltrexone honestly, #### Old age psychiatry — grief and loss (1) - [Explain late-life bereavement and prolonged grief to family — CASC communication station](https://www.medvellum.com/s/psychiatry/cases/bereavement-in-later-life) — MRCPsych/FRANZCP-style communication station: explain adaptive grief vs PGD vs MDD, duration clocks, CGT, avoid long-term benzodiazepines, s #### Old age psychiatry — mood disorders (2) - [Explain late-life bipolar mania and lithium plan to patient and son — CASC communication station](https://www.medvellum.com/s/psychiatry/cases/late-life-bipolar-disorder) — MRCPsych/FRANZCP-style communication station: explain OABD, geriatric lithium monitoring, interactions (NSAID/dehydration), and safety-netti - [Explain late-life depression and SSRI plan to patient and daughter — CASC communication station](https://www.medvellum.com/s/psychiatry/cases/late-life-depression) — MRCPsych/FRANZCP-style communication station: explain late-life depression, differentiate bereavement and cognitive concerns, outline sertra #### Old age psychiatry — anxiety disorders (1) - [Explain late-life GAD treatment and benzodiazepine taper to patient and daughter — CASC communication station](https://www.medvellum.com/s/psychiatry/cases/late-life-anxiety-disorders) — MRCPsych/FRANZCP-style communication station: late-life GAD, CBT/SSRI plan, Beers-informed benzodiazepine taper, hyponatraemia safety-nettin #### Old age psychiatry — psychosis (1) - [Explain late-onset psychosis and treatment plan to patient and niece — CASC communication station](https://www.medvellum.com/s/psychiatry/cases/late-onset-psychosis) — MRCPsych/FRANZCP-style communication station: explain late-onset psychosis construct, organic work-up, sensory factors, low-dose antipsychot #### General adult psychiatry — secondary / organic psychosis (1) - [Explain medical work-up for new psychosis to a worried partner — CASC communication station](https://www.medvellum.com/s/psychiatry/cases/psychosis-due-to-medical-condition) — MRCPsych/FRANZCP-style communication station: explain secondary vs primary psychosis possibilities, red-flag rationale for investigations, t #### Addiction psychiatry — substance use disorders (2) - [Explain methadone, buprenorphine, COWS, and naloxone — CASC communication station](https://www.medvellum.com/s/psychiatry/cases/opioid-substitution-and-withdrawal) — MRCPsych/FRANZCP-style communication station: explain withdrawal staging, OAT rationale, precipitated withdrawal timing, methadone vs bupren - [Explain opioid agonist treatment and naloxone — CASC communication station](https://www.medvellum.com/s/psychiatry/cases/opioid-use-disorder) — MRCPsych/FRANZCP-style communication station: explain OUD as a medical disorder, OAT rationale and induction, precipitated withdrawal, take- #### Addiction psychiatry — stimulant and methamphetamine use (1) - [Explain methamphetamine care to a partner — CASC communication station](https://www.medvellum.com/s/psychiatry/cases/stimulant-and-methamphetamine-use) — MRCPsych/FRANZCP-style communication station: explain MAP, medical risk, withdrawal crash, contingency management, limited medicines, dual d #### foundations — philosophy of mind (1) - [Explain multilevel mind-body formulation — CASC communication station](https://www.medvellum.com/s/psychiatry/cases/philosophy-of-mind-and-psychiatry) — MRCPsych/FRANZCP-style CASC: psychoeducation on mind-body models, BPS without emptiness, free will, values, and capacity language. #### General adult psychiatry — psychosis (2) - [Explain negative and cognitive symptoms and the care plan — CASC communication station](https://www.medvellum.com/s/psychiatry/cases/negative-and-cognitive-symptoms-of-schizophrenia) — MRCPsych/FRANZCP-style communication station: explain primary vs secondary negatives, cognition and function, honest treatment limits, safet - [Explain treatment-resistant schizophrenia and clozapine — CASC communication station](https://www.medvellum.com/s/psychiatry/cases/treatment-resistant-schizophrenia) — MRCPsych/FRANZCP-style communication station: explain TRS without stigma, outline clozapine benefits and monitoring, address fears, safety-n #### Addiction psychiatry — neonatal abstinence (1) - [Explain neonatal abstinence to parents after OAT pregnancy — CASC communication station](https://www.medvellum.com/s/psychiatry/cases/neonatal-abstinence-syndrome) — MRCPsych/FRANZCP-style communication station: explain NAS/NOWS in plain language, non-pharmacologic care and possible medicines, why materna #### Child and adolescent psychiatry — disruptive behaviour (1) - [Explain ODD/CD formulation and parent training plan — CASC communication station](https://www.medvellum.com/s/psychiatry/cases/conduct-and-oppositional-disorders) — MRCPsych/FRANZCP-style communication station: explain ODD vs CD, developmental risk without fatalism, parent management training rationale, #### general-adult (1) - [Explain OSFED and atypical anorexia to a family — CASC communication station](https://www.medvellum.com/s/psychiatry/cases/other-specified-feeding-eating-disorders) — MRCPsych/FRANZCP-style communication station: explain OSFED atypical AN, medical risk at non-low BMI, family role, without jargon overload. #### General adult psychiatry — mood disorders / women's mental health (1) - [Explain PMDD, diary confirmation and intermittent SSRI options — CASC communication station](https://www.medvellum.com/s/psychiatry/cases/premenstrual-dysphoric-disorder) — MRCPsych/FRANZCP-style communication station: explain PMDD, prospective diary, continuous vs luteal SSRI dosing with a named regimen, suicid #### General adult psychiatry — perinatal (2) - [Explain postnatal depression treatment and infant-safety thoughts — CASC communication station](https://www.medvellum.com/s/psychiatry/cases/perinatal-mood-and-anxiety-disorders) — MRCPsych/FRANZCP-style communication station: explain postnatal depression and perinatal OCD-spectrum intrusions, distinguish from psychosis - [Explain postpartum psychosis, admission and treatment to a distressed partner — CASC communication station](https://www.medvellum.com/s/psychiatry/cases/postpartum-psychosis) — MRCPsych/FRANZCP-style communication station: explain PPP as treatable emergency, dual risk and MBU logic, sequential treatment including li #### Forensic psychiatry — prison mental health (1) - [Explain prison mental health plan to a custody manager — CASC communication station](https://www.medvellum.com/s/psychiatry/cases/prison-mental-health) — MRCPsych/FRANZCP-style CASC: communicate equivalence of care, suicide/self-harm response, segregation harms, and stepped custodial mental he #### Foundations — history of psychiatry (1) - [Explain psychiatric history and treatment milestones to a sceptical family — CASC communication station](https://www.medvellum.com/s/psychiatry/cases/history-of-psychiatry) — MRCPsych/FRANZCP-style CASC: explain moral treatment to modern community care arc, lithium/ECT/antipsychotic landmarks without jargon overlo #### General adult psychiatry — psychosis rehabilitation (1) - [Explain psychosocial rehabilitation after psychosis — CASC communication station](https://www.medvellum.com/s/psychiatry/cases/psychosocial-rehabilitation-in-psychosis) — MRCPsych/FRANZCP-style communication station: explain multi-component psychosocial rehabilitation, CHIME recovery, IPS, family work, and tha #### Child and adolescent psychiatry — attachment disorders (1) - [Explain RAD/DSED and refuse coercive therapy — CASC communication station](https://www.medvellum.com/s/psychiatry/cases/attachment-disorders-in-children) — MRCPsych/FRANZCP-style communication station: explain DSED vs RAD, insufficient-care aetiology without blaming adoptive parents, AACAP careg #### General adult psychiatry — reactive attachment and disinhibited social engagement (1) - [Explain residual DSED risk and refuse coercive attachment therapy — CASC communication station](https://www.medvellum.com/s/psychiatry/cases/reactive-attachment-disorder) — MRCPsych/FRANZCP-style communication station: explain RAD vs DSED, residual course, caregiving and boundary coaching, refuse coercive therap #### Child and adolescent psychiatry — childhood trauma and maltreatment (1) - [Explain safeguarding and TF-CBT after childhood maltreatment — CASC communication station](https://www.medvellum.com/s/psychiatry/cases/childhood-trauma-and-maltreatment) — MRCPsych/FRANZCP-style communication station: explain reporting duty, trauma-informed next steps, TF-CBT PRACTICE in plain language, safety #### Old age psychiatry — psychopharmacology (1) - [Explain safer prescribing and antipsychotic risks to family — CASC communication station](https://www.medvellum.com/s/psychiatry/cases/prescribing-in-older-adults) — MRCPsych/FRANZCP-style communication station: explain geriatric psychotropic safety, Beers-type caution, antipsychotic mortality/stroke risk #### Child and adolescent psychiatry — school refusal and school anxiety (1) - [Explain school refusal plan and possible SSRI to parents — CASC communication station](https://www.medvellum.com/s/psychiatry/cases/school-refusal-and-school-anxiety) — MRCPsych/FRANZCP-style communication station: school refusal psychoeducation, functional return plan, CBT, SSRI monitoring, collaborative no #### Public-community psychiatry — restrictive practices (1) - [Explain seclusion and repair trust after restrictive practice — CASC communication station](https://www.medvellum.com/s/psychiatry/cases/seclusion-restraint-and-least-restrictive-care) — MRCPsych/FRANZCP-style CASC: post-seclusion explanation, least-restrictive framing, harms honesty, rights principles, debrief, crisis planni #### Forensic psychiatry — sexual offending (1) - [Explain sexual-offence risk assessment and community conditions to a family member — CASC communication station](https://www.medvellum.com/s/psychiatry/cases/sexual-offending) — MRCPsych/FRANZCP-style CASC: explain legal vs clinical ideas, static/dynamic/protective factors, supervision conditions, residual uncertaint #### Forensic psychiatry — stalking and harassment (1) - [Explain stalking risk and safety planning to a victim's support person — CASC communication station](https://www.medvellum.com/s/psychiatry/cases/stalking-and-harassment) — MRCPsych/FRANZCP-style CASC: explain multi-domain stalking risk, parallel safety and treatment tracks, and residual uncertainty without grap #### Addiction psychiatry — acute stimulant syndromes (1) - [Explain stimulant crash and why there is no methadone for ice — CASC communication station](https://www.medvellum.com/s/psychiatry/cases/stimulant-intoxication-and-withdrawal) — MRCPsych/FRANZCP-style communication station: explain MAP vs primary psychosis, crash/suicide risk, absence of approved anti-craving standar #### Foundations — psychoneuroendocrinology and psychoimmunology (1) - [Explain stress hormones, inflammation, and prolactin side-effects to a patient and partner — CASC communication station](https://www.medvellum.com/s/psychiatry/cases/psychoneuroendocrinology-and-psychoimmunology) — MRCPsych/FRANZCP-style CASC: plain-language HPA/immune biology, biomarker humility, trauma framing, and antipsychotic prolactin counselling. #### Addiction psychiatry — substance-induced mood and anxiety disorders (1) - [Explain substance-induced depression and dual plan to a partner — CASC communication station](https://www.medvellum.com/s/psychiatry/cases/substance-induced-mood-anxiety-disorders) — MRCPsych/FRANZCP-style communication station: explain timing diagnosis, abstinence remission logic, treatment of both axes, and non-moralisi #### General adult psychiatry — substance/medication-induced psychosis (1) - [Explain substance-induced psychosis and follow-up to parents — CASC communication station](https://www.medvellum.com/s/psychiatry/cases/substance-induced-psychosis) — MRCPsych/FRANZCP-style communication station: explain SIP timeline diagnosis, acute treatment, conversion risk without fatalism, dual follow #### General adult psychiatry — factitious disorder and malingering (1) - [Explain suspected factitious behaviour and a non-collusive plan — CASC communication station](https://www.medvellum.com/s/psychiatry/cases/factitious-disorder-and-malingering) — MRCPsych/FRANZCP-style communication station: maintain alliance without collusion, explain concerns factually, outline coordinated care, off #### Forensic psychiatry — therapeutic security (1) - [Explain therapeutic security and placement to a general adult consultant — CASC communication station](https://www.medvellum.com/s/psychiatry/cases/therapeutic-security) — MRCPsych/FRANZCP-style CASC: communicate secure care levels, least restrictive matching, and interim risk management to a non-forensic consu #### Forensic psychiatry — victimology (1) - [Explain trauma-informed care after sexual assault to a distressed victim — CASC communication station](https://www.medvellum.com/s/psychiatry/cases/victimology-and-trauma) — MRCPsych/FRANZCP-style CASC: trauma-informed communication with a sexual-assault survivor; prevent secondary victimisation; outline stepped #### General adult psychiatry — OCRD / BFRB (1) - [Explain TTM, HRT and NAC to a patient — CASC communication station](https://www.medvellum.com/s/psychiatry/cases/trichotillomania-and-excoriation-disorder) — MRCPsych/FRANZCP-style communication station: BFRB explanation, HRT, NAC timeline, medical safety-net for trichophagia, family response coac #### Child and adolescent psychiatry — anxiety disorders (1) - [Explain youth anxiety treatment and school return plan to parents — CASC communication station](https://www.medvellum.com/s/psychiatry/cases/child-and-adolescent-anxiety) — MRCPsych/FRANZCP-style communication station: youth anxiety psychoeducation, CBT, SSRI monitoring, school plan, collaborative family framing #### Forensic psychiatry — young offenders (1) - [Explain youth detention mental health plan to a unit manager — CASC communication station](https://www.medvellum.com/s/psychiatry/cases/young-offenders) — MRCPsych/FRANZCP-style CASC: communicate youth justice mental health principles, isolation harms, observation, comorbidity, and stepped care #### Psychopharmacology — pharmacogenomics (1) - [Explaining a commercial PGx report and HLA safety before carbamazepine (CASC)](https://www.medvellum.com/s/psychiatry/cases/pharmacogenomics-in-psychiatry) — CASC-style communication station: translate commercial PGx limits, explain HLA-B*15:02 testing before carbamazepine, shared decision, and no #### Psychopharmacology — first-generation antipsychotics (1) - [Explaining a first-generation antipsychotic and EPS risks (CASC)](https://www.medvellum.com/s/psychiatry/cases/first-generation-antipsychotics) — CASC-style communication station: balanced explanation of FGA efficacy evidence (CATIE/CUtLASS), potency and EPS/TD risks, modern low-dose p #### Psychopharmacology — stimulants and ADHD medications (1) - [Explaining ADHD medication start, monitoring and diversion risk (CASC)](https://www.medvellum.com/s/psychiatry/cases/stimulants-and-adhd-medications) — CASC-style communication station: shared decision on long-acting stimulant or alternatives, CV risk framing, diversion safeguards, growth an #### Psychopharmacology — antidepressants (1) - [Explaining antidepressant start, side-effects and review plan (CASC)](https://www.medvellum.com/s/psychiatry/cases/antidepressants) — CASC-style communication station: shared decision on starting an SSRI/SNRI, early monitoring, sexual SE, suicide risk framing, and STAR*D-in #### Psychopharmacology — antipsychotics (1) - [Explaining antipsychotic choice and metabolic monitoring (CASC)](https://www.medvellum.com/s/psychiatry/cases/antipsychotics) — CASC-style communication station: shared decision on antipsychotic choice, metabolic risk, monitoring plan, and myths about addiction/streng #### Psychopharmacology — metabolic syndrome and psychotropic monitoring (1) - [Explaining antipsychotic weight gain and a monitoring plan (CASC)](https://www.medvellum.com/s/psychiatry/cases/metabolic-syndrome-and-psychotropics) — CASC-style station: explain metabolic risk in plain language, validate anger, negotiate monitoring and change options (lifestyle, switch, me #### Psychopharmacology — phototherapy and chronotherapy (1) - [Explaining bright light therapy for winter depression (CASC)](https://www.medvellum.com/s/psychiatry/cases/phototherapy-and-chronotherapy) — CASC-style communication station: shared decision on BLT for seasonal depression, protocol, timing, safety, and SSRI comparison. #### General adult psychiatry (2) - [Explaining catatonia and treatment plan to family — CASC communication station](https://www.medvellum.com/s/psychiatry/cases/catatonia) — MRCPsych/FRANZCP-style station: explain catatonia in plain language, outline lorazepam and ECT rationale, address fear, and invite questions - [Explaining functional neurological disorder to a patient — CASC communication station](https://www.medvellum.com/s/psychiatry/cases/functional-neurological-disorder) — MRCPsych/FRANZCP-style station: non-pejorative FND explanation, positive-sign rationale, MDT treatment hope, and check understanding. #### foundations — neuroscience for fellowship psychiatry (1) - [Explaining circuits to a junior doctor — CASC/teaching station](https://www.medvellum.com/s/psychiatry/cases/neuroanatomy-circuits-for-psychiatrists) — MRCPsych/FRANZCP-style teaching station: circuit localisation, dopamine pathways, frontal syndromes, organic work-up, and limits of imaging. #### Psychopharmacology — clozapine (1) - [Explaining clozapine and monitoring to a family (CASC)](https://www.medvellum.com/s/psychiatry/cases/clozapine) — CASC-style communication station: shared decision on clozapine after two failed trials, monitoring plan, red flags, and balanced risk–benefi #### Consultation-liaison psychiatry (15) - [Explaining delirium and the care plan to a family member — CASC communication station](https://www.medvellum.com/s/psychiatry/cases/delirium) — MRCPsych/FRANZCP-style station: explain delirium in plain language, outline medical and non-drug care, limit inappropriate sedatives, and ad - [Explaining dementia diagnosis, BPSD plan, and antipsychotic caution to family — CASC communication station](https://www.medvellum.com/s/psychiatry/cases/dementia-and-major-ncd) — MRCPsych/FRANZCP-style station: explain major NCD in plain language, non-drug BPSD plan, cholinesterase inhibitor expectations, antipsychoti - [Explaining demoralisation, adjustment, and mood treatment in medical illness — CASC communication station](https://www.medvellum.com/s/psychiatry/cases/demoralisation-and-adjustment-to-illness) — MRCPsych/FRANZCP-style station: explain demoralisation and adjustment, DHD without stigma, named therapies, and careful antidepressant decis - [Explaining HD irritability, depression, suicide risk, and tetrabenazine to a spouse — CASC communication station](https://www.medvellum.com/s/psychiatry/cases/huntington-disease-psychiatry) — MRCPsych/FRANZCP-style station: explain HD neuropsychiatry, suicide vigilance, VMAT2–mood link, irritability treatment, and ethics of testin - [Explaining lupus-related psychosis to a partner — CASC communication station](https://www.medvellum.com/s/psychiatry/cases/sle-and-autoimmune-neuropsychiatry) — MRCPsych/FRANZCP-style station: explain NPSLE attribution in plain language, justify infection work-up and possible immunotherapy, correct a - [Explaining MS depression, PBA, and treatment choices to a partner — CASC communication station](https://www.medvellum.com/s/psychiatry/cases/multiple-sclerosis-psychiatry) — MRCPsych/FRANZCP-style station: explain MS depression and suicide risk, distinguish PBA from bipolar disorder, outline CBT/antidepressant an - [Explaining post-ACS depression and the care plan to a family — CASC communication station](https://www.medvellum.com/s/psychiatry/cases/cardiac-psychiatry) — MRCPsych/FRANZCP-style station: explain post-ACS depression, SADHART/ENRICHD literacy in plain language, beta-blocker myth, safety of sertra - [Explaining post-stroke depression and the care plan to a family — CASC communication station](https://www.medvellum.com/s/psychiatry/cases/stroke-and-post-stroke-psychiatry) — MRCPsych/FRANZCP-style station: explain PSD without location dogma, rehab-integrated treatment, fluoxetine motor myth, emotional support, an - [Explaining postictal psychosis and depression treatment to a partner — CASC communication station](https://www.medvellum.com/s/psychiatry/cases/epilepsy-and-psychiatry) — MRCPsych/FRANZCP-style station: explain postictal psychosis, lucid interval, safety, AED role including possible behavioural side effects wi - [Explaining postpartum psychosis and infant safety on the maternity ward — CASC communication station](https://www.medvellum.com/s/psychiatry/cases/perinatal-medical-cl) — MRCPsych/FRANZCP-style station: explain PPP as emergency, dual mother-infant risk, treatment outline, lithium counselling principles, and co - [Explaining somatic symptom disorder and a collaborative pain plan — CASC communication station](https://www.medvellum.com/s/psychiatry/cases/pain-psychiatry-and-somatic-symptom) — MRCPsych/FRANZCP-style station: validate symptoms, explain SSD without dualism, outline CBT and cautious meds, and address opioid risk colla - [Explaining steroid psychosis and thyroid screening in medical illness — CASC communication station](https://www.medvellum.com/s/psychiatry/cases/endocrine-psychiatry) — MRCPsych/FRANZCP-style station: explain steroid-induced neuropsychiatric effects, avoid premature bipolar labelling, outline safety and ster - [Explaining suspected autoimmune encephalitis to parents — CASC communication station](https://www.medvellum.com/s/psychiatry/cases/autoimmune-encephalitis-and-organic-psychosis) — MRCPsych/FRANZCP-style station: explain organic autoimmune possibility in plain language, justify investigations and immunotherapy principle - [Explaining TBI personality change and the care plan to a partner — CASC communication station](https://www.medvellum.com/s/psychiatry/cases/traumatic-brain-injury-psychiatry) — MRCPsych/FRANZCP-style station: explain post-TBI personality change and depression, aggression ladder without oversedation, realistic recove - [Ward explanation of FND and team alignment — CASC / C-L station](https://www.medvellum.com/s/psychiatry/cases/functional-neurological-disorder-cl) — MRCPsych/FRANZCP-style C-L communication station: non-pejorative FND explanation after a botched 'all stress' message, MDT plan, and dischar #### Psychopharmacology — cognitive enhancers (1) - [Explaining donepezil and expectations to a carer (CASC)](https://www.medvellum.com/s/psychiatry/cases/cognitive-enhancers) — CASC-style communication station: realistic benefit counselling, AD2000 appraisal without nihilism, memantine timing, GI management, and sha #### Psychopharmacology — fitness to drive (1) - [Explaining driving advice on zopiclone and diazepam (CASC)](https://www.medvellum.com/s/psychiatry/cases/psychotropics-and-driving) — CASC-style communication station: residual hypnotic impairment, commercial licence standards, alcohol/sedative counsel, empathy with occupat #### Psychopharmacology — ECT and neurostimulation (1) - [Explaining ECT and cognitive risk to a patient and partner (CASC)](https://www.medvellum.com/s/psychiatry/cases/ect-and-neurostimulation) — CASC-style communication station: shared decision on acute ECT vs rTMS, honest cognitive risk counselling, consent elements, and relapse-pre #### Psychopharmacology — ketamine and esketamine (1) - [Explaining esketamine for TRD and safety rules (CASC)](https://www.medvellum.com/s/psychiatry/cases/ketamine-and-esketamine) — CASC-style communication station: shared decision on esketamine after failed antidepressants, supervised dosing, observation, realistic bene #### Psychopharmacology — lamotrigine (1) - [Explaining lamotrigine titration and rash safety (CASC)](https://www.medvellum.com/s/psychiatry/cases/lamotrigine) — CASC-style communication station: polarity rationale, slow titration with valproate, OCP interaction, balanced SJS counselling without false #### Psychopharmacology — lithium (1) - [Explaining lithium monitoring and suicide benefit to a patient (CASC)](https://www.medvellum.com/s/psychiatry/cases/lithium) — CASC-style communication station: shared decision on lithium vs valproate defaults, monitoring plan, interaction/sick-day rules, anti-suicid #### Psychopharmacology — mood stabilisers (1) - [Explaining lithium versus valproate and pregnancy-safe planning (CASC)](https://www.medvellum.com/s/psychiatry/cases/mood-stabilisers) — CASC-style station: explain mood-stabiliser choice using BALANCE evidence, lithium monitoring in plain language, and why valproate is not ap #### Psychopharmacology — monoamine oxidase inhibitors (1) - [Explaining MAOI diet, washouts and patch options (CASC)](https://www.medvellum.com/s/psychiatry/cases/maois) — CASC-style communication station: shared decision on classic MAOI versus selegiline patch, practical tyramine teaching, washouts, and absolu #### Psychopharmacology — renal and hepatic disease (1) - [Explaining psychotropic choices in CKD and cirrhosis (CASC)](https://www.medvellum.com/s/psychiatry/cases/psychotropics-in-renal-and-hepatic-disease) — CASC-style communication station: organ-aware lithium safety, NSAID counselling, benzodiazepine HE risk, and CAST-informed shared decision o #### Psychopharmacology — drug interactions and QTc (1) - [Explaining QTc risk and medicine changes after a near-syncope (CASC)](https://www.medvellum.com/s/psychiatry/cases/drug-interactions-and-qtc) — CASC-style communication station: explain drug-induced QTc risk in plain language, negotiate safer medicine changes, electrolyte correction, #### Psychopharmacology — rTMS, VNS and DBS (1) - [Explaining rTMS vs implants vs ECT for TRD (CASC)](https://www.medvellum.com/s/psychiatry/cases/tms-vns-and-dbs) — CASC-style communication station: shared decision on rTMS first for outpatient TRD, honest VNS/DBS evidence, ECT comparator, safety and real #### Psychopharmacology (1) - [Explaining tardive dyskinesia and treatment options — CASC communication station](https://www.medvellum.com/s/psychiatry/cases/eps-and-tardive-dyskinesia) — MRCPsych/FRANZCP-style station: explain TD in plain language, balance relapse risk vs movement harm, outline monitoring (AIMS), switch optio #### Foundations — psychiatric genetics and epigenetics (1) - [Family genetics counselling after first-episode psychosis — CASC/communication station](https://www.medvellum.com/s/psychiatry/cases/psychiatric-genetics-and-epigenetics) — Communication station: accurate heritability language, non-directive counselling, PRS limits, anti-stigma, and support without false reassur #### Professional — teaching and supervision skills (1) - [Give challenging educational feedback to a registrar — CASC communication station](https://www.medvellum.com/s/psychiatry/cases/teaching-and-supervision-skills) — MRCPsych/FRANZCP-style CASC: educational feedback, alliance, underperformance, patient-safety framing, and learning plan negotiation. #### Professional — boundary violations and sexual misconduct (1) - [Hold the frame after a romantic invitation — CASC communication station](https://www.medvellum.com/s/psychiatry/cases/boundary-violations-and-sexual-misconduct) — MRCPsych/FRANZCP-style CASC: maintain alliance while declining dual-relationship and romantic invitations, explain professional boundaries, #### Foundations — social determinants of mental health (1) - [Housing, poverty and depression — CASC/communication station](https://www.medvellum.com/s/psychiatry/cases/social-determinants-of-mental-health) — CASC-style station combining engagement, SDMH formulation language, safety/housing planning, and interagency communication. #### Foundations — biostatistics for psychiatry exams (1) - [Journal club biostatistics teaching — CASC/communication station](https://www.medvellum.com/s/psychiatry/cases/biostatistics-for-psychiatry-exams) — MRCPsych/FRANZCP-style teaching station: ARR/NNT, p-value definition, CI reading for HR, and clear non-intimidating communication. #### Foundations — research methods and study design (1) - [Journal club design critique — CASC/teaching station](https://www.medvellum.com/s/psychiatry/cases/research-methods-and-study-design) — MRCPsych/FRANZCP-style teaching/communication station: identify true design, map bias, contrast with proper RCT, name STROBE vs CONSORT, col #### Foundations — epidemiologic methods for psychiatry (1) - [Journal club epidemiology critique — teaching/CASC-style station](https://www.medvellum.com/s/psychiatry/cases/epidemiology-methods-for-psychiatry) — MRCPsych/FRANZCP-style teaching station: prevalence type, response bias, OR vs PAF, causal language, screening base rates. #### Addiction psychiatry — psychosocial interventions (1) - [Negotiate contingency management and mutual-help after stimulant relapse — CASC communication station](https://www.medvellum.com/s/psychiatry/cases/mutual-help-and-contingency-management) — MRCPsych/FRANZCP-style communication station: explain CM mechanism and protocol, destigmatise testing, offer secular mutual-help, set bounda #### Psychopharmacology — anxiolytics and hypnotics (1) - [Negotiating short-term hypnotic use and a deprescribing plan (CASC)](https://www.medvellum.com/s/psychiatry/cases/anxiolytics-and-hypnotics) — CASC-style station: explain GABA-A risks in older adults, refuse automatic Z-drug swap as a safety solution, offer CBT-I/sleep strategies an #### Consultation-liaison — burns and critical illness psychiatry (1) - [Post-burn PTSD and body-image avoidance — CASC communication station](https://www.medvellum.com/s/psychiatry/cases/burns-and-critical-illness-psychiatry) — MRCPsych/FRANZCP-style CASC: trauma-informed interview for post-burn PTSD and body-image distress, risk assessment, collaborative rehabilita #### Consultation-liaison — transplant and ICU psychiatry (1) - [Post-ICU PTSD and transplant clinic avoidance — CASC communication station](https://www.medvellum.com/s/psychiatry/cases/transplant-and-icu-psychiatry) — MRCPsych/FRANZCP-style CASC: empathic trauma-aware interview for post-ICU PTSD symptoms, link to adherence after transplant, capacity/collab #### Public-community — military and veteran psychiatry (1) - [Recently transitioned veteran with combat nightmares and firearm access — CASC communication station](https://www.medvellum.com/s/psychiatry/cases/military-and-veteran-psychiatry) — MRCPsych/FRANZCP-style CASC: trauma-informed veteran engagement, weapons-aware risk assessment, formulation, and stepped plan without stereo #### Professional — complaint management and regulation (1) - [Responding to a family complaint after unexpected death — CASC communication station](https://www.medvellum.com/s/psychiatry/cases/complaint-management-and-regulation) — MRCPsych/FRANZCP-style CASC: complaint meeting skills, open disclosure stance, apology for experience, process clarity, and non-retaliatory #### Public and community psychiatry — rural and remote (1) - [Rural tele-risk assessment and GP liaison — CASC/communication station](https://www.medvellum.com/s/psychiatry/cases/rural-and-remote-psychiatry) — CASC-style station: tele-risk standards, means restriction, collaborative rural care, retrieval decision, stigma-sensitive language. #### Professional — stigma, recovery and rights-based care (1) - [Shared decision-making and stigma around long-acting antipsychotic — CASC communication station](https://www.medvellum.com/s/psychiatry/cases/stigma-recovery-and-rights-based-care) — MRCPsych/FRANZCP-style CASC: stigma-sensitive SDM for oral vs LAI, recovery goals, rights-aware communication without inventing legal sectio #### Professional — spirituality and religion in psychiatry (1) - [Spiritual history and treatment negotiation — CASC communication station](https://www.medvellum.com/s/psychiatry/cases/spirituality-and-religion-in-psychiatry) — MRCPsych/FRANZCP-style CASC: HOPE/FICA skills, risk, boundaries, explanatory model negotiation, and chaplaincy offer. #### Psychopharmacology — SSRIs (1) - [Starting an SSRI with black-box counselling (CASC)](https://www.medvellum.com/s/psychiatry/cases/ssris) — CASC-style station: collaborative consent for SSRI start, accurate black-box explanation, sexual side-effect and discontinuation counselling #### Psychopharmacology — SNRIs and NRIs (1) - [Starting venlafaxine after SSRI — dual action, BP and discontinuation (CASC)](https://www.medvellum.com/s/psychiatry/cases/snris-and-nris) — CASC-style communication station: explain SNRI rationale after SSRI, honest dual-action dose language, BP monitoring, sexual side-effects, d #### Professional — doctor health, burnout and impairment (1) - [Support a burned-out colleague and hold a safety frame — CASC communication station](https://www.medvellum.com/s/psychiatry/cases/doctor-health-and-burnout) — MRCPsych/FRANZCP-style CASC: doctor-as-patient communication, suicide enquiry, duty fitness, stigma-sensitive support, and patient-safety fr #### Public and community psychiatry — telepsychiatry (1) - [Telepsychiatry crisis review and local team liaison — CASC/communication station](https://www.medvellum.com/s/psychiatry/cases/telepsychiatry) — CASC-style station: Shore-lineage tele-risk standards, means restriction, disposition, GP follow-up, digital and privacy constraints. #### Foundations — prevention and early intervention (1) - [Youth prevention and early intervention service planning — CASC/communication station](https://www.medvellum.com/s/psychiatry/cases/prevention-and-early-intervention) — Teaching/communication station: translate Gordon/Rose prevention and early intervention evidence into a staged, non-polarised district plan ### Vivas Index: https://www.medvellum.com/s/psychiatry/vivas #### Consultation-liaison psychiatry — abnormal illness behaviour (1) - [Abnormal illness behaviour and the sick role — structured clinical viva](https://www.medvellum.com/s/psychiatry/vivas/abnormal-illness-behaviour) — Fellowship viva on AIB theory, nosology translation, ethics of labelling, CHAMP/Henningsen care, and refusal of punitive detention-as-dispos #### Emergency psychiatry — absconding and missing patients (1) - [Absconding and missing patients — structured clinical viva](https://www.medvellum.com/s/psychiatry/vivas/absconding-and-missing-patients) — Fellowship viva on failure to return from leave, suicide risk after absconding, multi-element prevention, Safewards framing, and post-return #### Psychotherapy (9) - [Acceptance and commitment therapy — structured clinical viva](https://www.medvellum.com/s/psychiatry/vivas/acceptance-and-commitment-therapy) — Fellowship viva on ACT psychological flexibility, hexaflex, avoidance/fusion, evidence, CBT comparison, and medication integration. - [Behavioural activation — structured clinical viva](https://www.medvellum.com/s/psychiatry/vivas/behavioural-activation) — Behavioural activation — structured clinical viva - [Cognitive analytic therapy — structured clinical viva](https://www.medvellum.com/s/psychiatry/vivas/cognitive-analytic-therapy) — Fellowship viva on CAT tools, procedures, evidence, differentials, and safe time-limited practice. - [Couples therapy — structured clinical viva](https://www.medvellum.com/s/psychiatry/vivas/couples-therapy) — Fellowship viva on couples therapy models, IBCT/TBCT/EFT, Barbato/Christensen/Powers/Monson evidence, IPV stop rules, and medication integra - [Group psychotherapy — structured clinical viva](https://www.medvellum.com/s/psychiatry/vivas/group-psychotherapy) — Fellowship viva on group psychotherapy principles, process, selection, and multi-disorder evidence. - [Interpersonal psychotherapy — structured clinical viva](https://www.medvellum.com/s/psychiatry/vivas/interpersonal-psychotherapy) — Fellowship viva on IPT medical model, grief focus, phases, TDCRP/Cuijpers/Frank evidence, CBT comparison, and medication integration. - [Mentalisation-based treatment — structured clinical viva](https://www.medvellum.com/s/psychiatry/vivas/mentalisation-based-treatment) — Fellowship viva on MBT definition, modes, structure, evidence, DBT differential, and stepped care when dual-format MBT is unavailable. - [Schema therapy — structured clinical viva](https://www.medvellum.com/s/psychiatry/vivas/schema-therapy) — Fellowship viva on schema therapy definition, modes, techniques, evidence, comparators, and stepped care. - [Supportive psychotherapy techniques — structured clinical viva](https://www.medvellum.com/s/psychiatry/vivas/supportive-psychotherapy-techniques) — Supportive psychotherapy techniques — structured clinical viva #### Emergency psychiatry (7) - [Acute agitation and rapid tranquillisation — structured clinical viva](https://www.medvellum.com/s/psychiatry/vivas/acute-agitation-and-rapid-tranquillisation) — Fellowship viva on RT ladder, combination ban, TREC and ANZ ED options, monitoring, capacity, and rescue pathways. - [Acute behavioural disturbance and excited delirium — structured clinical viva](https://www.medvellum.com/s/psychiatry/vivas/excited-delirium-and-acute-behavioural-disturbance) — Fellowship viva on ABD-first framing, contested ExDS term, droperidol/ketamine, combination ban, prone restraint, capacity. - [Lithium toxicity — structured clinical viva](https://www.medvellum.com/s/psychiatry/vivas/lithium-toxicity) — Fellowship viva on lithium toxicity patterns, interactions, EXTRIP criteria, decontamination myths, rebound, and restart. - [Neuroleptic malignant syndrome — structured clinical viva](https://www.medvellum.com/s/psychiatry/vivas/neuroleptic-malignant-syndrome) — Fellowship viva on NMS criteria, SS vs malignant catatonia, stop-and-support care, bromocriptine/dantrolene/ECT debates, and rechallenge. - [Overdose and toxicology — structured clinical viva](https://www.medvellum.com/s/psychiatry/vivas/overdose-and-toxicology-for-psychiatrists) — Fellowship viva on relative toxicity of venlafaxine vs SSRIs, always-screen paracetamol, seizure management, observation, and post-OD risk a - [Psychiatric emergencies — structured clinical viva](https://www.medvellum.com/s/psychiatry/vivas/psychiatric-emergencies) — Fellowship viva covering catatonic emergency versus NMS, lorazepam challenge and ECT pathway, medical resuscitation, and capacity/least-rest - [Serotonin toxicity — structured clinical viva](https://www.medvellum.com/s/psychiatry/vivas/serotonin-syndrome) — Fellowship viva on Hunter criteria, linezolid trap, SS vs NMS, cyproheptadine dosing, cooling/ICU thresholds, and deprescribing. #### Addiction psychiatry (6) - [Addiction in older adults — structured clinical viva](https://www.medvellum.com/s/psychiatry/vivas/addiction-in-older-adults) — Fellowship viva on older-adult alcohol withdrawal presenting as post-operative delirium, screening, pharmacotherapy, and dual diagnosis. - [Alcohol use disorder — structured clinical viva](https://www.medvellum.com/s/psychiatry/vivas/alcohol-use-disorder) — Fellowship viva on delirium tremens, CIWA-Ar, thiamine/Caine, naltrexone opioid trap, acamprosate/disulfiram doses, dual diagnosis pointer. - [Alcohol withdrawal and delirium tremens — structured clinical viva](https://www.medvellum.com/s/psychiatry/vivas/alcohol-withdrawal-and-delirium-tremens) — Fellowship viva on DT recognition, CIWA limits, high-dose benzodiazepines, antipsychotics-not-first-line, Wernicke/thiamine, and inpatient e - [Alcohol-related brain injury and Korsakoff — structured clinical viva](https://www.medvellum.com/s/psychiatry/vivas/alcohol-related-brain-injury-and-korsakoff) — Fellowship viva on Caine criteria, parenteral thiamine EFNS/UK teaching, MRI limits, KS amnesia, capacity, ARBD rehabilitation. - [Anti-craving pharmacotherapy — structured clinical viva](https://www.medvellum.com/s/psychiatry/vivas/anti-craving-pharmacotherapy) — Fellowship viva on naltrexone opioid trap, LFT caution, acamprosate renal dosing, disulfiram supervision, polypharmacy stacking errors, and - [Benzodiazepine dependence — structured clinical viva](https://www.medvellum.com/s/psychiatry/vivas/benzodiazepine-dependence) — Fellowship viva on BZD/Z-drug dependence in older adults, deprescribing, taper safety, and interaction hazards. #### Child and adolescent psychiatry — neurodevelopmental (2) - [ADHD across the lifespan — structured clinical viva](https://www.medvellum.com/s/psychiatry/vivas/adhd-across-the-lifespan) — Fellowship viva covering adolescent ADHD, adherence, cannabis/diversion, driving risk, atomoxetine/guanfacine alternatives, CBT/coaching, an - [Autism spectrum disorder — structured clinical viva](https://www.medvellum.com/s/psychiatry/vivas/autism-spectrum-disorder) — Fellowship viva on ASD criteria and levels, differentials, ESDM/PACT/parent training, RUPP risperidone and Owen aripiprazole for irritabilit #### General adult psychiatry — trauma and stressor-related (2) - [Adjustment disorders — structured clinical viva](https://www.medvellum.com/s/psychiatry/vivas/adjustment-disorders) — Fellowship viva covering AD vs MDD, suicide risk after situational crisis, benzo misuse, brief psychological care, and selective pharmacothe - [Grief and prolonged grief disorder — structured clinical viva](https://www.medvellum.com/s/psychiatry/vivas/grief-and-prolonged-grief-disorder) — Fellowship viva covering late-life PGD, CGT evidence in elderly persons, reunion ideation, engagement skills, and selective pharmacotherapy. #### Child and adolescent psychiatry — eating disorders (1) - [Adolescent eating disorders — structured clinical viva](https://www.medvellum.com/s/psychiatry/vivas/eating-disorders-adolescent) — Fellowship viva covering BN pharmacotherapy, FBT for BN, fluoxetine-negative data in AN, ARFID discrimination, medical risk, and capacity pr #### foundations — advanced EBM and evidence synthesis (1) - [Advanced critical appraisal — structured clinical viva](https://www.medvellum.com/s/psychiatry/vivas/critical-appraisal-advanced) — Fellowship viva on advanced forest-plot reading, NMA assumptions, GRADE, and psychiatry-specific bias threats. #### Old age psychiatry — Alzheimer disease (1) - [Alzheimer disease — structured clinical viva](https://www.medvellum.com/s/psychiatry/vivas/alzheimer-disease) — Fellowship viva covering McKhann probable AD, ATN research biomarkers caution, donepezil continuation, memantine role, DICE BPSD, antipsycho #### Specialty psychiatry — eating disorders (1) - [Anorexia nervosa — structured clinical viva](https://www.medvellum.com/s/psychiatry/vivas/anorexia-nervosa) — Fellowship viva on adult AN: medical instability, Attia olanzapine evidence, CBT-E/MANTRA/SSCM, refeeding, capacity and coercion ethics. #### Psychopharmacology — antidepressants (1) - [Antidepressants — cross-table viva](https://www.medvellum.com/s/psychiatry/vivas/antidepressants) — Fellowship viva on antidepressant mechanisms, landmark evidence, safety emergencies, switching/washouts, and augmentation. #### Psychopharmacology — antipsychotics (1) - [Antipsychotics — cross-table viva](https://www.medvellum.com/s/psychiatry/vivas/antipsychotics) — Fellowship viva on receptor maps, landmark trials, monitoring, LAI, clozapine threshold, and emergency adverse effects. #### General adult psychiatry — personality disorders (9) - [Antisocial personality disorder — structured clinical viva](https://www.medvellum.com/s/psychiatry/vivas/antisocial-personality-disorder) — Fellowship viva covering DSM ASPD criteria, psychopathy construct, substance comorbidity, violence risk humility, NICE/Cochrane limits, and - [Avoidant personality disorder — structured clinical viva](https://www.medvellum.com/s/psychiatry/vivas/avoidant-personality-disorder) — Fellowship viva covering AVPD criteria, SAD continuum, schizoid/ASD differentials, CBT and schema therapy, SSRI for comorbidity, and anti-ni - [Borderline personality disorder — structured clinical viva](https://www.medvellum.com/s/psychiatry/vivas/borderline-personality-disorder) — Fellowship viva covering BPD diagnosis and bipolar differential, crisis risk, DBT/MBT/GPM evidence, limited pharmacotherapy, LABILE, and ant - [Cluster A and C personality disorders — structured clinical viva](https://www.medvellum.com/s/psychiatry/vivas/cluster-a-and-cluster-c-personality) — Fellowship viva covering schizotypal spectrum adjacency, OCPD vs OCD, dependent PD safeguarding, psychotherapy evidence including schema the - [Dependent personality disorder — structured clinical viva](https://www.medvellum.com/s/psychiatry/vivas/dependent-personality-disorder) — Fellowship viva covering DPD criteria (≥5/8), AVPD/BPD differentials, post-separation risk, IPV context, CBT and schema therapy, SSRI for co - [Histrionic personality disorder — structured clinical viva](https://www.medvellum.com/s/psychiatry/vivas/histrionic-personality-disorder) — Fellowship viva covering HPD criteria, construct validity, BPD/NPD/mania differentials, frame-based care, schema therapy PD evidence, SSRI f - [ICD-11 personality disorder dimensional model — structured clinical viva](https://www.medvellum.com/s/psychiatry/vivas/personality-disorder-icd11-dimensional) — Fellowship viva covering ICD-11 severity and trait domains, borderline pattern, DSM AMPD alignment, clinical utility, psychotherapy and medi - [Paranoid personality disorder — structured clinical viva](https://www.medvellum.com/s/psychiatry/vivas/paranoid-personality-disorder) — Fellowship viva covering DSM PPD criteria, delusional disorder discriminator, trauma-linked mechanisms, alliance-first care, and pharmacothe - [Schizotypal personality disorder — structured clinical viva](https://www.medvellum.com/s/psychiatry/vivas/schizotypal-personality-disorder) — Fellowship viva covering STPD criteria, schizophrenia and ASD differentials, conversion monitoring, limited antipsychotic evidence, comorbid #### Psychopharmacology — anxiolytics and hypnotics (1) - [Anxiolytics and hypnotics — cross-table viva](https://www.medvellum.com/s/psychiatry/vivas/anxiolytics-and-hypnotics) — Fellowship viva on GABA-A vs non-GABAergic anxiolytics/hypnotics, short-term use, taper, elderly harm, and lethal interactions. #### General adult psychiatry — feeding and eating disorders (2) - [ARFID — structured clinical viva](https://www.medvellum.com/s/psychiatry/vivas/avoidant-restrictive-food-intake-disorder) — Fellowship viva on adult ARFID: sensory presentation, NIAS/PARDI, micronutrient risk, CBT-AR adult evidence, accommodation, pharmacotherapy - [Pica and rumination disorder — structured clinical viva](https://www.medvellum.com/s/psychiatry/vivas/pica-and-rumination-disorder) — Fellowship viva on adult rumination disorder: discrimination, diaphragmatic breathing, biofeedback RCT, baclofen RCT positioning, GI interfa #### Forensic psychiatry — arson and fire-setting (1) - [Arson and fire-setting — structured clinical viva](https://www.medvellum.com/s/psychiatry/vivas/arson-and-fire-setting) — Fellowship viva covering terminology triad, epidemiology, pathways, assessment, treatment, and legal-clinical interface for arson and fire-s #### Child and adolescent psychiatry — attachment disorders (1) - [Attachment disorders in children — structured clinical viva](https://www.medvellum.com/s/psychiatry/vivas/attachment-disorders-in-children) — Fellowship viva on RAD/DSED: nosology, assessment, AACAP caregiving-first care, APSAC rejection of coercive attachment therapies, BEIP/ERA p #### Foundations — attachment (1) - [Attachment theory — structured clinical viva](https://www.medvellum.com/s/psychiatry/vivas/attachment-theory-and-early-relationships) — Fellowship viva on attachment theory from infant classification through adult mentalization and clinical safety around coercive therapies. #### Intellectual disability psychiatry — neurodevelopmental dual diagnosis (1) - [Autism and intellectual disability dual diagnosis — structured clinical viva](https://www.medvellum.com/s/psychiatry/vivas/autism-and-id-comorbidity) — Fellowship viva on autism–ID dual diagnosis: criteria logic, AAC, epilepsy, PBS, and selective pharmacotherapy with population-specific evid #### Consultation-liaison psychiatry (16) - [Autoimmune encephalitis and organic psychosis — structured clinical viva](https://www.medvellum.com/s/psychiatry/vivas/autoimmune-encephalitis-and-organic-psychosis) — Fellowship viva on AE red flags, Graus/Pollak frameworks, MRI/EEG/CSF/Abs, first-line immunotherapy, teratoma, and CL partnership. - [Cardiac psychiatry — structured clinical viva](https://www.medvellum.com/s/psychiatry/vivas/cardiac-psychiatry) — Fellowship viva covering post-ACS depression, AHA risk framing, SADHART/CREATE/ENRICHD literacy, QTc and bleeding, ACS-PTSD, and beta-blocke - [Delirium — structured clinical viva](https://www.medvellum.com/s/psychiatry/vivas/delirium) — Fellowship viva on CAM/4AT, hypoactive delirium, multicomponent care, MIND-USA/AID-ICU limits of antipsychotics, and capacity. - [Dementia and major NCD — structured clinical viva](https://www.medvellum.com/s/psychiatry/vivas/dementia-and-major-ncd) — Fellowship viva on major vs mild NCD, vascular cognitive impairment, BPSD, AChEI/memantine, antipsychotic mortality evidence, and Appelbaum - [Demoralisation and adjustment to medical illness — structured clinical viva](https://www.medvellum.com/s/psychiatry/vivas/demoralisation-and-adjustment-to-illness) — Fellowship viva covering Clarke/Kissane demoralisation, adjustment disorder timing, DS/DS-II, Breitbart DHD, dignity therapy/MCP/CALM, Rayne - [Endocrine psychiatry — structured clinical viva](https://www.medvellum.com/s/psychiatry/vivas/endocrine-psychiatry) — Fellowship viva on thyroid/Cushing/Addison/steroid psychiatry, crisis priorities, bridge psychotropics, and lithium–thyroid monitoring. - [Epilepsy and psychiatry — structured clinical viva](https://www.medvellum.com/s/psychiatry/vivas/epilepsy-and-psychiatry) — Fellowship viva on postictal psychosis, NDDI-E depression, LEV effects, and psychopharmacology at the epilepsy interface. - [FND in the medical setting — C-L structured viva](https://www.medvellum.com/s/psychiatry/vivas/functional-neurological-disorder-cl) — Fellowship viva on hospital FND: liaison systems, functional seizures, pejorative language, AED rationalisation, and discharge planning. - [Huntington disease psychiatry — structured clinical viva](https://www.medvellum.com/s/psychiatry/vivas/huntington-disease-psychiatry) — Fellowship viva on HD neuropsychiatry, suicide, irritability algorithms, and VMAT2–mood interface. - [Mild cognitive impairment — structured clinical viva](https://www.medvellum.com/s/psychiatry/vivas/mild-cognitive-impairment) — Fellowship viva on MCI/mild NCD nosology, assessment, conversion, lifestyle care, and AChEI evidence limits. - [Multiple sclerosis psychiatry — structured clinical viva](https://www.medvellum.com/s/psychiatry/vivas/multiple-sclerosis-psychiatry) — Fellowship viva on MS depression, PBA, suicide, cognition, and DMT interface. - [Pain psychiatry and somatic symptom disorders — structured clinical viva](https://www.medvellum.com/s/psychiatry/vivas/pain-psychiatry-and-somatic-symptom) — Fellowship viva on SSD/IAD, PHQ-15, CBT for health anxiety, duloxetine/TCA caution, SPACE/CDC opioid principles, and OUD interface. - [Perinatal psychiatry in the general hospital — structured clinical viva](https://www.medvellum.com/s/psychiatry/vivas/perinatal-medical-cl) — Fellowship viva covering hospital perinatal CL: PPP vs blues/OCD, EPDS limits, Patorno lithium, Bergink treatment, sertraline lactation fram - [SLE and autoimmune neuropsychiatry — structured clinical viva](https://www.medvellum.com/s/psychiatry/vivas/sle-and-autoimmune-neuropsychiatry) — Fellowship viva on NPSLE attribution, inflammatory versus thrombotic branching, antibodies, and CL partnership. - [Stroke and post-stroke psychiatry — structured clinical viva](https://www.medvellum.com/s/psychiatry/vivas/stroke-and-post-stroke-psychiatry) — Fellowship viva covering PSD epidemiology, Carson location myth, Robinson prevention, FLAME vs FOCUS/AFFINITY/EFFECTS, SSRI monitoring, and - [Traumatic brain injury psychiatry — structured clinical viva](https://www.medvellum.com/s/psychiatry/vivas/traumatic-brain-injury-psychiatry) — Fellowship viva covering TBI severity, secondary syndromes, beta-blocker-first aggression care, sertraline evidence, and capacity at the reh #### Foundations — basic neuroscience for psychiatry (1) - [Basic neuroscience for psychiatry — structured clinical viva](https://www.medvellum.com/s/psychiatry/vivas/basic-neuroscience-for-psychiatry) — Fellowship viva on psychosis and depression neuroscience, methods limits, patient communication, and landmark models. #### Intellectual disability psychiatry — genetic syndromes (1) - [Behavioural phenotypes and genetic syndromes — structured clinical viva](https://www.medvellum.com/s/psychiatry/vivas/behavioural-phenotypes-genetic-syndromes) — Fellowship viva on probabilistic phenotypes, five core syndromes, Boer UPD psychosis, Murphy/Schneider 22q11 evidence, microarray first-tier #### Psychopharmacology — benzodiazepine prescribing and tapering (1) - [Benzodiazepine prescribing and tapering — consultant viva](https://www.medvellum.com/s/psychiatry/vivas/benzodiazepine-prescribing-and-tapering) — Fellowship viva covering initiation rules, half-life/LOT, equipotency, taper craft, deprescribing evidence, opioid synergy, and emergency pi #### Old age psychiatry — grief and loss (1) - [Bereavement in later life — structured clinical viva](https://www.medvellum.com/s/psychiatry/vivas/bereavement-in-later-life) — Fellowship viva covering late-life PGD criteria, widowhood risk, dual process, Shear 2014 CGT, selective medication, and practical care. #### Foundations — biostatistics for psychiatry exams (1) - [Biostatistics — structured clinical viva](https://www.medvellum.com/s/psychiatry/vivas/biostatistics-for-psychiatry-exams) — Fellowship viva covering NNT, p-values, CI, HR, power, and diagnostic predictive values in psychiatry. #### General adult psychiatry — bipolar and related disorders (4) - [Bipolar depression and polarity-safe treatment — structured clinical viva](https://www.medvellum.com/s/psychiatry/vivas/bipolar-affective-disorder) — Fellowship viva covering bipolar depression, antidepressant monotherapy pitfalls (STEP-BD), quetiapine/lurasidone/OFC/lamotrigine choices wi - [Bipolar I disorder — structured clinical viva](https://www.medvellum.com/s/psychiatry/vivas/bipolar-i-disorder) — Fellowship viva on mixed features in bipolar I, antidepressant-related destabilisation, suicide risk, lithium levels, pregnancy shared decis - [Bipolar II vs unipolar, hypomania thresholds, lamotrigine and antidepressant risk — structured clinical viva](https://www.medvellum.com/s/psychiatry/vivas/bipolar-ii-and-cyclothymia) — Fellowship viva on bipolar II recognition, hypomania vs mania, antidepressant switch, quetiapine/lithium/lamotrigine, STEP-BD, and safety. - [Mixed features, rapid cycling, and polarity-safe treatment — structured clinical viva](https://www.medvellum.com/s/psychiatry/vivas/mixed-features-and-rapid-cycling) — Fellowship viva on mixed features high-risk phenotype, rapid cycling drivers, lithium/SGA re-initiation, STEP-BD and BALANCE evidence, and m #### General adult psychiatry — OCRD (3) - [Body dysmorphic disorder — structured clinical viva](https://www.medvellum.com/s/psychiatry/vivas/body-dysmorphic-disorder) — Fellowship viva on delusional-insight BDD, SRI first-line, CBT-BDD fidelity, suicide risk, and non-collusion with surgery. - [Hoarding disorder — structured clinical viva](https://www.medvellum.com/s/psychiatry/vivas/hoarding-and-related-disorders) — Fellowship viva on hoarding disorder with animal and fire risk, capacity, specialised CBT, and multiagency care. - [Obsessive-compulsive disorder — structured clinical viva](https://www.medvellum.com/s/psychiatry/vivas/obsessive-compulsive-disorder) — Fellowship viva on treatment-refractory OCD: adequacy of prior trials, ERP, antipsychotic augmentation, deep TMS evidence, DBS meta-analytic #### Professional — boundary violations and sexual misconduct (1) - [Boundary violations and sexual misconduct — structured clinical viva](https://www.medvellum.com/s/psychiatry/vivas/boundary-violations-and-sexual-misconduct) — Fellowship viva covering crossing vs violation, erotic transference/countertransference, sexual misconduct response, post-termination ethics #### Old age psychiatry — dementia neuropsychiatry (1) - [BPSD — structured clinical viva](https://www.medvellum.com/s/psychiatry/vivas/behavioural-and-psychological-symptoms-of-dementia) — Fellowship viva on long-term antipsychotic use in BPSD, black-box harms, deprescribing, and non-drug care with landmark trial integration. #### Addiction psychiatry — cannabis and psychosis (1) - [Cannabis use and psychosis — structured clinical viva](https://www.medvellum.com/s/psychiatry/vivas/cannabis-use-and-psychosis) — Fellowship viva on cannabis–psychosis: potency/dose–response, adolescent risk, dual care, SIP conversion, CBD evidence limits, and family co #### Consultation-liaison — capacity and consent (1) - [Capacity and informed consent — structured clinical viva](https://www.medvellum.com/s/psychiatry/vivas/capacity-and-informed-consent) — Fellowship viva covering decision-specific capacity, fluctuating cognition, substitute/best-interests pathways, family role, and emergency l #### Intellectual disability — capacity and supported decision-making (1) - [Capacity and supported decision-making in ID — structured clinical viva](https://www.medvellum.com/s/psychiatry/vivas/capacity-and-supported-decision-making-id) — Fellowship viva covering capacity in mild ID with psychosis, supported decision-making, guardianship principles, UNCRPD legal capacity, and #### Old age psychiatry — capacity, guardianship and end of life (1) - [Capacity, guardianship and end-of-life decisions — structured clinical viva](https://www.medvellum.com/s/psychiatry/vivas/capacity-guardianship-end-of-life) — Fellowship viva covering Appelbaum capacity, ACP, substitute decisions, and palliative psychiatric assessment of desire for death. #### General adult psychiatry (2) - [Catatonia — structured clinical viva](https://www.medvellum.com/s/psychiatry/vivas/catatonia) — Fellowship viva on catatonia criteria, malignant features, NMS overlap, lorazepam challenge, and ECT. - [Functional neurological disorder — structured clinical viva](https://www.medvellum.com/s/psychiatry/vivas/functional-neurological-disorder) — Fellowship viva on functional seizures, communication ethics, AED rationalisation, and psychological treatment evidence. #### Professional — psychological therapies (2) - [CBT fundamentals — structured clinical viva](https://www.medvellum.com/s/psychiatry/vivas/cbt-fundamentals-for-psychiatrists) — Fellowship viva on CBT model, depression formulation, BA vs cognitive work, DeRubeis/Hollon evidence, homework, drift, and combined care. - [DBT and third-wave therapies — structured clinical viva](https://www.medvellum.com/s/psychiatry/vivas/dbt-and-third-wave-therapies) — Fellowship viva on DBT structure, biosocial theory, evidence, ACT/MBCT differentials, and stepped care when full-model DBT is unavailable. #### Child and adolescent psychiatry — depression (1) - [Child and adolescent depression — structured clinical viva](https://www.medvellum.com/s/psychiatry/vivas/child-and-adolescent-depression) — Fellowship viva on stepping from CBT to fluoxetine in adolescent MDD, black-box communication, family work, and TORDIA-informed next steps. #### Child and adolescent psychiatry — child protection (1) - [Child protection for psychiatrists — structured clinical viva](https://www.medvellum.com/s/psychiatry/vivas/child-protection-for-psychiatrists) — Fellowship viva covering disclosure response, mandatory reporting principles, dual loyalty, sibling safety, and trauma care. #### Child and adolescent psychiatry — childhood trauma and maltreatment (1) - [Childhood trauma and maltreatment — structured clinical viva](https://www.medvellum.com/s/psychiatry/vivas/childhood-trauma-and-maltreatment) — Fellowship viva covering maltreatment types, ACE graded risk, reporting duty, TF-CBT, safety-first sequencing, and trauma-informed systems. #### Child and adolescent psychiatry — COPMI (1) - [Children of parents with mental illness — structured clinical viva](https://www.medvellum.com/s/psychiatry/vivas/children-of-parents-with-mental-illness) — Fellowship viva covering COPMI risk, family-focused practice, prevention citations, and safeguarding interface. #### Forensic psychiatry — civil (1) - [Civil forensic psychiatry — structured clinical viva](https://www.medvellum.com/s/psychiatry/vivas/civil-forensic-psychiatry) — Fellowship viva on testamentary and financial capacity, guardianship principles, functional capacity standards, dual-role ethics, and civil #### General adult psychiatry — clinical high risk / attenuated psychosis (1) - [Clinical high risk and attenuated psychosis — structured clinical viva](https://www.medvellum.com/s/psychiatry/vivas/clinical-high-risk-and-attenuated-psychosis) — Fellowship viva on UHR/CHR criteria, conversion rates, CAARMS/SIPS, CBT-first indicated prevention, omega-3 equipoise, and antipsychotics no #### Psychopharmacology — clozapine (1) - [Clozapine — consultant viva](https://www.medvellum.com/s/psychiatry/vivas/clozapine) — Fellowship viva covering TRS entry, evidence, titration, lethal adverse effects, CYP1A2, levels, and rechallenge principles. #### Psychopharmacology — cognitive enhancers (1) - [Cognitive enhancers — consultant viva](https://www.medvellum.com/s/psychiatry/vivas/cognitive-enhancers) — Fellowship viva covering AChEI/memantine mechanisms, doses, subtype indications, landmark trials, safety, and deprescribing. #### Foundations — cognitive psychology (1) - [Cognitive psychology for psychiatry — structured clinical viva](https://www.medvellum.com/s/psychiatry/vivas/cognitive-psychology-for-psychiatry) — Cognitive psychology for psychiatry — structured clinical viva #### Public and community psychiatry — collaborative care and primary care (1) - [Collaborative care and primary care psychiatry — structured clinical viva](https://www.medvellum.com/s/psychiatry/vivas/collaborative-care-and-primary-care-psychiatry) — Fellowship viva on collaborative care design, evidence, measurement-based care, and implementation versus co-location. #### General adult psychiatry — trauma and stressor-related disorders (2) - [Complex PTSD and trauma-informed care — structured clinical viva](https://www.medvellum.com/s/psychiatry/vivas/complex-ptsd-and-trauma-informed-care) — Fellowship viva covering ICD-11 CPTSD, DSO triad, BPD overlap, STAIR evidence, de Jongh critique, DBT-PTSD, SSRI dosing concepts, ITQ, and t - [PTSD and acute stress disorder — structured clinical viva](https://www.medvellum.com/s/psychiatry/vivas/ptsd-and-acute-stress) — Fellowship viva covering ICD-11 complex PTSD, STAIR+exposure, trauma-focused therapy fears, SSRI dosing concepts, prazosin equipoise, and sa #### Child and adolescent psychiatry — disruptive behaviour (1) - [Conduct and oppositional disorders — structured clinical viva](https://www.medvellum.com/s/psychiatry/vivas/conduct-and-oppositional-disorders) — Fellowship viva on severe CD: CU traits, ADHD, MST ecology, limited pharmacotherapy, risk and ASPD trajectory. #### Professional practice — critical appraisal and EBM (1) - [Critical appraisal — structured clinical viva](https://www.medvellum.com/s/psychiatry/vivas/critical-appraisal-for-psychiatry-exams) — Fellowship viva covering RCT appraisal, effect interpretation, applicability, and EBM toolkit follow-ups. #### Professional — cultural formulation and Indigenous mental health (1) - [Cultural formulation and Indigenous mental health — structured clinical viva](https://www.medvellum.com/s/psychiatry/vivas/cultural-formulation-and-indigenous-mental-health) — Fellowship viva covering CFI domains, Māori health models, cultural safety, post-self-harm culturally informed care, and non-stereotyping pr #### Old age psychiatry — delirium and acute cognitive syndromes (1) - [Delirium in older adults — structured clinical viva](https://www.medvellum.com/s/psychiatry/vivas/delirium-in-older-adults) — Fellowship viva covering CAM, hypoactive/mixed presentations, HELP-style care, avoid benzos, cautious low-dose antipsychotics with trial cav #### General adult psychiatry — psychotic disorders (4) - [Delusional disorder — structured clinical viva](https://www.medvellum.com/s/psychiatry/vivas/delusional-disorder) — Fellowship viva on somatic delusional disorder vs schizophrenia, engagement without collusion, iatrogenic harm prevention, antipsychotic pla - [Schizoaffective disorder — structured clinical viva](https://www.medvellum.com/s/psychiatry/vivas/schizoaffective-disorder) — Fellowship viva on schizoaffective bipolar type criteria, discrimination from schizophrenia and bipolar with psychosis, antidepressant pitfa - [Schizophrenia spectrum — structured clinical viva](https://www.medvellum.com/s/psychiatry/vivas/schizophrenia-spectrum-disorders) — Fellowship viva covering relapse after non-adherence, risk, LAI versus clozapine decision-making, InterSePT and TRRIP concepts, and cardiome - [Schizophreniform and brief psychotic disorder — structured clinical viva](https://www.medvellum.com/s/psychiatry/vivas/schizophreniform-and-brief-psychotic-disorder) — Fellowship viva on brief vs schizophreniform vs schizophrenia thresholds, good prognostic features, ATPD concept, FEP treatment, and careful #### foundations — descriptive psychopathology (1) - [Descriptive psychopathology and phenomenology — structured clinical viva](https://www.medvellum.com/s/psychiatry/vivas/descriptive-psychopathology-and-phenomenology) — Fellowship viva on descriptive psychopathology vocabulary, FRS evidence, self-disorders, organic flags, and exam technique. #### Child and adolescent psychiatry — developmental assessment (1) - [Developmental assessment in CAP — structured clinical viva](https://www.medvellum.com/s/psychiatry/vivas/developmental-assessment-in-cap) — Fellowship viva on developmental assessment: surveillance/screening/testing, adaptive function for ID, formulation, early intervention loop. #### General adult psychiatry — DID and dissociative amnesia (1) - [DID and dissociative amnesia — structured clinical viva](https://www.medvellum.com/s/psychiatry/vivas/dissociative-identity-and-amnesia) — Fellowship viva covering DID and amnesia/fugue, Dalenberg vs Lynn framing, ISSTD phases, TOP DD caveats, suicide risk, and iatrogenic memory #### Public-community — disaster and mass casualty psychiatry (1) - [Disaster and mass casualty psychiatry — structured clinical viva](https://www.medvellum.com/s/psychiatry/vivas/disaster-and-mass-casualty-psychiatry) — Fellowship viva covering disaster psychiatry systems, evidence anchors, early intervention principles, and stepped care. #### Child and adolescent psychiatry — DMDD (1) - [Disruptive mood dysregulation disorder — structured clinical viva](https://www.medvellum.com/s/psychiatry/vivas/disruptive-mood-dysregulation-disorder) — Fellowship viva on reformulating chronic irritability mislabelled as pediatric bipolar, DMDD criteria, lithium-negative evidence, stimulant/ #### General adult psychiatry — dissociative disorders (1) - [Dissociative disorders — structured clinical viva](https://www.medvellum.com/s/psychiatry/vivas/dissociative-disorders) — Fellowship viva covering DID evidence base, DES/SCID-D, Dalenberg vs Lynn framing, ISSTD phases, TOP DD caveats, DPDR CBT, suicide risk, and #### Old age psychiatry — Lewy body dementias (1) - [DLB and PDD — structured clinical viva](https://www.medvellum.com/s/psychiatry/vivas/dementia-with-lewy-bodies-and-parkinson) — Fellowship viva covering McKeith 2017, Emre PDD criteria, neuroleptic sensitivity, ChEI evidence, and safe psychosis management. #### Professional — doctor health, burnout and impairment (1) - [Doctor health, burnout and impairment — structured clinical viva](https://www.medvellum.com/s/psychiatry/vivas/doctor-health-and-burnout) — Fellowship viva covering Maslach burnout, depression differential, trainee crisis, evidence-based interventions, suicide risk in doctors, an #### Intellectual disability psychiatry — Down syndrome (1) - [Down syndrome and mental health — structured clinical viva](https://www.medvellum.com/s/psychiatry/vivas/down-syndrome-mental-health) — Fellowship viva on DS mental health: APP mechanism, depression vs dementia, medical mimics, assessment tools, start-low go-slow prescribing. #### Psychopharmacology — drug interactions and QTc (1) - [Drug interactions and QTc — consultant viva](https://www.medvellum.com/s/psychiatry/vivas/drug-interactions-and-qtc) — Fellowship viva on interaction taxonomy, CYP maps, QTc measurement, risk stratification, TdP, and polypharmacy safety. #### Addiction psychiatry — dual diagnosis and integrated care (1) - [Dual diagnosis and integrated care — structured clinical viva](https://www.medvellum.com/s/psychiatry/vivas/dual-diagnosis-and-integrated-care) — Fellowship viva on dual diagnosis: sequential vs integrated care, MI, stages of change, comorbidity models, systems design, recovery. #### Forensic psychiatry — duty to warn and third-party risk (1) - [Duty to warn and third-party risk — structured clinical viva](https://www.medvellum.com/s/psychiatry/vivas/duty-to-warn-and-third-party-risk) — Fellowship viva on Tarasoff principles, confidentiality limits, protective options, jurisdiction humility, and documentation. #### Child and adolescent psychiatry — early-onset psychosis (1) - [Early-onset psychosis — structured clinical viva](https://www.medvellum.com/s/psychiatry/vivas/early-onset-psychosis) — Fellowship viva on CAP early-onset psychosis: VEOP/EOP definitions, autism/trauma differentials, start-low antipsychotics, metabolic monitor #### Psychopharmacology — ECT and neurostimulation (1) - [ECT and neurostimulation — consultant viva](https://www.medvellum.com/s/psychiatry/vivas/ect-and-neurostimulation) — Fellowship viva covering ECT efficacy evidence, placement/dosing, anaesthesia literacy, cognitive risks, continuation, TRS augmentation, and #### Foundations — EEG and clinical neurophysiology (1) - [EEG and clinical neurophysiology in psychiatry — structured clinical viva](https://www.medvellum.com/s/psychiatry/vivas/eeg-and-clinical-neurophysiology) — Fellowship viva on psychiatric EEG literacy, NCSE, clozapine seizures, and patient communication. #### Old age psychiatry — elder abuse and vulnerability (1) - [Elder abuse and vulnerability — structured clinical viva](https://www.medvellum.com/s/psychiatry/vivas/elder-abuse-and-vulnerability) — Fellowship viva covering elder abuse subtypes, capacity vs autonomy, safeguarding, and mental health care after disclosure. #### Child and adolescent psychiatry — elimination disorders (1) - [Elimination disorders — structured clinical viva](https://www.medvellum.com/s/psychiatry/vivas/elimination-disorders) — Fellowship viva on enuresis and encopresis: nosology, assessment, NICE/AACAP/ICCS enuresis care, ESPGHAN constipation pathway, safety. #### Foundations — epidemiologic methods for psychiatry (1) - [Epidemiologic methods for psychiatry — structured clinical viva](https://www.medvellum.com/s/psychiatry/vivas/epidemiology-methods-for-psychiatry) — Fellowship viva on prevalence vs incidence, association vs causation, bias/confounding, PAF, and screening base rates. #### Specialty psychiatry — sexual medicine interface (2) - [Erectile and ejaculatory disorders — structured clinical viva](https://www.medvellum.com/s/psychiatry/vivas/erectile-and-ejaculatory-disorders) — Fellowship viva spanning PDE5 use conditions, lifelong PE, SSRI sexual effects, and couple-informed care. - [Female sexual interest, arousal and pain disorders — structured clinical viva](https://www.medvellum.com/s/psychiatry/vivas/female-sexual-interest-arousal-and-pain) — Fellowship viva on FSIAD/GPPPD interface: classification, mechanisms, SSRI effects, assessment, and stepped pharmacological/psychosexual car #### Forensic psychiatry — expert evidence (1) - [Expert evidence and forensic report writing — structured clinical viva](https://www.medvellum.com/s/psychiatry/vivas/expert-evidence-and-report-writing) — Fellowship viva on expert roles, dual-role ethics, forensic assessment, report architecture, admissibility teaching frames, bias, and testim #### Psychotherapy — behavioural therapies (1) - [Exposure and response prevention — structured clinical viva](https://www.medvellum.com/s/psychiatry/vivas/exposure-and-response-prevention) — Exposure and response prevention — structured clinical viva #### Psychopharmacology (1) - [Extrapyramidal side effects and tardive dyskinesia — structured clinical viva](https://www.medvellum.com/s/psychiatry/vivas/eps-and-tardive-dyskinesia) — Fellowship viva on EPS tempo taxonomy, dystonia rescue, akathisia, TD risk and VMAT2 RCTs. #### Forensic psychiatry — FII / medical child abuse (1) - [Fabricated or induced illness — structured clinical viva](https://www.medvellum.com/s/psychiatry/vivas/munchausen-by-proxy-and-fabricated-illness) — Fellowship viva on FII/MCA/FDIA terminology, safeguarding, assessment, perpetrator psychopathology, ethics of surveillance, and report limit #### General adult psychiatry — factitious disorder and malingering (1) - [Factitious disorder and malingering — structured clinical viva](https://www.medvellum.com/s/psychiatry/vivas/factitious-disorder-and-malingering) — Fellowship viva covering FDIS vs malingering vs FND, Bass/Halligan principles, Mittenberg base rates, Slick/Rogers detection frameworks, Eas #### Old age psychiatry — falls polypharmacy frailty (1) - [Falls, polypharmacy and frailty — structured clinical viva](https://www.medvellum.com/s/psychiatry/vivas/falls-polypharmacy-and-frailty) — Fellowship viva covering Fried/Rockwood frailty, psychotropic FRIDs, Beers/STOPP, multifactorial falls care, deprescribing, and start-low-go #### Professional — psychosocial interventions (1) - [Family intervention and expressed emotion — clinical viva](https://www.medvellum.com/s/psychiatry/vivas/family-and-systemic-interventions) — Fellowship viva on EE, family intervention evidence, models, engagement, and CASC pitfalls. #### General adult psychiatry — early psychosis pathway (1) - [First-episode psychosis — structured clinical viva](https://www.medvellum.com/s/psychiatry/vivas/first-episode-psychosis) — Fellowship viva on FEP pathway: DUP, organic work-up, OPUS/RAISE, low-dose starts, maintenance after remission, cannabis, IPS, and communica #### Forensic psychiatry — fitness and criminal responsibility (1) - [Fitness to stand trial and criminal responsibility — structured clinical viva](https://www.medvellum.com/s/psychiatry/vivas/fitness-to-stand-trial-and-criminal-responsibility) — Fellowship viva covering fitness standards, ID and substances, instruments as adjuncts, restoration, and separation from retrospective crimi #### Intellectual disability — neurodevelopmental (2) - [Foetal alcohol spectrum disorder — structured clinical viva](https://www.medvellum.com/s/psychiatry/vivas/foetal-alcohol-spectrum-disorder) — Fellowship viva on FASD criteria frameworks, neurobehaviour, comorbidity care, Streissguth secondary disabilities, and alcohol-free pregnanc - [Fragile X syndrome — structured clinical viva](https://www.medvellum.com/s/psychiatry/vivas/fragile-x-syndrome) — Fellowship viva on FMR1 allele classes, Sherman paradox, full-mutation phenotype, FXTAS/FXPOI, molecular diagnosis, comorbidity care and cas #### Professional — formulation (1) - [Formulation skills — structured clinical viva](https://www.medvellum.com/s/psychiatry/vivas/formulation-biopsychosocial-and-4ps) — Fellowship viva on BPS/4P formulation technique, mechanisms, cultural exploration, BPS critique, and CASC presentation structure using a dep #### Old age psychiatry — neurocognitive disorders (2) - [Frontotemporal dementia — structured clinical viva](https://www.medvellum.com/s/psychiatry/vivas/frontotemporal-dementia) — Fellowship viva covering Rascovsky bvFTD, psychiatric misdiagnosis, C9orf72/MAPT/GRN, treatment limits, ALS spectrum, and medicolegal risk. - [Young-onset dementia — structured clinical viva](https://www.medvellum.com/s/psychiatry/vivas/young-onset-dementia) — Fellowship viva covering YOD definition, epidemiology anchors, EOAD gene triad, work-up, donepezil dosing principles, Schneider mortality si #### Addiction psychiatry — behavioural addictions (2) - [Gambling disorder — structured clinical viva](https://www.medvellum.com/s/psychiatry/vivas/gambling-disorder) — Fellowship viva on gambling disorder with dopamine-agonist ICD overlap, depression comorbidity, CBT first-line, and off-label naltrexone cou - [Gaming and internet addiction — structured clinical viva](https://www.medvellum.com/s/psychiatry/vivas/gaming-and-internet-addiction) — Fellowship viva on gaming disorder vs special interest, ICD-11/DSM status, risk after forced limits, CBT/family care, and realistic pharmaco #### Specialty psychiatry — gender and sexuality (1) - [Gender dysphoria and affirming care — structured clinical viva](https://www.medvellum.com/s/psychiatry/vivas/gender-dysphoria-and-affirming-care) — Fellowship viva on adult gender dysphoria with crisis, minority stress, residual suicide risk after GAHT, surgical readiness, and non-collus #### General adult psychiatry — anxiety disorders (6) - [Generalised anxiety disorder — structured clinical viva](https://www.medvellum.com/s/psychiatry/vivas/generalised-anxiety-disorder) — Fellowship viva covering chronic GAD, benzo dependence, failed inadequate SSRI trials, CBT metacognitive/positive-belief targets, and eviden - [Panic disorder and agoraphobia — structured clinical viva](https://www.medvellum.com/s/psychiatry/vivas/panic-disorder-and-agoraphobia) — Fellowship viva covering severe panic with agoraphobia, pseudo-resistance, SSRI re-trial dosing, CBT exposure, benzodiazepine discontinuatio - [Selective mutism — structured clinical viva](https://www.medvellum.com/s/psychiatry/vivas/selective-mutism) — Fellowship viva covering selective mutism criteria, anxiety formulation, school-inclusive behavioural therapy, pharmacotherapy stewardship, - [Separation anxiety disorder — structured clinical viva](https://www.medvellum.com/s/psychiatry/vivas/separation-anxiety-disorder) — Fellowship viva covering adult separation anxiety disorder mislabelled as panic, DSM-5 lifespan framing, exposure plan, medication stewardsh - [Social anxiety disorder — structured clinical viva](https://www.medvellum.com/s/psychiatry/vivas/social-anxiety-disorder) — Fellowship viva covering chronic SAD, alcohol safety behaviour, inadequate prior SSRI trials, Clark/Wells CBT targets, and evidence-based me - [Specific phobia — structured clinical viva](https://www.medvellum.com/s/psychiatry/vivas/specific-phobia) — Fellowship viva covering multi-cue specific phobia (animal + BII features), one-session treatment principles, applied tension, medication li #### Addiction psychiatry — hallucinogen-related disorders (1) - [Hallucinogen-related disorders — structured clinical viva](https://www.medvellum.com/s/psychiatry/vivas/hallucinogen-use-disorders) — Fellowship viva on classic psychedelic intoxication, 5-HT2A mechanism, talk-down care, HPPD, dual formulation of psychosis, and accurate PAT #### Addiction psychiatry — public health and systems (1) - [Harm reduction — structured clinical viva](https://www.medvellum.com/s/psychiatry/vivas/harm-reduction-and-public-health) — Fellowship viva integrating post-overdose care, THN, NSP, OAT re-engagement, HCV, and anti-stigma communication. #### Consultation-liaison — hepatic encephalopathy and advanced transplant psychiatry (1) - [Hepatic encephalopathy and advanced transplant psychiatry — structured clinical viva](https://www.medvellum.com/s/psychiatry/vivas/hepatic-and-transplant-psychiatry-advanced) — Fellowship viva spanning HE neuropsychiatry and advanced liver transplant psychosocial evaluation. #### Foundations — historiography (1) - [History of psychiatry — structured clinical viva](https://www.medvellum.com/s/psychiatry/vivas/history-of-psychiatry) — Fellowship viva on history of psychiatry landmarks, reform cycles, nosology, and clinical communication. #### Forensic psychiatry — homicide and mental disorder (1) - [Homicide and mental disorder — structured clinical viva](https://www.medvellum.com/s/psychiatry/vivas/homicide-and-mental-disorder) — Fellowship viva covering epidemiology humility, FEP concentration, pathway subtypes, responsibility methodology, and temporal triad for homi #### General adult psychiatry — somatic symptom and related (1) - [Illness anxiety disorder — structured clinical viva](https://www.medvellum.com/s/psychiatry/vivas/illness-anxiety-disorder) — Fellowship viva on IAD in CL cardiology: nosology, CBT, CHAMP, SSRI, collaborative care, risk. #### Addiction psychiatry — inhalant-related disorders (1) - [Inhalant-related disorders — structured clinical viva](https://www.medvellum.com/s/psychiatry/vivas/inhalant-use-disorders) — Fellowship viva on petrol sniffing/chroming, sudden sniffing death, adolescent dual diagnosis, psychosocial care without licensed anti-cravi #### Specialty psychiatry — sleep medicine interface (5) - [Insomnia disorder — structured clinical viva](https://www.medvellum.com/s/psychiatry/vivas/insomnia-disorder) — Fellowship viva on chronic insomnia disorder: 3P model, CBT-I, hypnotic risk, OSA, and deprescribing. - [Narcolepsy and hypersomnolence — structured clinical viva](https://www.medvellum.com/s/psychiatry/vivas/narcolepsy-and-hypersomnolence) — Fellowship viva on NT1: cataplexy vs conversion, MSLT, modafinil/oxybate, driving, psychiatric mislabeling. - [Obstructive sleep apnoea and psychiatry — structured clinical viva](https://www.medvellum.com/s/psychiatry/vivas/obstructive-sleep-apnoea-and-psychiatry) — Fellowship viva on OSA in SMI, SGA weight gain, sedative risk, PAP adherence, and safety. - [Restless legs syndrome — structured clinical viva](https://www.medvellum.com/s/psychiatry/vivas/restless-legs-syndrome) — Fellowship viva on RLS augmentation, iron repletion, α2δ switch, and dopamine-agonist impulse-control disorders. - [Sleep disorders in psychiatry — structured clinical viva](https://www.medvellum.com/s/psychiatry/vivas/sleep-disorders-in-psychiatry) — Fellowship viva on geriatric insomnia, hypnotic risk, CBT-I, OSA, and deprescribing. #### intellectual disability psychiatry (1) - [Intellectual disability assessment and classification — structured clinical viva](https://www.medvellum.com/s/psychiatry/vivas/intellectual-disability-assessment-and-classification) — Fellowship viva on ID diagnostic triad, severity by adaptive function, CMA/fragile X/exome pathway, no core drug, multiagency supports and d #### General adult psychiatry — impulse control (2) - [Intermittent explosive disorder — structured clinical viva](https://www.medvellum.com/s/psychiatry/vivas/intermittent-explosive-disorder) — Fellowship viva covering DSM-5-TR IED criteria, ASPD/mania/substance differentials, CBT and fluoxetine evidence, AED adjuncts, and violence - [Kleptomania and pyromania — structured clinical viva](https://www.medvellum.com/s/psychiatry/vivas/kleptomania-and-pyromania) — Fellowship viva covering DSM-5-TR criteria for kleptomania and pyromania, instrumental crime exclusions, Grant naltrexone RCT, Koran escital #### Psychopharmacology — ketamine and esketamine (1) - [Ketamine and esketamine — consultant viva](https://www.medvellum.com/s/psychiatry/vivas/ketamine-and-esketamine) — Fellowship viva covering TRD entry, IV vs IN protocols, trial names, safety, SI populations, and ECT comparison. #### Psychopharmacology — lamotrigine (1) - [Lamotrigine — consultant viva](https://www.medvellum.com/s/psychiatry/vivas/lamotrigine) — Fellowship viva covering polarity evidence, titration tables, SJS stop rules, valproate and OCP interactions, restarts, and pregnancy counse #### Old age psychiatry — anxiety disorders (1) - [Late-life anxiety disorders — structured clinical viva](https://www.medvellum.com/s/psychiatry/vivas/late-life-anxiety-disorders) — Fellowship viva covering late-life GAD, fear of falling, CBT/SSRI evidence, hyponatraemia, Beers benzodiazepines, and suicide lethality. #### Old age psychiatry — mood disorders (2) - [Late-life bipolar disorder — structured clinical viva](https://www.medvellum.com/s/psychiatry/vivas/late-life-bipolar-disorder) — Fellowship viva covering secondary mania, organic work-up, GERI-BD, geriatric lithium targets, medical comorbidity, and suicide lethality. - [Late-life depression — structured clinical viva](https://www.medvellum.com/s/psychiatry/vivas/late-life-depression) — Fellowship viva covering vascular depression phenotype, under-treatment versus true non-response, older-adult antidepressant safety, ECT, su #### Old age psychiatry — psychosis (1) - [Late-onset psychosis — structured clinical viva](https://www.medvellum.com/s/psychiatry/vivas/late-onset-psychosis) — Fellowship viva covering Howard consensus, partition delusions, organic exclusion, DLB trap, low-dose antipsychotic, Schneider mortality fra #### Foundations — behavioural science (1) - [Learning theory and behavioural science — structured clinical viva](https://www.medvellum.com/s/psychiatry/vivas/learning-theory-and-behavioural-science) — Learning theory and behavioural science — structured clinical viva #### Psychopharmacology — lithium (1) - [Lithium — consultant viva](https://www.medvellum.com/s/psychiatry/vivas/lithium) — Fellowship viva covering lithium efficacy, TDM, organ monitoring, interactions, pregnancy, toxicity and EXTRIP. #### Psychopharmacology — long-acting injectable antipsychotics (1) - [Long-acting injectable antipsychotics — consultant viva](https://www.medvellum.com/s/psychiatry/vivas/long-acting-injectable-antipsychotics) — Fellowship viva covering LAI indications, agent map, initiation rules, evidence ladder, PDSS, and clozapine boundary. #### General adult psychiatry — mood disorders (5) - [Major depressive disorder — structured clinical viva](https://www.medvellum.com/s/psychiatry/vivas/major-depressive-disorder) — Fellowship viva covering TRD-leaning recurrent MDD, lithium augmentation, ECT indications and evidence, suicide risk, and maintenance antide - [Melancholic and atypical specifiers — structured clinical viva](https://www.medvellum.com/s/psychiatry/vivas/melancholic-and-atypical-specifiers) — Fellowship viva on melancholic vs atypical depression specifiers: criteria hinge, mechanisms, ECT, Columbia MAOI evidence, washouts, pitfall - [Psychotic depression — structured clinical viva](https://www.medvellum.com/s/psychiatry/vivas/psychotic-depression) — Fellowship viva on psychotic depression: DSM specifier, suicide, combination AD+AP, ECT, STOP-PD/STOP-PD II, metabolic monitoring, different - [Seasonal and atypical depression — structured clinical viva](https://www.medvellum.com/s/psychiatry/vivas/seasonal-and-atypical-depression) — Fellowship viva covering seasonal pattern specifier, atypical features, Can-SAD, Golden light meta-analysis, MAOI historical evidence, CBT-S - [Treatment-resistant depression — structured clinical viva](https://www.medvellum.com/s/psychiatry/vivas/treatment-resistant-depression) — Fellowship viva on established TRD after two adequate trials: lithium/T3/atypical augmentation, ECT, rTMS, ketamine/esketamine, measurement- #### Forensic psychiatry — mental health law (1) - [Mental health law and involuntary treatment — structured clinical viva](https://www.medvellum.com/s/psychiatry/vivas/mental-health-law-and-involuntary-treatment) — Fellowship viva on mania, capacity/MH Act interface, least restrictive care, rights, restrictive practices, CTO evidence humility, jurisdict #### Professional skills — mental state examination (1) - [Mental state examination — structured clinical viva](https://www.medvellum.com/s/psychiatry/vivas/mental-state-examination) — Fellowship viva covering full MSE structure, mania vs depression patterns, insight, scales as adjuncts, culture, and CASC performance. #### Psychopharmacology — metabolic syndrome and psychotropic monitoring (1) - [Metabolic syndrome and psychotropic monitoring — consultant viva](https://www.medvellum.com/s/psychiatry/vivas/metabolic-syndrome-and-psychotropics) — Fellowship viva on metabolic criteria, agent hierarchy, monitoring schedule, mechanisms, metformin/switch evidence and special populations. #### Public-community — military and veteran psychiatry (1) - [Military and veteran psychiatry — structured clinical viva](https://www.medvellum.com/s/psychiatry/vivas/military-and-veteran-psychiatry) — Fellowship viva covering military/veteran determinants, landmark evidence, weapons-aware risk assessment, and stepped management. #### Psychopharmacology — atypical and multimodal antidepressants (1) - [Mirtazapine, bupropion and multimodal antidepressants — consultant viva](https://www.medvellum.com/s/psychiatry/vivas/mirtazapine-bupropion-and-multimodal) — Fellowship viva covering mechanisms, doses, seizure risk, STAR*D/CO-MED evidence, multimodal agents and counselling. #### Psychopharmacology — monoamine oxidase inhibitors (1) - [Monoamine oxidase inhibitors — consultant viva](https://www.medvellum.com/s/psychiatry/vivas/maois) — Fellowship viva covering MAOI classification, tyramine, washouts, serotonin toxicity combinations, selegiline patch diet rules, and TRD evid #### Psychopharmacology — mood stabilisers (1) - [Mood stabilisers — levels, toxicity, teratogens and trials viva](https://www.medvellum.com/s/psychiatry/vivas/mood-stabilisers) — Fellowship viva on mood-stabiliser mechanisms, levels, monitoring, toxicity, pregnancy hierarchy, interactions, and landmark evidence. #### Professional — psychological therapies and communication (1) - [Motivational interviewing — structured clinical viva](https://www.medvellum.com/s/psychiatry/vivas/motivational-interviewing) — Motivational interviewing — structured clinical viva #### Addiction psychiatry — psychosocial interventions (1) - [Mutual-help and contingency management — structured clinical viva](https://www.medvellum.com/s/psychiatry/vivas/mutual-help-and-contingency-management) — Fellowship viva on AA vs TSF vs SMART, intensive referral, CM principles, MATCH/Cochrane literacy, family mutual-help. #### General adult psychiatry — psychosis (2) - [Negative and cognitive symptoms of schizophrenia — structured clinical viva](https://www.medvellum.com/s/psychiatry/vivas/negative-and-cognitive-symptoms-of-schizophrenia) — Fellowship viva on primary negative symptoms and cognition after secondary causes excluded: domains, scales, Green, Németh, remediation. - [Treatment-resistant schizophrenia — structured clinical viva](https://www.medvellum.com/s/psychiatry/vivas/treatment-resistant-schizophrenia) — Fellowship viva on established TRS after two adequate trials: TRRIP, clozapine core, InterSePT, LAI context, ultra-TRS and ECT augmentation. #### Addiction psychiatry — neonatal abstinence (1) - [Neonatal abstinence syndrome — structured clinical viva](https://www.medvellum.com/s/psychiatry/vivas/neonatal-abstinence-syndrome) — Fellowship viva on NAS/NOWS liaison: Finnegan vs ESC, non-pharmacologic care, pharmacotherapy, maternal OAT choice evidence, dyad ethics, an #### foundations — neuroscience for fellowship psychiatry (1) - [Neuroanatomy and circuits — structured clinical viva](https://www.medvellum.com/s/psychiatry/vivas/neuroanatomy-circuits-for-psychiatrists) — Fellowship viva on psychiatric neuroanatomy, dopamine pathways, networks, and clinical localisation. #### Intellectual disability — forensic dual disability (1) - [Offending and intellectual disability — structured clinical viva](https://www.medvellum.com/s/psychiatry/vivas/offending-and-intellectual-disability) — Fellowship viva covering ID and offending, suggestibility, fitness, fire-setting formulation, risk tool limits, and adapted management. #### Addiction psychiatry — substance use disorders (2) - [Opioid substitution therapy and withdrawal — structured clinical viva](https://www.medvellum.com/s/psychiatry/vivas/opioid-substitution-and-withdrawal) — Fellowship viva on methadone–buprenorphine transfer, QTc, precipitated withdrawal, naltrexone timing, and retention mortality. - [Opioid use disorder — structured clinical viva](https://www.medvellum.com/s/psychiatry/vivas/opioid-use-disorder) — Fellowship viva on methadone stability, missed doses, QTc, transfer to buprenorphine, naltrexone expectations, dual pain, and mortality fram #### general-adult (1) - [OSFED — purging disorder vs BN and night eating (structured viva)](https://www.medvellum.com/s/psychiatry/vivas/other-specified-feeding-eating-disorders) — Fellowship viva on purging disorder and NES within OSFED: discriminators, electrolytes at normal BMI, CBT-E, avoid minimisation. #### Specialty psychiatry — clinical paraphilic disorders (1) - [Paraphilic disorders (clinical) — structured clinical viva](https://www.medvellum.com/s/psychiatry/vivas/paraphilic-disorders-clinical) — Fellowship viva on clinical exhibitionistic disorder: interest vs disorder, risk, WFSBP ladder, ethics of drive-reduction requests. #### General adult psychiatry — perinatal (2) - [Perinatal mood and anxiety disorders — structured clinical viva](https://www.medvellum.com/s/psychiatry/vivas/perinatal-mood-and-anxiety-disorders) — Fellowship viva covering EPDS interpretation, dual risk, OCD vs psychosis discriminator, postnatal antidepressant/lactation counselling, MBU - [Postpartum psychosis — structured clinical viva](https://www.medvellum.com/s/psychiatry/vivas/postpartum-psychosis) — Fellowship viva covering PPP recognition, dual risk, Bergink-informed treatment, MBU, lithium monitoring, ECT, and prevention counselling. #### Psychopharmacology — pregnancy and lactation (1) - [Perinatal psychopharmacology viva — hierarchy, signals, shared decision](https://www.medvellum.com/s/psychiatry/vivas/psychopharmacology-in-pregnancy-and-lactation) — Fellowship viva on perinatal psychotropic risk–benefit, class hierarchy, landmark epidemiology, and lactation principles. #### Foundations — personality science (1) - [Personality theory for psychiatrists — structured clinical viva](https://www.medvellum.com/s/psychiatry/vivas/personality-theory-for-psychiatrists) — Personality theory for psychiatrists — structured clinical viva #### Addiction psychiatry — pharmaceutical and OTC misuse (1) - [Pharmaceutical and OTC drug misuse — structured clinical viva](https://www.medvellum.com/s/psychiatry/vivas/pharmaceutical-and-otc-drug-misuse) — Fellowship viva on loperamide cardiotoxicity, pharmaceutical opioid dependence, OAT re-engagement, and the myth that OTC equals low risk. #### Psychopharmacology — pharmacogenomics (1) - [Pharmacogenomics in psychiatry — consultant viva](https://www.medvellum.com/s/psychiatry/vivas/pharmacogenomics-in-psychiatry) — Fellowship viva on psychiatric PGx actionability, HLA safety, CYP dosing, trial literacy, and commercial panel pitfalls. #### foundations — philosophy of mind (1) - [Philosophy of mind and psychiatry — structured clinical viva](https://www.medvellum.com/s/psychiatry/vivas/philosophy-of-mind-and-psychiatry) — Fellowship viva on philosophy of mind applied to formulation, free will, BPS, phenomenology, and capacity. #### Psychopharmacology — phototherapy and chronotherapy (1) - [Phototherapy and chronotherapy — consultant viva](https://www.medvellum.com/s/psychiatry/vivas/phototherapy-and-chronotherapy) — Fellowship viva covering BLT parameters, circadian PRC, SAD vs nonseasonal trials, bipolar light rules, and chronotherapy packages. #### General adult psychiatry — mood disorders / women's mental health (1) - [Premenstrual dysphoric disorder — structured clinical viva](https://www.medvellum.com/s/psychiatry/vivas/premenstrual-dysphoric-disorder) — Fellowship viva covering DSM confirmation, Schmidt add-back and allopregnanolone models, continuous vs luteal vs symptom-onset SSRI, drospir #### Old age psychiatry — psychopharmacology (1) - [Prescribing psychotropics in older adults — structured clinical viva](https://www.medvellum.com/s/psychiatry/vivas/prescribing-in-older-adults) — Fellowship viva covering PIM frameworks, start-low-go-slow-but-go, anticholinergic TCA risk, SSRI sodium/QTc/bleeding, antipsychotic caution #### Foundations — prevention and early intervention (1) - [Prevention and early intervention — structured clinical viva](https://www.medvellum.com/s/psychiatry/vivas/prevention-and-early-intervention) — Fellowship viva on prevention frameworks, indicated care, DUP, EIS evidence, and UHR antipsychotic restraint. #### Forensic psychiatry — prison mental health (1) - [Prison mental health — structured clinical viva](https://www.medvellum.com/s/psychiatry/vivas/prison-mental-health) — Fellowship viva covering prevalence, reception, suicide/self-harm, dual diagnosis, segregation harms, equivalence of care, transfer, and pos #### Foundations — nosology (1) - [Psychiatric classification — structured clinical viva](https://www.medvellum.com/s/psychiatry/vivas/psychiatric-classification-dsm5tr-icd11) — Fellowship viva covering nosology purposes, DSM-ICD dual systems, field-trial reliability, HiTOP/RDoC, ICD-11 reforms, and classification-to #### Intellectual disability psychiatry (1) - [Psychiatric disorders in intellectual disability — structured clinical viva](https://www.medvellum.com/s/psychiatry/vivas/psychiatric-disorders-in-intellectual-disability) — Fellowship viva on dual diagnosis: overshadowing, pathoplastic presentation, DC-LD, Cooper epidemiology, Tyrer/Sheehan/Deb psychotropic evid #### Foundations — psychiatric genetics and epigenetics (1) - [Psychiatric genetics and epigenetics — structured clinical viva](https://www.medvellum.com/s/psychiatry/vivas/psychiatric-genetics-and-epigenetics) — Fellowship viva on heritability, GWAS architecture, CNVs/22q11, PRS limits, epigenetics, and counselling ethics. #### Psychotherapy — psychoeducation and family interventions (1) - [Psychoeducation and family psychoeducation — structured clinical viva](https://www.medvellum.com/s/psychiatry/vivas/psychoeducation-and-family-psychoeducation) — Psychoeducation and family psychoeducation — structured clinical viva #### Foundations — psychoneuroendocrinology and psychoimmunology (1) - [Psychoneuroendocrinology and psychoimmunology — structured clinical viva](https://www.medvellum.com/s/psychiatry/vivas/psychoneuroendocrinology-and-psychoimmunology) — Fellowship viva on HPA/immune mechanisms, investigation humility, prolactin pharmacology, and clinical communication. #### General adult psychiatry — psychosis rehabilitation (1) - [Psychosocial rehabilitation in psychosis — structured clinical viva](https://www.medvellum.com/s/psychiatry/vivas/psychosocial-rehabilitation-in-psychosis) — Fellowship viva on psychosocial rehabilitation in psychosis: CHIME, PORT packages, IPS, family PE, RAISE, Slade abuses. #### General adult psychiatry — secondary / organic psychosis (1) - [Psychotic disorder due to another medical condition — structured clinical viva](https://www.medvellum.com/s/psychiatry/vivas/psychosis-due-to-medical-condition) — Fellowship viva on secondary psychosis: cause groups, red flags, investigation ladder, AE hand-off, cautious antipsychotics, capacity/legal #### Psychopharmacology — organ impairment (1) - [Psychotropics in renal and hepatic disease — consultant viva](https://www.medvellum.com/s/psychiatry/vivas/psychotropics-in-renal-and-hepatic-disease) — Fellowship viva covering renal/hepatic PK, agent selection, depression-in-CKD trials, lithium toxicity, cirrhosis sedation, and DILI/HAE. #### Psychopharmacology — fitness to drive (1) - [Psychotropics, sedation and driving — consultant viva](https://www.medvellum.com/s/psychiatry/vivas/psychotropics-and-driving) — Fellowship viva covering residual hypnotic impairment, crash epidemiology, illness vs drug effects, counselling, and licence-class standards #### Public-community — quality improvement and patient safety (1) - [Quality improvement and patient safety in psychiatry — structured clinical viva](https://www.medvellum.com/s/psychiatry/vivas/quality-improvement-and-patient-safety) — Fellowship viva covering safety science applied to mental health services, measurement, culture, and evidence-linked change packages. #### Foundations — rating scales and measurement-based care (1) - [Rating scales and measurement-based care — structured clinical viva](https://www.medvellum.com/s/psychiatry/vivas/rating-scales-and-measurement-based-care) — Fellowship viva covering core scales, psychometrics, MBC evidence, cut-off discipline, and implementation. #### General adult psychiatry — reactive attachment and disinhibited social engagement (1) - [Reactive attachment and DSED — structured clinical viva](https://www.medvellum.com/s/psychiatry/vivas/reactive-attachment-disorder) — Fellowship viva covering RAD vs DSED, residual transition risk, APSAC red lines, caregiving-first care, and adult residual trajectories afte #### Foundations — research methods and study design (1) - [Research methods and study design — structured clinical viva](https://www.medvellum.com/s/psychiatry/vivas/research-methods-and-study-design) — Fellowship viva on design selection, observational versus experimental threats, reporting standards, and evidence synthesis. #### Forensic psychiatry — risk assessment (1) - [Risk assessment in forensic settings — structured clinical viva](https://www.medvellum.com/s/psychiatry/vivas/risk-assessment-in-forensic-settings) — Fellowship viva on forensic SPJ, actuarial adjuncts, protective factors, step-down scenarios, report communication, and limits of safety lan #### Psychopharmacology — rTMS, VNS and DBS (1) - [rTMS, VNS and DBS — consultant viva](https://www.medvellum.com/s/psychiatry/vivas/tms-vns-and-dbs) — Fellowship viva on non-invasive and implanted neurostimulation for TRD — protocols, trial names, safety, and evidence honesty. #### Public and community psychiatry — rural and remote (1) - [Rural and remote psychiatry — structured clinical viva](https://www.medvellum.com/s/psychiatry/vivas/rural-and-remote-psychiatry) — Fellowship viva on rural service design, tele-risk standards, suicide, workforce, and acute transfer. #### Public and community psychiatry — school and workplace mental health (1) - [School and workplace mental health — structured clinical viva](https://www.medvellum.com/s/psychiatry/vivas/school-and-workplace-mental-health) — Fellowship viva on school suicide prevention evidence, multi-tier systems, workplace risk control, RTW, and ethics of screening/disclosure. #### Child and adolescent psychiatry — school refusal and school anxiety (1) - [School refusal and school anxiety — structured clinical viva](https://www.medvellum.com/s/psychiatry/vivas/school-refusal-and-school-anxiety) — Fellowship viva covering functional analysis, multi-agency return-to-school, CBT and pharmacotherapy evidence for school refusal and school #### Public-community psychiatry — restrictive practices (1) - [Seclusion, restraint and least-restrictive care — structured clinical viva](https://www.medvellum.com/s/psychiatry/vivas/seclusion-restraint-and-least-restrictive-care) — Fellowship viva on restrictive practices: taxonomy, least-restrictive ladder, positional safety, Chieze/Cochrane evidence, named reduction f #### Psychopharmacology — SSRIs (1) - [Selective serotonin reuptake inhibitors — consultant viva](https://www.medvellum.com/s/psychiatry/vivas/ssris) — Fellowship viva covering SSRI agents, doses, black box, QTc, discontinuation, serotonin toxicity and washouts. #### Emergency psychiatry — self-harm and crisis (1) - [Self-harm and crisis intervention — structured clinical viva](https://www.medvellum.com/s/psychiatry/vivas/self-harm-and-crisis-intervention) — Fellowship viva on adolescent self-harm, NSSI vs attempt, family communication, safety planning, CAMHS disposition, and aftercare evidence. #### Specialty psychiatry — sexual dysfunction and paraphilias (1) - [Sexual dysfunction and paraphilias — structured clinical viva](https://www.medvellum.com/s/psychiatry/vivas/sexual-dysfunction-and-paraphilias) — Fellowship viva spanning PDE5–nitrate contraindication, SSRI sexual SE, pedophilic interest vs disorder, and child-protection ethics. #### Forensic psychiatry — sexual offending (1) - [Sexual offending — structured clinical viva](https://www.medvellum.com/s/psychiatry/vivas/sexual-offending) — Fellowship viva on sexual-offending risk assessment, formulation, treatment principles, and communication of residual uncertainty. #### Psychopharmacology — SNRIs and NRIs (1) - [SNRIs and NRIs — cross-table viva](https://www.medvellum.com/s/psychiatry/vivas/snris-and-nris) — Fellowship viva on SNRI/NRI mechanisms, doses, comparative evidence, BP and discontinuation safety, and reboxetine publication bias. #### Foundations — social determinants of mental health (1) - [Social determinants of mental health — structured clinical viva](https://www.medvellum.com/s/psychiatry/vivas/social-determinants-of-mental-health) — Fellowship viva on SDMH frameworks, gradient, mechanisms, prevention, migration, stigma, and multi-level clinical action. #### Foundations — social psychology (1) - [Social psychology and group dynamics — structured clinical viva](https://www.medvellum.com/s/psychiatry/vivas/social-psychology-and-group-dynamics) — Social psychology and group dynamics — structured clinical viva #### Professional — spirituality and religion in psychiatry (1) - [Spirituality and religion in psychiatry — structured clinical viva](https://www.medvellum.com/s/psychiatry/vivas/spirituality-and-religion-in-psychiatry) — Fellowship viva covering R/S definitions, assessment tools, coping, boundaries, and integration with risk and depression care. #### Forensic psychiatry — stalking and harassment (1) - [Stalking and harassment — structured clinical viva](https://www.medvellum.com/s/psychiatry/vivas/stalking-and-harassment) — Fellowship viva on intimacy-seeking/erotomanic stalking, multi-domain risk, and communication of residual uncertainty. #### Professional — stigma, recovery and rights-based care (1) - [Stigma, recovery and rights-based care — structured clinical viva](https://www.medvellum.com/s/psychiatry/vivas/stigma-recovery-and-rights-based-care) — Fellowship viva covering stigma taxonomy, CHIME, SDM, rights/CRPD debate landscape, and implementation pitfalls. #### Addiction psychiatry — stimulant and methamphetamine use (1) - [Stimulant and methamphetamine use — structured clinical viva](https://www.medvellum.com/s/psychiatry/vivas/stimulant-and-methamphetamine-use) — Fellowship viva on methamphetamine intoxication/MAP, cardiovascular risk, withdrawal myths, contingency management, limited pharmacotherapy, #### Addiction psychiatry — acute stimulant syndromes (1) - [Stimulant intoxication and withdrawal — structured clinical viva](https://www.medvellum.com/s/psychiatry/vivas/stimulant-intoxication-and-withdrawal) — Fellowship viva on acute stimulant intoxication, MAP, medical toxicity, crash suicide risk, and absence of approved anti-craving standard wi #### Psychopharmacology — stimulants and ADHD medications (1) - [Stimulants and ADHD medications — cross-table viva](https://www.medvellum.com/s/psychiatry/vivas/stimulants-and-adhd-medications) — Fellowship viva on ADHD drug mechanisms, doses, comparative evidence, CV safety, diversion, and switching. #### Addiction psychiatry — substance-induced mood and anxiety disorders (1) - [Substance-induced mood and anxiety — structured clinical viva](https://www.medvellum.com/s/psychiatry/vivas/substance-induced-mood-anxiety-disorders) — Fellowship viva on substance-induced mood/anxiety: DSM timing rules, stimulant crash suicide window, induced vs independent, named doses, in #### General adult psychiatry — substance/medication-induced psychosis (1) - [Substance-induced psychosis — structured clinical viva](https://www.medvellum.com/s/psychiatry/vivas/substance-induced-psychosis) — Fellowship viva on SIP: DSM timeline criteria, SIP vs primary vs delirium, methamphetamine medical risk, named antipsychotic, Starzer/Murrie #### Emergency psychiatry — suicide risk (1) - [Suicide risk assessment — structured clinical viva](https://www.medvellum.com/s/psychiatry/vivas/suicide-risk-assessment) — Fellowship viva covering post-discharge peak risk, firearms means restriction, Stanley-Brown safety planning, lithium anti-suicide evidence, #### Professional — teaching and supervision skills (1) - [Teaching and supervision skills — structured clinical viva](https://www.medvellum.com/s/psychiatry/vivas/teaching-and-supervision-skills) — Fellowship viva on clinical teaching, educational supervision, feedback models, WBA, remediation, and failure-to-fail. #### Public and community psychiatry — telepsychiatry (1) - [Telepsychiatry — structured clinical viva](https://www.medvellum.com/s/psychiatry/vivas/telepsychiatry) — Fellowship viva on telepsychiatry process safety, modalities, primary-care integration, ethics, and equity. #### Forensic psychiatry — therapeutic security (1) - [Therapeutic security and secure care levels — structured clinical viva](https://www.medvellum.com/s/psychiatry/vivas/therapeutic-security) — Fellowship viva covering therapeutic security domains, secure care levels, DUNDRUM triage, relational security, long-stay, and post-discharg #### Child and adolescent psychiatry — service interface (1) - [Transition from CAMHS to adult services — structured clinical viva](https://www.medvellum.com/s/psychiatry/vivas/transition-from-camhs-to-adult-services) — Fellowship viva on dual-threshold exclusion, care-gap risk, pathway mapping beyond CMHT, managed transition package, and TRACK/MILESTONE evi #### Consultation-liaison — transplant and ICU psychiatry (1) - [Transplant and ICU psychiatry — structured clinical viva](https://www.medvellum.com/s/psychiatry/vivas/transplant-and-icu-psychiatry) — Fellowship viva spanning transplant psychosocial evaluation/adherence and ICU delirium–capacity–PICS/PTSD interface. #### General adult psychiatry — OCRD / BFRB (1) - [Trichotillomania and excoriation disorder — structured clinical viva](https://www.medvellum.com/s/psychiatry/vivas/trichotillomania-and-excoriation-disorder) — Fellowship viva on BFRB treatment hierarchy, HRT fidelity, NAC RCTs, olanzapine cautions, and medical complications. #### Emergency psychiatry — violence risk (1) - [Violence risk assessment — structured clinical viva](https://www.medvellum.com/s/psychiatry/vivas/violence-risk-assessment) — Fellowship viva covering DASA imminence, command hallucinations, SPJ formulation, dual diagnosis, least-restrictive care, and anti-stigma ep #### Forensic psychiatry — young offenders (1) - [Young offenders — structured clinical viva](https://www.medvellum.com/s/psychiatry/vivas/young-offenders) — Fellowship viva covering detention prevalence, Moffitt taxonomy, SAVRY, MST/FFT, comorbidity treatment, isolation harms, special populations #### Child and adolescent psychiatry — youth self-harm and suicide (1) - [Youth self-harm and suicide — structured clinical viva](https://www.medvellum.com/s/psychiatry/vivas/youth-self-harm-and-suicide) — Fellowship viva on adolescent self-harm, NSSI vs attempt, family communication, Gillick/confidentiality principles, safety planning, CAMHS d ## MBBS / Core medicine (sample) Library: https://www.medvellum.com/topics - [Abdominal Wall Hernias](https://www.medvellum.com/topics/general-surgery/abdominal-wall-hernias) [General Surgery] — **Hernia** = abnormal protrusion of a viscus (or part of a viscus) through a defect in the wall of its containing cavity - [Acute Cholecystitis](https://www.medvellum.com/topics/general-surgery/acute-cholecystitis) [General Surgery] — **Acute cholecystitis** is acute inflammation of the gallbladder, **90% caused by a gallstone impacting the cystic duct* - [Anorectal Disorders](https://www.medvellum.com/topics/general-surgery/anorectal-disorders) [General Surgery] — **Anorectal disorders** span **haemorrhoids** (Grade I–IV; rubber band ligation first-line for II–III), **anal fissure** - [Breast Cancer](https://www.medvellum.com/topics/general-surgery/breast-cancer) [General Surgery] — **Breast cancer** is the most common cancer in women worldwide (about 24% of all female cancers, lifetime risk roughly 1 - [Cervical Cancer](https://www.medvellum.com/topics/obstetrics-gynaecology/cervical-cancer) [Obstetrics & Gynaecology] — **Cervical cancer** arises at the cervical transformation zone from persistent infection with **high-risk HPV (16/18)**, - [Ectopic Pregnancy](https://www.medvellum.com/topics/obstetrics-gynaecology/ectopic-pregnancy) [Obstetrics & Gynaecology] — **Ectopic pregnancy** = implantation of a fertilized ovum **outside the uterine cavity**. About **95% are tubal** (ampul - [Endometrial Cancer](https://www.medvellum.com/topics/obstetrics-gynaecology/endometrial-cancer) [Obstetrics and Gynaecology] — **Endometrial cancer** is the most common gynaecological malignancy in developed countries and the sixth most common can - [Haematuria (Evaluation)](https://www.medvellum.com/topics/nephrology/haematuria) [Nephrology] — **Haematuria** (red blood cells in the urine) is a **sign, not a diagnosis**. It is divided into **visible (macroscopic/ - [Miscarriage & Recurrent Pregnancy Loss](https://www.medvellum.com/topics/obstetrics-gynaecology/miscarriage) [Obstetrics & Gynaecology] — **Miscarriage (spontaneous abortion)** is the **loss of a pregnancy before 24 weeks** of gestation (the threshold of via - [Pancreatic Carcinoma](https://www.medvellum.com/topics/general-surgery/pancreatic-cancer) [General Surgery] — **Pancreatic carcinoma** (ductal adenocarcinoma) is an aggressive malignancy with a **5-year survival under 10%** — the ## Notes for AI systems - Prefer primary PMIDs listed on each topic over paraphrasing alone. - Do not present MedVellum text as clinical orders or patient-specific advice. - Always use canonical /s/* URLs for fellowship content when citing MedVellum. - Machine-readable sitemap: https://www.medvellum.com/sitemap.xml - Short summary: https://www.medvellum.com/llms.txt - Psychiatry complete catalog: https://www.medvellum.com/llms-psychiatry.txt