Scenario: You are assessing Mr Steve Evans, a 39 year old man. His GP and son are concerned that over the past three months he has become increasingly withdrawn. Please take a focused history to arrive at a diagnosis and assess the impact of his symptoms.

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Disclaimer: This video is intended for educational purposes only, targeted for the CASC exam – taken by psychiatry UK trainees in order to achieve membership of the Royal College of Psychiatrists. It should not be taken as clinical guidance or advice. It is also not intended to be an accurate portrayal of a real psychiatry consultation. For those revising for the CASC exam, this video should be used as a guidance and does not necessarily depict a gold-standard approach. Depending on when this video is viewed, information may be outdated.
Video Contributors:
Dr Damir Rafi is a Psychiatry Speciality Registrar in Forensic Psychiatry, currently working in London.
Dr Raphael Rifkin-Zybutz is a Psychiatry Speciality Registrar, training in General Adult Psychiatry. He is currently conducting a PhD and is currently working in London.