This video demonstrates how to explain and discuss the antipsychotic medication clozapine, in a CASC style format.
Scenario: You are working on an acute psychiatric ward, and are meeting Mrs. Fiona Collins, sister of Nathan Collins, a 28-year-old man with treatment-resistant paranoid schizophrenia. Despite good adherence to multiple antipsychotics, Nathan’s psychotic symptoms remain severe and unresponsive. The treating team has decided to start clozapine.
Please explain why clozapine is recommended now, discuss potential side effects and monitoring, and address Mrs. Collins’ concerns.
You can read our guide on first rank symptoms of schizophrenia here: First Rank Symptoms of Schizophrenia | CASC – PsychPanda
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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 Depending on when this video is viewed, information may be outdated.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 Raphael Rifkin-Zybutz is a Psychiatry Speciality Registrar in general adult psychiatry, currently working in London. He is soon to start a PhD at Kings College London.
Dr Rebecca Wilkinson is a Psychiatry Speciality Registrar, specialising in Child and Adolescent psychiatry. She is currently working in London.