Psychiatry CASC
Walk into your Psychiatry CASC OSCE having already done it — dozens of times
Practise Psychiatry CASC stations out loud against a simulated patient who responds realistically, any time of day. Get examiner-style feedback on any station you finish, in seconds.
What is the Psychiatry CASC OSCE, and how do you practise for it?
The MRCPsych Clinical Assessment of Skills and Competencies — the Royal College of Psychiatrists' final clinical exam: sixteen 7-minute role-play stations run in two circuits (five history-taking, five examination, six management), each a live encounter with a professional role player while a silent examiner marks analytic domains and a global judgement. MedMock runs all sixteen. The College publishes skill areas rather than fixed station titles, and each sitting samples them, so these practice stations are named by skill area. The blueprint requires at least one of physical-health history or physical examination in every running order, and MedMock takes the history form, so this is a complete circuit in a spoken format — the hands-on physical examination itself is not simulated. MedMock lets you practise it out loud against an AI patient, with examiner-style feedback on any station you finish.
Last updated 29 October 2026
Psychiatry CASC OSCE practice, on demand
MedMock gives you a simulated patient who responds realistically, available 24/7. Pick a station, have a spoken conversation, and ask for examiner-style feedback when you finish, scored against what genuinely matters in the Psychiatry CASC.
How it works
Choose a station
Pick from the Psychiatry CASC stations — all 16 that MedMock runs, or let MedMock surprise you the way exam day will.
Have the conversation
Speak naturally, out loud. The AI patient responds in real time — with emotions, cues and unexpected turns, just like a real encounter.
Get instant feedback
The moment you finish, you get specific, examiner-style feedback and a score — what you did well, what cost you marks, and precisely what to fix before the next attempt.
Practise every station
MedMock covers the stations you will face in the Psychiatry CASC OSCE. Rehearse each one until it feels routine.
History‐taking (Presenting complaint)
Seven-minute focused psychiatric history from a Virtual Patient — elicit the presenting complaint and its course, screen the key differentials and risk, and close with a clear next step. Depression, psychosis, anxiety, PTSD, OCD, eating disorders, perinatal and substance-use presentations all rotate here.
History‐taking (Physical health)
Physical-health history in a psychiatric context — medical comorbidity, medication effects (metabolic syndrome, lithium, clozapine), smoking, alcohol and lifestyle, linking the physical story to the mental-state picture.
History‐taking (Developmental)
Developmental and early-life history — pregnancy and milestones, school and friendships, adversity and attachment — the backbone of adult ADHD / autism assessments and personality-difficulty formulations.
History‐taking (Personal & social)
Personal and social history — relationships, housing, work and finances, alcohol, drugs and forensic history — taken with tact and woven into risk and support planning.
History‐taking (Collateral)
Collateral history from a relative, carer or friend of the index patient — first-episode psychosis, dementia, mania and safeguarding pictures — balancing the informant's distress with confidentiality.
Examination (MSE – Psychotic)
Live mental state examination of a psychotic Virtual Patient — elicit hallucinations, delusional beliefs, first-rank and passivity phenomena, thought interference and insight, with phenomenological precision.
Examination (MSE – Non-psychotic)
Mental state examination of mood and neurotic presentations — depressive cognitions, anxiety and panic phenomenology, obsessions and compulsions, suicidal thinking — eliciting and naming the psychopathology.
Examination (MSE – Cognitive)
Bedside cognitive examination done conversationally — orientation, registration and recall, attention, language and executive screening — pitched to a possibly confused or apprehensive patient.
Examination (Capacity assessment)
Capacity assessment on a live decision — testing understanding, retention, weighing and communication under the Mental Capacity Act while keeping the patient's trust.
Examination (Risk assessment)
Seven-minute risk assessment with a Virtual Patient — elicit and weigh risk to self, to others, from others and of self-neglect, probing intent, plan, preparation, means and protective factors as explicitly as risk, and reach a defensible formulation. NICE NG225-aligned: no risk-stratification scores.
Management (Formulation)
Explain your formulation to the patient or a relative — predisposing, precipitating, perpetuating and protective factors in plain language — and agree what happens next.
Management (Biological)
Explain and agree drug treatment — starting clozapine or lithium, switching antidepressants, depot antipsychotics, side-effects and monitoring — Montgomery-standard information giving with teach-back.
Management (Psychological)
Explain psychological therapy — what CBT, DBT, EMDR or family therapy actually involves, what it asks of the patient, realistic timelines and interim options.
Management (Holistic plan)
Build a whole-person management plan — social prescribing, occupational and carer support, physical health, follow-up and crisis contacts — co-created rather than dictated.
Management (Safety planning)
Co-create a personalised safety plan after self-harm or a suicidal crisis — warning signs, coping strategies, means restriction and crisis contacts, NICE NG225-aligned (no risk scores, no contracts).
Management (Legal & ethical)
Explain the legal and ethical position — Mental Health Act detention and tribunal rights, Mental Capacity Act and best interests, confidentiality limits, DVLA duties — accurately and without jargon.
Sample Psychiatry CASC questions
Two questions from the topics that come up most in MedMock's Psychiatry CASC bank.
“A 35-year-old woman with chronic schizophrenia presenting with persecutory delusions. Perform a focused MSE elicitation.”
“You are the duty doctor on an acute psychiatric ward. A 45-year-old man with schizophrenia has been brought in by the crisis team and says he is willing to come into hospital. Assess his capacity to consent to informal admission.”
Example scenarios
A sample of the Psychiatry CASC scenarios you can practise, each as a spoken conversation.
“Explain the common and serious side effects of clozapine, and the monitoring it needs, to a patient whose psychosis has not responded to two other antipsychotics.”
“A 19-year-old was brought to the Emergency Department after an impulsive paracetamol overdose. Co-create a personalised safety plan with her before discharge.”
“A 25-year-old man has been referred by his GP after four months of hearing voices commenting on his actions. Elicit the psychotic phenomenology and assess his insight.”
“The mother of a 20-year-old university student has brought him to the Early Intervention Service. Take a collateral history of the changes she has seen over the last few months.”
“A 24-year-old woman with emotionally unstable personality disorder has been brought to A&E after her third overdose in six months. Assess her risk — intent, plan, preparation, means and what protects her.”
Psychiatry CASC dates 2026–27
The next Psychiatry CASC sitting we hold is: 8–11 December 2026 (Singapore). Checked against RCPsych on 23 September 2026.
Time until 8–11 December 2026 (Singapore)
— d — h — m — sThe September 2026 UK diet runs 15-18 and 21-23 September at the English Institute of Sport, Sheffield; results 23 October 2026. Applications closed 26 June.
Exam dates change. MedMock is not affiliated with RCPsych; confirm every date, application window and venue on the official site before you book. RCPsych
Psychiatry CASC practice — your questions answered
How does the feedback work?
When you finish a station you can have it marked, and the scorecard comes back in seconds — what you did well, what cost you marks, and exactly what to work on next. Scorecards, mark schemes and model answers are included at no extra credit cost.
Can I practise specific Psychiatry CASC stations?
Yes. You can pick any of the 16 stations to drill a weak area, or run a mixed set to simulate the real exam.
How much does it cost?
You can start with a one-off £5 taster: 30 credits, which is 30 minutes of speaking practice, with no subscription. After that, or at any time, you can choose a monthly plan, which includes a monthly credit allowance. Current prices are on the pricing page.
Formats change from year to year: check the official candidate guidance or applicant handbook from the body that runs your exam or interview (the Royal Colleges, NHS England, the GMC and others) for your sitting.
Ready for your Psychiatry CASC OSCE?
Rehearse real Psychiatry CASC scenarios out loud and get instant, examiner-style feedback.
- Instant, personalised feedback
- Real voice-to-voice conversation
- Repeatable attempts, a different run every time
Be ready for your Psychiatry CASC OSCE before you walk in
Start with the £5 taster, a one-off payment for 30 credits: practise Psychiatry CASC OSCE scenarios out loud and get any of them marked when you are ready.
Practise Psychiatry CASC stations