MBBS OSCE · Psychiatry

Acute mania — risk assessment and treatment counselling OSCE

OSCE on mania features, stop antidepressant, lithium/antipsychotic plan, Mental Health Act, toxicity counselling.

10 min stationVerification in progress
On this page
Study tools

Exam tags

NEET-PGINICET

Candidate instructions

Assess manic features and risk, and explain acute management including medication changes.

Candidate tasks

  1. Confirm DIGFAST mania features and duration.
  2. Assess risk (financial, sexual, violence, suicide) and insight.
  3. Stop antidepressant; propose antipsychotic ± mood stabiliser.
  4. Explain lithium monitoring if chosen.
  5. Discuss admission/legal options if needed.

Examiner checklist

  • Stops fluoxetine/SSRI
  • Organic screen mentioned
  • Names drug doses/levels appropriately
  • Risk and capacity/MHA considered
  • Lithium toxicity precipitants counselled if relevant
  • Clear family communication

Model standard

Acute mania: stop antidepressant, ensure safety, start antipsychotic ± lithium/valproate, admit if insight/risk require, plan long-term prophylaxis and monitoring.

Common errors

  • Continuing antidepressant
  • No risk assessment
  • Starting valproate in a woman without pregnancy counselling (if female station variant)
Acute mania — risk assessment and treatment counselling OSCE · MBBS OSCE · NeetVellum