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MEDIVEERSETHE PRACTICAL HUB
← Psychiatry / 4th Year / MBBS

OBSERVE / REASON / EXPLAIN

Therapeutic communication

Practise a respectful opening to a clinical conversation.

Original teaching scenario / OSCE

Your practical station

A person seems anxious about the interview. Demonstrate how you would introduce the conversation and explore their concern.

Recognise and interpret

Empathic, clear communication helps establish rapport and obtain accurate information.

  • Open
  • Listen
  • Close
1

Open

Introduce yourself, explain purpose and check privacy and preferences.

2

Listen

Use open questions, reflection and appropriate clarification.

3

Close

Summarise, check understanding and agree the next step.

At the viva table

Try answering aloud, then open the suggested answer. Examiner questions vary.

01 / Why start with an open question?

It allows the person to describe priorities in their own words.

02 / What is reflection?

Restating the meaning or feeling conveyed to check understanding.

03 / Should confidentiality limits be hidden?

No. Explain relevant limits clearly.

04 / Does reassurance replace assessment?

No. Explore concerns before offering an informed response.

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