WAPCP Part I case studies
WAPCP Part I · Put your knowledge to work in context.
WAPCP Part I is the first, written stage of the certification pathway offered by the World Association for Psychosocial Rehabilitation for psychiatrists working in, or moving toward, psychosocial rehabilitation and community mental health. It is aimed at psychiatric trainees and practising psychiatrists who want a structured, internationally oriented credential recognising competence in rehabilitation-oriented practice rather than acute inpatient care alone. The examination is delivered as multiple-choice questions and samples six domains: basic sciences relevant to psychiatry; psychopathology and clinical assessment; psychopharmacology and biological treatments; psychosocial rehabilitation and community psychiatry; psychotherapy and psychological interventions; and ethics, legal issues and professional practice. The rehabilitation and community domain carries the same weight as the clinical ones, so candidates who prepare only from a general psychiatry syllabus tend to be caught out. The WAPCP Part I case studies are 5 cases and about 3,072 words.
1Clozapine Initiation in a Patient With Treatment-Resistant Schizophrenia
Mr A is a 34-year-old man with schizophrenia diagnosed 8 years ago. He has persistent auditory hallucinations and ideas of reference despite adequate trials of haloperidol 20 mg/day and risperidone 6 mg/day; adherence was confirmed by plasma levels.
655 words, about 3 min2Refusal of ECT in Severe Depression With Mild Dementia and Delirium
Mrs B is a 72-year-old woman with recurrent major depression and mild vascular dementia (MMSE 22/30). She has lost 9 kg in 6 weeks, drinks little, and is dehydrated.
633 words, about 3 min3Supported Employment Versus Pre-Vocational Training in Schizophrenia
Mr C is a 41-year-old man with schizophrenia and two psychiatric admissions, stable on paliperidone palmitate for 14 months. He lives in supported housing and has been abstinent from alcohol and cannabis for 18 months.
597 words, about 3 min4Between-Session Contact and Therapist Burnout in DBT
Ms D is a 28-year-old woman with borderline personality disorder, recurrent self-harm, and two brief admissions after overdoses. She has been in dialectical behavior therapy for 7 weeks.
600 words, about 3 min5Fever, Rigidity, and Raised CK on Haloperidol and Fluoxetine
Mr E is a 58-year-old man with schizophrenia and obsessive-compulsive symptoms. He takes haloperidol 10 mg/day and fluoxetine 40 mg/day.
587 words, about 3 min