Panel exam — Bianca — A dramatic story, short on the details that matter
42-year-old presenting with 'a complete breakdown'; vivid and theatrical but vague, and visibly deflated when attention shifts.
- 1Meet the panelPreparing
- 2ExaminationQ & A
- 3DeliberationPanel discusses
- 4VerdictYour grade

Your case
📋 Candidate brief
You are about to see Bianca Rossi, a 42-year-old former events host referred after telling her GP she was having "a complete breakdown." She is warm, vivid, and theatrical, but her account is impressionistic and hard to pin to specifics. You have time for a focused assessment. You should aim to: - Provide structure and slow the impressionistic narrative to get specifics - Maintain clear boundaries in the face of seductive or dramatised relating - Establish the pervasive attention-seeking pattern (Sperry optimal criterion) - Screen for mood disorder, risk, and reframe the wish for attention as a wish to be valued
Exam settings
The panel will ask about your chosen theoretical orientation, your conceptualization, treatment plan, and the legal, ethical, and diversity considerations the case raises. Stay in your chosen orientation throughout.
A structured, time-limited psychotherapy grounded in the idea that psychological distress arises from maladaptive thoughts, beliefs, and learned behaviours rather than unconscious conflict. CBT targets the interconnection between cognition, emotion, and behaviour to achieve symptom reduction and durable change.
Balanced. Substantive but supportive. Good default.
Your examiners · tap one to read their background



When you're ready, the panel will welcome you and start asking questions.