A 40-year-old woman with known bipolar I disorder presents with a 1-week history of reduced sleep, increased energy, pressured speech and grandiose pl...

Question

A 40-year-old woman with known bipolar I disorder presents with a 1-week history of reduced sleep, increased energy, pressured speech and grandiose plans to start multiple businesses. She has stopped her medications. What is the most appropriate pharmacological management of this acute episode?

Accepted Answer

Restart or commence a mood stabiliser such as lithium or valproate and consider an atypical antipsychotic

Answer

Commence an SSRI antidepressant alone

Answer

Prescribe benzodiazepines alone

Answer

Advise watchful waiting as this may be a normal mood variation

Answer

Start carbimazole

au-amc MCQ (SBA): Acute mania management

A 40-year-old woman with known bipolar I disorder presents with a 1-week history of reduced sleep, increased energy, pressured speech and grandiose plans to start multiple businesses. She has stopped her medications. What is the most appropriate pharmacological management of this acute episode?