Question

A 28-year-old man presents with a 2-week history of elevated mood, decreased need for sleep, increased goal-directed activity and grandiose ideas. He has been spending large amounts of money. There is no substance use. What is the most appropriate first-line pharmacological treatment?

Accepted Answer

Lithium carbonate

Answer

SSRI antidepressant

Answer

Diazepam

Answer

Methylphenidate

Answer

Psychotherapy alone

Practice question

A 28-year-old man presents with a 2-week history of elevated mood, decreased need for sleep, increased goal-directed activity and grandiose ideas. He has been spending large amounts of money. There is no substance use. What is the most appropriate first-line pharmacological treatment?