ca-mccqe1 MCQ (SBA): Bipolar I disorder - acute mania

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A 50-year-old woman with no significant psychiatric history presents with episodes of elevated mood, decreased need for sleep, grandiosity and increased spending lasting 10 days, alternating with depressive episodes. She is currently hypomanic but not dangerous. According to CANMAT/ISBD bipolar guidelines, what is the most appropriate first-line pharmacologic option for acute mania/hypomania?

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ca-mccqe1 MCQ: Bipolar I disorder - acute mania — Answer & Explanation