Question

A 25-year-old man presents with elevated mood, decreased need for sleep, grandiosity and risky behaviour for 1 week. He has a history of depression. What is the most appropriate pharmacological management?

Accepted Answer

Commence mood stabiliser or atypical antipsychotic and avoid antidepressant monotherapy

Answer

Start SSRI monotherapy

Answer

No medication, as this is normal variation

Answer

Long-term benzodiazepine monotherapy

Answer

Electroconvulsive therapy as first-line

Practice question

A 25-year-old man presents with elevated mood, decreased need for sleep, grandiosity and risky behaviour for 1 week. He has a history of depression. What is the most appropriate pharmacological management?