A 29-year-old woman presents with acute manic symptoms: decreased need for sleep, pressured speech, grandiosity and risky spending. There is no signif...

Question

A 29-year-old woman presents with acute manic symptoms: decreased need for sleep, pressured speech, grandiosity and risky spending. There is no significant medical comorbidity and pregnancy test is negative. What is the most appropriate pharmacological treatment?

Accepted Answer

Commence a mood stabiliser such as lithium or sodium valproate

Answer

Start SSRI monotherapy

Answer

Treat with benzodiazepines alone

Answer

Use stimulant medication to improve concentration

Answer

No pharmacological treatment; psychotherapy alone is sufficient acutely

au-racp MCQ (SBA): Bipolar mania mood stabiliser choice

A 29-year-old woman presents with acute manic symptoms: decreased need for sleep, pressured speech, grandiosity and risky spending. There is no significant medical comorbidity and pregnancy test is negative. What is the most appropriate pharmacological treatment?