A 35-year-old woman with a history of bipolar disorder presents to ED with agitation, pressured speech, decreased need for sleep and grandiose ideas. ...

Question

A 35-year-old woman with a history of bipolar disorder presents to ED with agitation, pressured speech, decreased need for sleep and grandiose ideas. She has been off medication for 6 months. According to best practice, which is the most appropriate acute pharmacological management?

Accepted Answer

Mood stabiliser (e.g. lithium or sodium valproate) and/or atypical antipsychotic

Answer

SSRI antidepressant monotherapy

Answer

Benzodiazepine monotherapy

Answer

Electroconvulsive therapy as first-line

Answer

No pharmacological treatment

au-amc MCQ (SBA): Acute mania in bipolar disorder

A 35-year-old woman with a history of bipolar disorder presents to ED with agitation, pressured speech, decreased need for sleep and grandiose ideas. She has been off medication for 6 months. According to best practice, which is the most appropriate acute pharmacological management?