A 45-year-old man has slept only 2-3h/night x 10 days, bought two cars he cannot afford, speaks rapidly, grandiose plans. No substance use. No prior

Question

A 45-year-old man has slept only 2-3h/night x 10 days, bought two cars he cannot afford, speaks rapidly, grandiose plans. No substance use. No prior psych history. Most appropriate initial treatment?

Accepted Answer

Mood stabiliser (lithium) or atypical antipsychotic (quetiapine/olanzapine)

Answer

Benzodiazepine monotherapy

Answer

Sleep hygiene and reassess in 2 weeks

Answer

Outpatient psychotherapy

Answer

Fluoxetine monotherapy

Bipolar I (acute mania) — MCCQE Part 1 MCQ

A 45-year-old man has slept only 2-3h/night x 10 days, bought two cars he cannot afford, speaks rapidly, grandiose plans. No substance use. No prior psych history. Most appropriate initial treatment?