A 32-year-old woman treated for depression reports a 1-week period of decreased need for sleep, grandiosity, impulsive spending, and pressured speech

Question

A 32-year-old woman treated for depression reports a 1-week period of decreased need for sleep, grandiosity, impulsive spending, and pressured speech that impaired work. Which of the following is the most appropriate next step?

Accepted Answer

Evaluate for bipolar disorder before continuing antidepressant monotherapy

Answer

Start stimulant therapy

Answer

Treat as insomnia alone

Answer

Increase SSRI dose immediately

Answer

Reassure that this is normal mood variation

Bipolar disorder — ABFM Board MCQ

A 32-year-old woman treated for depression reports a 1-week period of decreased need for sleep, grandiosity, impulsive spending, and pressured speech that impaired work. Which of the following is the most appropriate next step?