A 28-year-old man has decreased need for sleep, pressured speech, increased goal-directed activity, and risky spending for 9 days. He had a similar

Question

A 28-year-old man has decreased need for sleep, pressured speech, increased goal-directed activity, and risky spending for 9 days. He had a similar hospitalization 2 years ago and currently takes sertraline. Which of the following is the most appropriate next step in management?

Accepted Answer

Stop the antidepressant and start a mood stabilizer or antipsychotic

Answer

Begin exposure therapy as sole acute treatment

Answer

Prescribe long-term zolpidem monotherapy

Answer

Increase sertraline for residual depression

Answer

Use stimulant therapy for low concentration

Bipolar disorder — USMLE Step 3 MCQ

A 28-year-old man has decreased need for sleep, pressured speech, increased goal-directed activity, and risky spending for 9 days. He had a similar hospitalization 2 years ago and currently takes sertraline. Which of the following is the most appropriate next step in management?