A 30-year-old man is brought to the emergency department by…
A 30-year-old man is brought to the emergency department by his family for severe mood changes. For the past 10 days, he has slept less than 3 hours per night, talks rapidly, is easily irritable, and has spent thousands of dollars on unnecessary purchases. He believes he is starting a business that will “make millions in a week.” On exam, he is restless, pressured in speech, and difficult to interrupt. He has no history of substance use or medical illness. Which of the following is the most appropriate first-line treatment for his current episode?
Read DetailsA 72 year old female with no past psychiatric history was ad…
A 72 year old female with no past psychiatric history was admitted to an inpatient psychiatric facility after running out in the street naked to direct traffic along with other concerning erratic behaviors. On workup, she is found to have hypothyroidism for which she takes levothyroxine. She has been taking lisinopril and a thiazide diuretic for at least 5 years for BP, takes ibuprofen every day for back pain and takes metformin each day. Vital signs are WNL and BMI is 30. After physical causes are ruled out, she is diagnosed with bipolar disorder. Which of the following is the best recommendation for initiation of pharmacotherapy?
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