A 24-year-old female presents to the physician because of feeling sad over the past few months. She has lost interest in swimming, which she previously found enjoyable. Additionally, she has had trouble getting a full night's sleep and has had trouble concentrating during the day. She has lost 15 pounds since her last visit one year prior. Treatment with medication is initiated. Three weeks later, the patient is brought to the emergency department by her mother for not sleeping at all for 3 nights. The patient reports that she does not feel tired despite lack of sleep. She spent a large amount of money on plane tickets and plans to travel around the world to promote world peace. Her mother adds that she herself has suffered from severe mood swings in the past. This patient was most likely started on which of the following medications 3 weeks ago?

Question

A 24-year-old female presents to the physician because of feeling sad over the past few months. She has lost interest in swimming, which she previously found enjoyable. Additionally, she has had trouble getting a full night's sleep and has had trouble concentrating during the day. She has lost 15 pounds since her last visit one year prior. Treatment with medication is initiated.  Three weeks later, the patient is brought to the emergency department by her mother for not sleeping at all for 3 nights.  The patient reports that she does not feel tired despite lack of sleep.  She spent a large amount of money on plane tickets and plans to travel around the world to promote world peace.  Her mother adds that she herself has suffered from severe mood swings in the past.  This patient was most likely started on which of the following medications 3 weeks ago?

Quizplus · Accepted Answer

Eductional Objective: Antidepressant monotherapy can induce mania in susceptible patients, especially those with unrecognized bipolar disorder.

A 24-Year-Old Female Presents to the Physician Because of Feeling