A 45-year-old man is brought to the physician by his wife for the evaluation of abnormal sleep patterns that began 10 days ago. She reports that he has a lot of energy despite hardly sleeping for the past 7 days, The patient has also been excessively talkative and has missed work on several occasions to write emails to his friends and relatives to convince them to invest in a new business idea that he has had. The patient's history is significant for epilepsy with generalized seizures since childhood and a psychiatric hospitalization a year ago for a major depressive episode. Mental status examination shows psychomotor agitation and pressured speech.Which of the following medications would be most helpful for long-term treatment of this patient's psychiatric condition as well as his seizure disorder?

Question

A 45-year-old man is brought to the physician by his wife for the evaluation of abnormal sleep patterns that began 10 days ago. She reports that he has a lot of energy despite hardly sleeping for the past 7 days, The patient has also been excessively talkative and has missed work on several occasions to write emails to his friends and relatives to convince them to invest in a new business idea that he has had. The patient's history is significant for epilepsy with generalized seizures since childhood and a psychiatric hospitalization a year ago for a major depressive episode. Mental status examination shows psychomotor agitation and pressured speech.Which of the following medications would be most helpful for long-term treatment of this patient's psychiatric condition as well as his seizure disorder?

Quizplus · Accepted Answer

Eductional Objective: In individuals with bipolar disorder experiencing a severe manic episode, the recommended first-line therapy consists of a mood stabilizer combined with an antipsychotic. The mood stabilizers of choice are lithium and sodium valproate. Valproate is commonly used in the treatment of generalized as well as myoclonic seizures.

A 45-Year-Old Man Is Brought to the Physician by His