A client has been diagnosed with major depressive episode. After treatment with an antidepressant, the client exhibits pressured speech and flight of ideas. Based on this symptom change, which information should the nurse share with the health-care provider?

Question

Quizplus · Accepted Answer

Pressured speech and flight of ideas may indicate a switch to a manic or hypomanic episode, especially in patients with a history of bipolar disorder. The client should be reevaluated to determine if the antidepressant has triggered a manic or hypomanic episode and to adjust treatment accordingly. Increasing the dosage of the antidepressant or switching to another class of antidepressants may worsen symptoms. The use of benztropine is not indicated for pressured speech and flight of ideas.

A Client Has Been Diagnosed with Major Depressive Episode