Mood Disorders & Affective Disorders
A 38-year-old woman with bipolar disorder has been stable on lithium for the past 2 years. She comes to her psychiatrist’s office in tears after a 2-week history of a depressed mood, poor concentration, loss of appetite, and passive suicidal ideation. Which of the following steps should the psychiatrist take next?
|A||Start the patient on a second mood stabilizer|
|B||Start the patient on a long-acting benzodiazepine|
|C||Stop the lithium and start an antidepressant|
|D||Start an antidepressant and continue the lithium|
Pt is maintained on mood stabilizer and develops depression , so add antidepressant along with lithium. If lithium is stopped pt will switch into mania .