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. Sta the patient on a second mood stabilizer

B. Sta the patient on a long-acting benzodiazepine

C. Stop the lithium and sta an antidepressant

D. Sta an antidepressant and continue the lithium

Correct Answer: Sta the patient on a second mood stabilizer

Description: Pt has depression and psychotic symptoms, so treatment is antidepressant along with antipsychotic drugs

Category: Psychiatry

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