A 42 year old male with a past history of a manic episode presents with an illness of 1 month duration characterized by depressed mood, anhedonia and profound psychomotor retardation. The most appropriate management strategy is prescribing a combination of:
Correct Answer: Antidepressants and mood stabilizers
Description: B i.e. Antidepressant & mood stabilizersThe patient is suffering from bipolar mood disorder as there is past history of manic episode & currently is suffering from depressive episode (as shown by depressed mood, anhedonia i.e. not attaining pleasure & nihilism, psycho-motor retardation). Treatment strategy Antidepressant + Mood stabilizer(Li, valproate, carbamazepine, oxcarbazipine) is treatment of choice.Antipsychotics are used in:Delusional depressionAcute manic episode (when mood stabilizers are not effective or indicated: IV/IM as anemergency treatment of mania; along with mood stabilizers for the first few weeks before their effect appears).
Category:
Psychiatry
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