Question

question 92
scenario: a patient with rapid - cycling bipolar disorder is not responding well to valproate.
question: according to apa guidelines, what is the next step in treatment?

• switch to lithium.
• add an antipsychotic.
• add an antidepressant.
• switch to lamotrigine.

Explanation:

According to APA guidelines for treating rapid - cycling bipolar disorder when valproate is not effective, the next step is to add an antipsychotic. Switching to lithium or lamotrigine is not the typical next step here, and adding an antidepressant can worsen rapid - cycling.

Answer:

B. Add an antipsychotic.