Question

scenario: a patient with rapid - cycling bipolar disorder is not responding well to lithium monotherapy. question: what is the next step in treatment according to apa guidelines? switch to valproate. add an antipsychotic. add an antidepressant. switch to lamotrigine.

Explanation:

According to APA (American Psychiatric Association) guidelines for rapid - cycling bipolar disorder, when lithium monotherapy is not effective, the next step is to add an antipsychotic. Switching to valproate or lamotrigine or adding an antidepressant is not the recommended next step as per the guidelines for this situation.

Answer:

B. Add an antipsychotic.