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MediumPsychiatryBipolar I disorder with maniaca-mccqe1ca-rcpsc-im

A 28-year-old woman with known bipolar I disorder presents with acute mania characterised by decreased need for sleep, pressured speech and grandiose ideas. She stopped her mood stabiliser 3 months ago and has been taking an SSRI prescribed by another physician. What is the most appropriate immediate pharmacologic step?

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