Question

A 27-year-old man presents to the emergency department with agitation, pressured speech, decreased need for sleep and risky behaviour for 10 days. He has grandiose ideas and no insight. There is no substance use. What is the most appropriate initial pharmacologic management?

Accepted Answer

Mood stabiliser and/or atypical antipsychotic

Answer

Selective serotonin reuptake inhibitor

Answer

Benzodiazepine monotherapy

Answer

Psychostimulant

Answer

Electroconvulsive therapy only

Practice question

A 27-year-old man presents to the emergency department with agitation, pressured speech, decreased need for sleep and risky behaviour for 10 days. He has grandiose ideas and no insight. There is no substance use. What is the most appropriate initial pharmacologic management?