A 40-year-old woman was discharged from the psychiatric hospital after an episode of acute mania. The patient had had five previous hospitalizations four major manic or depressive episodes during the last two years. Her post discharge therapy included lithium, two tablets daily.
How long should the patient continue to take lithium?
A. For three months B. For six months C. For nine months D. For one year E. Indefinitely
Indefinitely-learning objective: describe the duration of lithium therapy in recurrent major bipolar
the duration of maintenance therapy with lithium in major depressive disorder is at least 9
months. a period of successful maintenance therapy means that the individual is controlled, not
cured, since most patient that stopo lithium therapy eventually relapse. furthermore as
individuals experience successive episodes, they tend to recover less completely. therefore in
case of serious and repeated episodes of bipolar disorder, like in the present case, the person
may require lithium for the rest of his/her life.
a, b, c, d) (see explanation above)