Valproic acid Most associated with suicide Depression may be a misdiagnosis Diagnosis is clinical Hyperreflexia, hypertonic muscles, fasciculation, myoclonic twitches. Euthymic No manic episodes Ensure safety May be used to treat psychosis during mania Increased risk for postpartum psychosis Offer frequent snacks Most severe form SAD/PMDD Labs may include T4 and TSH 1.5 to 2 mEq/L Can be childhood diagnosis Must be given with food Medication that is often an adjunct to SSRIs May also be called affective disorder No gender difference 2% of the population Reduced need for sleep Elevated, expansive, and/or irritable mood Stimulants may cause exacerbation 0.6 to 1.2 mEq/L Symptoms of mild lithium toxicity Anticonvulsants Unrelating, rapid, loud talking without pauses Exact cause is unknown Valproic acid Most associated with suicide Depression may be a misdiagnosis Diagnosis is clinical Hyperreflexia, hypertonic muscles, fasciculation, myoclonic twitches. Euthymic No manic episodes Ensure safety May be used to treat psychosis during mania Increased risk for postpartum psychosis Offer frequent snacks Most severe form SAD/PMDD Labs may include T4 and TSH 1.5 to 2 mEq/L Can be childhood diagnosis Must be given with food Medication that is often an adjunct to SSRIs May also be called affective disorder No gender difference 2% of the population Reduced need for sleep Elevated, expansive, and/or irritable mood Stimulants may cause exacerbation 0.6 to 1.2 mEq/L Symptoms of mild lithium toxicity Anticonvulsants Unrelating, rapid, loud talking without pauses Exact cause is unknown
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Valproic acid
Most associated with suicide
Depression may be a misdiagnosis
Diagnosis is clinical
Hyperreflexia, hypertonic muscles, fasciculation, myoclonic twitches.
Euthymic
No manic episodes
Ensure safety
May be used to treat psychosis during mania
Increased risk for postpartum psychosis
Offer frequent snacks
Most severe form
SAD/PMDD
Labs may include T4 and TSH
1.5 to 2 mEq/L
Can be childhood diagnosis
Must be given with food
Medication that is often an adjunct to SSRIs
May also be called affective disorder
No gender difference
2% of the population
Reduced need for sleep
Elevated, expansive, and/or irritable mood
Stimulants may cause exacerbation
0.6 to 1.2 mEq/L
Symptoms of mild lithium toxicity
Anticonvulsants
Unrelating, rapid, loud talking without pauses
Exact cause is unknown
