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