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Bryan is a 32-year-old financial planner who is being evaluated for bipolar disorder. He describes alternating periods of "up" and "down" moods. His "up" periods are characterized by a lack of a need for sleep and adverse behavior (primarily gambling). He is not as concerned with the "down" periods that result in a depressed mood and fatigue. He is currently experiencing an "up" period. The PMHNP considers treatment with:
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