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Question
A 28-year-old female is brought to the out-patient department by her husband for insomnia, irritability, and "disturbing thoughts." She mentions that she has increased energy and plans to give her ideas to the government that could save the world from war. Her husband mentions that she develops "phases" in which she is extremely active. She has been treated multiple times for similar symptoms. The patient smokes a pack of cigarettes a day for the past twelve years (12 pack-years) and drinks alcohol thrice a week. Her blood pressure is 110/70 mm Hg; the pulse is 79/min, and the temperature is 98.6 F (37 C). Physical examination yields no abnormalities. Which of the following is an effective treatment strategy in addition to drug therapy?
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