Woman presents with expansive mood

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A 54-year-old woman presents with an expansive mood. She exhibits increased energy and talkativeness and is increasingly distractible. She has a medical history of rheumatoid arthritis, diagnosed two months ago, and treated with nonsteroidal anti-inflammatory drugs and corticosteroids. The mood alteration began six weeks ago. She has no prior history of a psychotic, mood, or anxiety disorder. Her creatinine is 1.3 mg/dL. Which of the following is most appropriate to target the primary source of her expansive mood? Discontinuation of nonsteroidal anti-inflammatory drugs Electroconvulsive therapy Initiation of lithium Taper of corticosteroids.

Reference no: EM133713394

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