4th May 2024

A 35-year-old man presents to the clinic with a one-week history of feeling “on top of the world”, sleeping only 2-3 hours per night, and spending large amounts of money online.

A 35-year-old man presents to the clinic with a one-week history of feeling “on top of the world”, sleeping only 2-3 hours per night, and spending large amounts of money online. He has a history of depressive episodes but has never experienced a mood like this before. He denies any drug use, and a urine drug screen is negative. He is not currently taking any medication.

Which of the following is the most appropriate initial treatment for this patient?