Practice Quiz

Social Work Clinical Board Exam Prep

Category - Assessment

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A clinical social worker is providing services to a woman diagnosed with bipolar disorder. She experiences frequent manic episodes that include motor hyperactivity, elation, poor judgment, pressured speech and hostility. To try and bring about normalization of symptoms, what is the best choice for medication?
  1. Effexor
  2. Citalopram
  3. Adderall
  4. Lithium
Explanation
Answer: D - Lithium is used as an anti-mania medication for individuals suffering from Affective Disorder, Bipolar, and Mania. Studies have demonstrated that lithium alters sodium transport in muscle and nerve cells. Patients given this medication will feel relief of symptoms and demonstrate normalcy within 1 to 3 weeks. A drug more commonly prescribed is Depakote, due to the need for ongoing blood level tests with Lithium. Antidepressants can trigger mania and do not work very well.
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