Key features of depression and its management in general practice.

 
"..I've been possessed by the devil"
In considering alternate treatments, which of the following statements are 
true of antidepressants treatment and electroconvulsive therapy (ECT) in 
this context?
1. Grandiose plans are characteristic of bipolar illness, manic phase.
2. Clinical features of mania usually appear gradually over a period of weeks.
3. Episodes of mania may be mild and of short duration.
4. The depressive phases of bipolar disease are identical to 
major depressive illness.
5. Omar should be considered for prophylactic treatment.

1. Grandiose plans are characteristic of bipolar illness, manic phase.

Author's answer: True

Features of mania are elevated mood, accelerated speech, racing thoughts, increased activity and reduced sleep. Grandiose ideas and reckless acts are common. Increased sexual drive and activity are also common.

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