This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: None, Subject name: Psychiatry
[{'content': 'A patient with depression was given Imipramine for 2 weeks. Relatives noticed increased excitement, colourful clothes, increased talking. What is the next step in management? \nSelect and explain. \nA. Antipsychotic with Imipramine continued, B. Discontinue Imipramine and sta Valproate, C. Continue Imipramine alone, D. Manage with Valproate alone', 'role': 'user'}, {'content': 'Answer: A \nExplanation: ANS-A. Antipsychotic with Imipramine continuedThe condition from which the patient above is suffering is a bipolar disorder which includes both depression and mania. So in order to treat both antidepressant i.e imipramine is continued along with an antipsychotic such as phenothiazines, thioxanthenes, etc.Antipsychotic or valproate alone cannot reduce the depression and Imipramine alone cannot reduce the mania. Ref: ARVIND ARORA review of psychiatry p.no:111', 'role': 'assistant'}]