A 36-year-old woman comes to the office for follow-up of bipolar I disorder. The patient was diagnosed at age 20 following a manic
episode and has a history of 2 hospitalizations at age 24 and 33 for major depressive episodes. Her mood has been stable on
valproate for the past 2 years; she takes no other medications. The patient recently got married and has been functioning well. She
hopes to become pregnant and would like to stop her oral contraceptive in the next few months. She says, "I do not want to risk
having another hospitalization, so I would like to keep taking medication during my pregnancy." After discussion of treatment options,
the patient decides to stop the valproate and switch to a different medication. Which of the following is the most appropriate treatment
option for this patient?
QA Bupropion
0 B. Carbamazepine
0 C. Haloperidol
0 D. lamotrigine
0 E. Lithium
0 F Sertraline
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