A 32-year-old male is brought to the emergency department by his family due to a 1-week history of elevated mood, decreased need for sleep, racing thoughts, and impulsive behavior, including excessive spending. He has a history of similar episodes. He denies substance use. Which of the following is the most appropriate initial pharmacologic treatment for his acute manic episode?
✓ Correct Answer: Option B
The patient is experiencing an acute manic episode, likely part of Bipolar I Disorder. Mood stabilizers like lithium or valproate are the first-line treatments for acute mania. Antipsychotics or benzodiazepines may be used for agitation but are not primary mood stabilizers.