19 year old with first manic episode, started on lithium. On day 2, experiences motor excitement, mutism, and stereotypic movement. Failed lorazepam trial. What treatment is indicated next to tx his sx.

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Psychiatric-Mental Health NP Certification.
 


1. 19 year old with first manic episode, started on lithium. On day 2, experiences motor excitement, mutism, and stereotypic movement. Failed lorazepam trial. What treatment is indicated next to tx his sx.