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There is a high incidence of overlap among children with bipolar disorder,

1)     There is a high incidence of overlap among children with bipolar disorder, attention deficit

hyperactivity disorder, conduct disorder, and anxiety disorders. Which of the following manic symptoms of bipolar disorder are most closely correlated to conduct disorder?

A.

Insomnia and irritability

B.

Physical restlessness and poor judgment

C.

Hallucinations and overeating

D.

Hypersexuality and inattention

2)   Margaret is a 14-year-old girl being seen in follow-up for major depressive disorder. She has been on a therapeutic dose of a selective serotonin reuptake inhibitor (SSRI) for 3 months and has still failed to achieve remission. Consistent with the Texas Children’s Medication Algorithm Project (TMAP), the next action should be to:

 
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