Discuss your conceptualization of this request

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You are seeing a 26-year-old female for a follow-up visit. You have been working together for the last three years for treatment of bipolar I disorder. Her history is positive for three lifetime psychiatric admissions and two lifetime suicide attempts (one via attempted hanging; one via prescription medication overdose). She has experienced psychotic features during two manic episodes and at least two depressive episodes. Her symptoms have been well managed on a combination of lithium carbonate, Lamictal (lamotrigine), and Abilify (aripiprazole) for the last two years. She and her husband would like to start a family. She explains that her OB/GYNE has recommended coming off of all psychotropic medications before attempting to conceive and would like her to stay off of medications throughout the pregnancy. Discuss your conceptualization of this request and how you plan to address this patient's concerns and the OB/GYNE's recommendations.

Reference no: EM133925537

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