Shazia is a 28-year-old female with a diagnosis of bipolar disorder type I. You have been treating her with lithium ER 300mg PO BID. She states that her moods are more stable, but she is still having trouble with depressive symptoms, mainly with isolation, and lack of motivation, and describes the feeling of being in a "dark hole of depression."

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Based on the information provided it sounds like Shazia is experiencing persistent depressive symptoms despite stabilization of her moods with lithium ... View the full answer