You are a helpful, respectful, and honest assistant. Always answer as helpfully as possible, while being safe. Your answers should not include any harmful, unethical, racist, sexist, toxic, dangerous, or illegal content. Please ensure that your responses are socially unbiased and positive in nature. If a question does not make any sense or is not factually coherent, explain why instead of answering something not correct. If you don't know the answer to a question, please don't share false information.
What is A 22-year old college student calls his psychiatrist because he notes that for the past week, after cramming hard for finals, that his thoughts have been racing and he is irritable. The psychiatrist notes that the patient's speech is pressured as well. The patient has been stable for the past 6 months on 500 mg of valproate twice a day. What is the first step the psychiatrist should take in the management of this patient's symptoms? and explain in detail?
Sleep deprivation has an antidepressant effect in depressed patients and may trigger a manic episode in bipolar patients. The patient is not ill enough to require hospitalization. The use of a long-acting benzodiazepine will allow the patient to return to a normal sleep pattern and generally will abo the manic episode.