Question

Lithium is the drug of choice in the management of

• A. Bipolar disorder
• B. Obsessive-Compulsive disorder
• C. Anxiety neurosis
• D. Schizophrenia

Hint:

Think of the mood-swing disorder where blood levels of the drug must be monitored.

Answer 1

The Correct Option is A

This question checks whether you know lithium's core indication rather than its side-effect profile.

1. Bipolar disorder: correct. Lithium controls acute mania and prevents relapse of both manic and depressive phases, which is why it remains the reference mood stabiliser.
2. Obsessive-Compulsive disorder: wrong. This needs a serotonergic drug, typically an SSRI or clomipramine, not lithium.
3. Anxiety neurosis: wrong. Anxiety is managed with benzodiazepines short-term or SSRIs long-term; lithium plays no role here.
4. Schizophrenia: wrong. This is an antipsychotic-treated illness; lithium is at best an add-on in a few resistant or schizoaffective cases, never the primary drug.

Correct answer: Bipolar disorder