What is the primary treatment for manic episodes in bipolar disorder?

The primary treatment for manic episodes in bipolar disorder is mood stabilizers. Mood stabilizers, particularly lithium, valproate, and lamotrigine, are effective in stabilizing mood and reducing the severity and frequency of manic episodes. They help to normalize mood fluctuations and prevent the recurrence of both manic and depressive episodes.

In contrast, while antipsychotics can be used to manage acute mania, especially in situations where rapid sedation is required or when there are psychotic features present, mood stabilizers address the underlying instability in mood over the long term. Antidepressants may worsen mania if given during a manic episode, and although anxiolytics can provide short-term relief for anxiety and agitation, they do not address the core issues in bipolar disorder. Thus, mood stabilizers play a crucial role in the comprehensive management of bipolar disorder and are the cornerstone for treating manic episodes effectively.