A full psychiatric assessment including a detailed mood history, over activity and disinhibiting changes, triggers to previous episodes, patterns of relapse and family history should be taken (NICE, 2020). Social and personal function as well as potential mental and physical comorbidities should be explored (NICE, 2020). If the patient is suspected of mania, severe depression, a threat to themselves or others, they should have an urgent referral to a mental health specialist and be hospitalized...