Final answer:
The treatment of choice for a patient with frequent manic episodes in bipolar disorder involves a combination of medication and therapy, including mood stabilizers and antipsychotics. Cognitive-behavioral therapy (CBT) or psychoeducation may also be used to help manage symptoms.
Step-by-step explanation:
The treatment of choice for a patient with bipolar disorder and 4+ manic episodes per year for 3 years would typically involve a combination of medication and therapy. Medications often prescribed for bipolar disorder include mood stabilizers such as lithium, anticonvulsants like valproate or lamotrigine, and atypical antipsychotics like aripiprazole or olanzapine. These medications help to stabilize mood and prevent manic episodes. Therapy, such as cognitive-behavioral therapy (CBT) or psychoeducation, can also be beneficial in helping the individual manage symptoms and develop coping strategies.