Question

A 28-year-old man presents with a 2-week history of elevated mood, decreased need for sleep, pressured speech and grandiose ideas about starting multiple businesses. He has spent large sums of money impulsively. There is no evidence of substance misuse. What is the most likely diagnosis?

Accepted Answer

Bipolar affective disorder – current manic episode

Answer

Schizoaffective disorder

Answer

Schizophrenia

Answer

Cyclothymia

Answer

Personality disorder

Practice question

A 28-year-old man presents with a 2-week history of elevated mood, decreased need for sleep, pressured speech and grandiose ideas about starting multiple businesses. He has spent large sums of money impulsively. There is no evidence of substance misuse. What is the most likely diagnosis?