Kevin Sanders is a 34 year old man who has been feeling unusually irritable for the past week. He tells the social worker that during this period of time he has had increased energy and activity and sleeps less. Kevin admits that it has been difficult for him to complete reports on the job. His supervisor has become concerned and referred Kevin to the Employee Assistance Department. "I have rapid, pressured speech, and I can't seem to stop talking." said Kevin. He adds, "I just can't seem to sit still, either." The social worker notices that Kevin was easily distracted. Kevin is in good health and takes no medications. What diagnosis best fits Kevin's symptom picture?
A)Bipolar I disorder, with mixed features
B)Hypomanic episode
C)Manic episode
D)Cyclothymic disorder

Question

Quizplus · Accepted Answer

Kevin presents with symptoms that are consistent with a manic episode, including increased energy and activity, decreased need for sleep, racing thoughts and pressured speech, distractibility, and difficulty completing tasks. Bipolar I disorder may also be a possibility given the severity of his symptoms, but a formal diagnosis cannot be made without further assessment. Hypomanic episodes are similar to manic episodes but are less severe and do not involve significant impairment or require hospitalization. Cyclothymic disorder involves milder and more chronic mood disturbances.

Kevin Sanders Is a 34 Year Old Man Who Has