A family practice physician who has an office in the same building where you have your private practice refers one of his patients to you suspecting medication abuse. You see a 48 year old man, John Clay Edsel, who tells you that his doctor prescribed an antidepressant to help him with his symptoms of a major depressive episode. In a rapid-fire fashion, Mr. Edsel very quickly describes his symptom picture. As soon as he started his antidepressant medication, Mr. Edsel reported that he began to have increased energy, racing thoughts, found it hard to sit still, and it was difficult for him to concentrate. Mr. Edsel also related a decreased need for sleep adding, "Three hours is all I need to wake up refreshed. I'll sleep longer when I'm retired." He adds, "After about 2 or 3 days I quit taking the antidepressants." Mr. Edsel's depression stopped but the new symptoms have continued. What is Mr. Edsel's diagnosis?
A)Major depressive disorder
B)Cyclothymic disorder
C)Bipolar II disorder
D)Bipolar I disorder

Question

Quizplus · Accepted Answer

Mr. Edsel's symptoms suggest a manic episode, characterized by increased energy, racing thoughts, decreased need for sleep, and difficulty concentrating. These symptoms, especially when they follow the initiation of antidepressant therapy in someone with a history of depression, are indicative of Bipolar I Disorder, where manic episodes can occur with or without preceding depressive episodes.

A Family Practice Physician Who Has an Office in the Same