A 19-year-old woman is brought to the physician by her parents because of an irritable mood that started 5 days ago. Since then, she has been staying up late at night working on an art project. She is enrolled in community college and has been able to complete her daily schoolwork and look after her younger brother at home without issues. She feels rested despite sleeping less than 4 hours per night. Her parents also report that she seems easily distracted and more talkative than usual. She has never had similar symptoms before. In the past, she has had episodes where she felt too tired to go to school and slept until 2 PM every day for 2 weeks at a time. During those episodes, her parents noticed that she cried excessively, was very indecisive, and expressed feelings of worthlessness. Which of the following is the most likely diagnosis?

Question

A 19-year-old woman is brought to the physician by her parents because of an irritable mood that started 5 days ago. Since then, she has been staying up late at night working on an art project. She is enrolled in community college and has been able to complete her daily schoolwork and look after her younger brother at home without issues. She feels rested despite sleeping less than 4 hours per night. Her parents also report that she seems easily distracted and more talkative than usual. She has never had similar symptoms before. In the past, she has had episodes where she felt too tired to go to school and slept until 2 PM every day for 2 weeks at a time. During those episodes, her parents noticed that she cried excessively, was very indecisive, and expressed feelings of worthlessness.   Which of the following is the most likely diagnosis?

Quizplus · Accepted Answer

Eductional Objective: Patients who experience major depressive and hypomanic episodes are diagnosed with bipolar II disorder.  In contrast to manic episodes, hypomanic episodes are less severe, do not involve psychosis, and cause a lesser degree of functional impairment.

A 19-Year-Old Woman Is Brought to the Physician by Her