A 35-year-old with bipolar disorder is brought for reckless behaviour and 5 days without sleep. He is grandiose, pressured, spending large amounts,

Question

A 35-year-old with bipolar disorder is brought for reckless behaviour and 5 days without sleep. He is grandiose, pressured, spending large amounts, and lacks insight. Urine toxicology is negative and collateral confirms risk to dependants. What is the most likely diagnosis?

Accepted Answer

Acute mania

Answer

Obsessive-compulsive disorder

Answer

Major depressive episode

Answer

Generalised anxiety disorder

Answer

Delirium tremens

Acute mania — RCPSC EM MCQ

A 35-year-old with bipolar disorder is brought for reckless behaviour and 5 days without sleep. He is grandiose, pressured, spending large amounts, and lacks insight. Urine toxicology is negative and collateral confirms risk to dependants. What is the most likely diagnosis?