11-14-2010, 08:00 PM
. A 34-year-old man is brought to the emergency department by his family because of a decreased need for sleep, increased goal-directed activity, increasingly irritable and unstable mood, and uncharacteristic sexual promiscuity over the past week. Yesterday, he quit his long-standing job at a hardware store and plans to move to Washington, DC, to become the "Senator-in-Chief." He says that this position is being created especially for him by the president. He believes that he has developed supersensitive hearing and is now able to hear conversations of people hundreds of miles away. He has no history of drug use, and there is no personal or family history of psychiatric illness. On examination, he is extremely irritable and agitated, threatening to "punch out anyone who tries to mess with me." Which of the following is the most likely diagnosis?
O A) Bipolar disorder
O B) Cyclothymic disorder
O C) Delusional disorder
O D) Schizophrenia
O E) Schizophreniform disorder
O A) Bipolar disorder
O B) Cyclothymic disorder
O C) Delusional disorder
O D) Schizophrenia
O E) Schizophreniform disorder