18 year old patient presents with complaints of bouts of a hyperactive state in which she feels like she has a grandiose sense of self and is better than others and doesn't sleep because she's either too busy cooking recipes she found on pinterest or has racing thoughts pertaining to what her next project will be that cycles with mild depressive symptoms. When these bouts occur they typically last about 4 days. She states that she has been experiencing these symptoms since she was 15 and that she's never been symptom free for greater than 2 months. What's your DDx?

18 year old patient presents with complaints of bouts of a hyperactive state in which she feels like she has a grandiose sense of self and is better than others and doesn't sleep because she's either too busy cooking recipes she found on pinterest or has racing thoughts pertaining to what her next project will be that cycles with mild depressive symptoms. When these bouts occur they typically last about 4 days. She states that she has been experiencing these symptoms since she was 15 and that she's never been symptom free for greater than 2 months. What's your DDx?

18 year old patient presents with complaints of bouts of a hyperactive state in which she feels like she has a grandiose sense of self and is better than others and doesn't sleep because she's either too busy cooking recipes she found on pinterest or has racing thoughts pertaining to what her next project will be that cycles with mild depressive symptoms. When these bouts occur they typically last about 4 days. She states that she has been experiencing these symptoms since she was 15 and that she's never been symptom free for greater than 2 months. What's your DDx?



a) Bipolar II disorder
b) Cyclothymic disorder
c) Dysthymia disorder
d) Bipolar I disorder





Answer: B


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