A 22 yrs old male suffers from decreased sleep, increased sexual activity, excitement and spending excessive money for last 8 days. The diagnosis is:
**Core Concept**
The patient's symptoms indicate a manic episode, characterized by abnormally elevated or irritable mood, increased energy, and decreased need for sleep, often accompanied by poor judgment and impulsive behavior.
**Why the Correct Answer is Right**
The patient's excessive spending, increased sexual activity, and excitement are classic symptoms of mania. These symptoms are often associated with a decreased need for sleep and are indicative of a manic episode, which is a hallmark of Bipolar Disorder. In Bipolar Disorder, periods of mania are often followed by periods of depression.
**Why Each Wrong Option is Incorrect**
**Option A:** This option is incorrect because it does not accurately describe the patient's symptoms. The patient does not exhibit a depressed mood, which is a key characteristic of a depressive episode.
**Option B:** This option is incorrect because it is a more severe form of mania that is typically associated with psychotic symptoms, such as hallucinations or delusions.
**Clinical Pearl / High-Yield Fact**
Bipolar Disorder is often referred to as "manic-depressive illness" due to the alternating periods of mania and depression that are characteristic of the disorder.
**Correct Answer:** C. Manic episode