A 32-year-old man is brought to the emergency department by…
A 32-year-old man is brought to the emergency department by his family due to increasingly erratic behavior over the past week. He has been sleeping less than two hours per night, is excessively talkative, and insists he is starting multiple business ventures despite lacking resources. He became irritable and confrontational when his wife questioned his spending. He attempted to sign over the family home as collateral for a business loan and was nearly arrested after disrupting a city council meeting by shouting. He has no prior psychiatric history. Which feature in this scenario most clearly supports a diagnosis of mania rather than hypomania?
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