A 40-year-old man reports increased activity, elevated mood,…
A 40-year-old man reports increased activity, elevated mood, decreased need for sleep, and inflated self-esteem for the past week. He reports “I’m getting a lot of work done,” but he is worried because he had a similar, but more significant, episode 5 years ago in which he made capricious and damaging business and personal decisions. His primary care provider could not find a physical health cause for his symptoms. He had taken fluoxetine for depression, but he discontinued it 3 months ago because his mood was stable. What is the most likely diagnosis?
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