31st January 2024

Mr G is a 36-year-old divorced gentleman presenting to services with a 3-month history of persistent elated mood

Mr G is a 36-year-old divorced gentleman presenting to services with a 3-month history of persistent elated mood, reduced need for sleep and excessive spending. His family expressed their concerns about his hoarding behaviour; his house was filled with scrap materials that he found in a local skip for the purpose of building a conservatory in his garden. He was excessively chatty and friendly in the assessment, and his family commented that he has been like this with strangers as well. During assessment, he made comments about being able to control the weather with his emotions and that he was going to venture into a jewellery-making business that will make him as rich as Elon Musk. He denied any auditory hallucinations during the assessment, but his family state that they have seen him talking to himself when he is alone. He reports that he has been taking weed every night for a few weeks.

What are the two likely differentials for this gentleman’s presentation?

Select the SINGLE most appropriate option from the list below. Select ONE option only.