14th June 2021

A 21-year-old man is brought to A&E by the police, having been found in a state of undress

A 21-year-old man is brought to A&E by the police, having been found in a state of undress on a nearby street. On assessment, he appears “high” – being very cheery, talking very rapidly, and having excessive energy (especially for the time of 3am). He eagerly reveals that he had taken his shirt off as he had seen some women across the road and knew they would “want to have a look at a handsome chap like me”. A collateral from his girlfriend reveals he has been acting like this for the past week and that he left the house that night following an argument when he revealed he had secretly spent their savings on a motorbike, despite never having ridden one before. The doctor suspects a manic episode.

Which THREE of the following features distinguish mania from hypomania?  Select THREE options only.