A 32 year-old graduate student accompanied by her husband is…
A 32 year-old graduate student accompanied by her husband is seen in the clinic with concerns about having ADHD. She reports feeling “hyper” the past four or five days. She has been staying up studying until 3 or 4 a.m. and gets up by 7 a.m. to get ready for class. She reports being easily distracted, and finds it is difficult to maintain focus. She is afraid she will not be able to keep up with the semester expectations. Discussing this with her husband, this is a pattern over the past several years that he has noticed three or four times a year, and after several weeks of the frenetic pace, she sleeps 10 to 12 hours a night, complains of no energy, lacks motivation, stops engaging with him and tends not to eat. Her presentation is most consistent with