A 23-year-old patient complains of multiple physical and men…

A 23-year-old patient complains of multiple physical and mental disorders, including anxiety, irregular menses, neck pain, abdominal cramping, joint pain, frequent and painful urination, headaches, diarrhea, and abdominal distention.  Laboratory and radiologic findings have been negative.  The PMHNP recognizes these signs and symptoms as probable:

You are seeing a patient in the outpatient clinic with a dia…

You are seeing a patient in the outpatient clinic with a diagnosis of bipolar I disorder.  During the patient interview, he states that over the past four days he has not slept much and has not really felt tired.  You notice that the patient is more talkative than usual and is not allowing any periods of silence during the interview process.  He appears irritable and easily distracted.  The patient mentions to you that he and his wife have been arguing frequently, most recently due to a couple of shopping trips that he made where he spent several hundred dollars.  The patient makes the comment that he has always felt that “he could have done better” and his wife is not worthy of being married to him anyway.  The patient states that he has been going to work as normal and has been exceptionally productive over the past couple of days.  Which of the following diagnosis is the patient likely experiencing?