A 23-year-old ticket agent is brought in by her husband beca…

A 23-year-old ticket agent is brought in by her husband because he is concerned about her recent behavior. For the last 2 weeks she has been completely out of control. She hasn’t showered in days, stays awake most of the night cleaning their apartment, and has run up over $1,000 on their credit cards. While he is talking, the patient interrupts him frequently and declares this is all untrue as she has never been so happy and fulfilled in her whole life. She speaks very quickly, changing the subject often. Which mood disorder does she most likely have?

A 27-year-old woman is brought to your office by her mother….

A 27-year-old woman is brought to your office by her mother. The mother tells you that her daughter has been schizophrenic for the last 8 years and is starting to decompensate despite medication. The patient states that she has been taking her antipsychotic and she is doing just fine. Her mother retorts that her daughter has become quite paranoid. When asked why, the mother gives an example about the mailman. She says that her daughter goes and gets the mail every day and then microwaves the letters. The patient agrees that she does this but only because she sees the mailman flipping through the envelopes and she knows he’s putting anthrax on the letters. Her mother turns to her and says, “He’s only sorting the mail!” Which best describes the patient’s abnormality of perception?