Which is the most likely diagnosis

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Problem

A 21-year-old woman has had four episodes of elevated mood, pressured speech, increased activity, insomnia, and grandiose ideas over the past year. Each episode lasts for about 2 to 3 weeks, during which time the patient believes she is a famous movie producer and works incessantly on directing and recording videos. Her roommates say that she does not usually have these symptoms or beliefs outside of the episodes, although she is currently studying filmmaking. She is unable to function normally when she is going through an episode. The patient reports no depressed mood, anxiety, anhedonia, or feelings of guilt or worthlessness. She has never had suicidal ideation or behavior. Her parents divorced when she was a child, and she has a history of childhood neglect. Get the instant assignment help. Her past medical history is unremarkable. She does not use tobacco products or recreational drugs, and she drinks alcohol occasionally. Her physical examination is normal. Which is the most likely diagnosis?

Reference no: EM133880954

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