LM is a 24 year old female who was referred to us for mood changes. She expresses concerns over her increased irritability, impulsivity, and risky behavior for an 8-day period about 2 weeks ago. She states that 2 weeks ago she had an “episode” of increased energy, uncontrollable behavior including spending unnecessary money and drinking more than she typically would. She also began to develop a business in order to “save peoples’ souls.” She reports her family is worried about her due to the episode of drastic mood change and pressured speech.
Reports insomnia during that period, only sleeping 2-3 hours per night. She reports a hx of depressive episode, in college, that lasted several months. Her PE was not significant for physical findings.