A 32-year-old patient is brought to the emergency department by family members who report that the patient has been experiencing alternating periods of extreme energy and severe depression over the past month. The patient is currently exhibiting rapid speech, decreased need for sleep, and grandiose ideas. What is the most likely diagnosis?
The correct answer is Bipolar I Disorder. The patient's symptoms align with the diagnostic criteria for a manic episode, which is characteristic of Bipolar I Disorder. The alternating periods of extreme energy (mania) and severe depression, along with the current presentation of rapid speech, decreased need for sleep, and grandiose ideas, are classic signs of a manic phase in Bipolar I Disorder.
Major Depressive Disorder is incorrect because it does not include manic episodes. Generalized Anxiety Disorder typically presents with persistent worry and anxiety, not the extreme mood swings described. Schizophrenia, while it can include mood symptoms, is primarily characterized by psychotic symptoms like delusions and hallucinations, which are not mentioned in this scenario.
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