Zanelli is diagnosed with bipolar I disorder, most recent episode mania. Her symptoms are elevated mood, distractibility, disjointed speech, excessive sleep and irritability with others. Her occupational functioning is also impaired. She has been suffering from these symptoms for the past ten days. Before this current manic episode she suffered from major depressive episode, during which she became obsessed with her personal appearance. She spend hours on choosing the right outfit and doing her hair. The depressive episode lasted for eight weeks.
Which aspects of zanelli s case are unusual for bipolar I disorder?
1.the duration of the manic episode and the present of disjointed speech during a manic episode.
2.an increased need for sleep during a manic episode and an obsession with appearance during a major depressive episode.
3.the impairment in occupational functioning and the irritable mood during a manic episode
4.the history of a major depressive episode and the duration of this episode.
Answer: 2. an increased need for sleep during a manic episode and an obsession with appearance during a major depressive episode.