Friday, December 21, 2007

A 20- year-old man has presented with increased alcohol consumption and sexual indulgence, irritability, lack of sleep, and not feeling fatigued even on prolonged periods of activity. All these changes have been present for 3 weeks. The most likely diagnosis is
1. Alcohol dependence
2. Schizophrenia.
3. Mania
4. Impulsive control disorder.

Ans-Mania

Explanation
1. Other than that he takes Alcohol, no other feature supports Alcohol dependence.2. Schizophrenia rarely presents like this.3. Mania is the correct diagnosis for this patient. We can see that all the features that are seen in this patient are the ones seen in Mania4. Impulsive control disorder does not present like this. Please look at the other question for Impulse control disorders

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