Make the Diagnosis: Feeling Too Much Better?

(MedPage Today) -- Case Findings: A 20-year-old male was recently treated with a serotonin-norepinephrine reuptake inhibitor for an episode of major depressive disorder lasting one month. He presents for follow up 3 weeks after initiation of treatment. On follow up three weeks after initiation of treatment, he says that he feels " great and has had increased energy for the past week, with a decreased need for sleep. He appears more talkative than previously and confides that he attributes some of his improvement to several sexual encounters with different women he met in bars over the weekend. He is in veterinary school and says his schoolwork is going well, but although he has been spending long hours at the school and in the laboratory, he reports being easily distracted from his tasks. What is his most likely diagnosis?
Source: MedPage Today Psychiatry - Category: Psychiatry Source Type: news