Question

A 16 year old female patient presented with over familiarity, flight of ideas, elevated mood, increased sexual desire, pseudohallucinations. What will be the diagnosis?

• A. Mania
• B. Schizomania
• C. Hypomania
• D. Cyclothymia

Answer 1

The Correct Option is A

To determine the correct diagnosis for the 16-year-old female patient, we need to analyze the symptoms provided:

• Over familiarity
• Flight of ideas
• Elevated mood
• Increased sexual desire
• Pseudohallucinations

These symptoms align with the clinical features of mania, which is characterized by a significantly elevated, expansive, or irritable mood, often accompanied by increased activity or energy. Additional symptoms can include inflated self-esteem, decreased need for sleep, and distractibility.

Let's assess the options:

Mania	Includes symptoms like grandiosity, decreased need for sleep, talkativeness, and risky behaviors. Considered as a full episode lasting at least one week.
Schizomania	Not a recognized clinical entity; might refer to features overlapping between schizophrenia and mania, but this is not an official diagnosis.
Hypomania	Similar to mania but less severe; symptoms are not as impairing and last at least 4 days.
Cyclothymia	A milder form of bipolar disorder with alternating episodes of hypomanic and depressive symptoms, not meeting full criteria for either mania or major depression.

Given the severity and combination of the symptoms such as increased sexual desire and pseudohallucinations alongside an elevated mood, the most fitting diagnosis is mania, characterized by a more severe symptom presentation.

Therefore, the correct diagnosis is: Mania.