Sarah O’Neil presented to you with complaints

Sarah O’Neil presented to you with complaints of crying spells at work and calling in sick due to feeling overwhelmed and fatigued. She reports she has been sad for most days over the past month, has no interest in socializing, and she feels distracted and tired despite sleeping 10-12 hours each night. She also reports an increase in appetite with a recent 10-pound weight gain. Six weeks ago, the patient shares she had a 10-day episode of elevated mood, decreased sleep, increased productivity, creative thinking, and an increase in energy, which denotes a change in her behavior. Her physical exam was unremarkable. You ordered labs including TSH, cortisol, CBC, ferritin, and HCG, all of which were within normal limits/negative. You suspect bipolar II disorder as the cause of her symptoms.

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