Case Lab · Type B · Foundation

F31

"One manic episode is enough to call it bipolar"

Tom, 30, presents with seven days of elevated mood, grandiosity, decreased need for sleep, and pressured speech, with clear disruption to his work performance. This is his first-ever contact with any mental health service, and a careful history from both Tom and his mother confirms he has never previously had a period of mania, hypomania, or depression of any kind.