Case Lab · Type A · Core

F38

Tearful and wired, five days, first time ever

Yusuf, 22, with no prior psychiatric history of any kind, presents after five days during which he has simultaneously felt very tearful and guilty while also being unable to sit still, talking rapidly, and sleeping only about two hours nightly — both sets of symptoms present together, on the same days, rather than one following the other. No prior manic, hypomanic, or depressive episode has ever been documented.