Does this patient have a mood disorder?
“You know, Doc, I can feel great for a few days, but oh, the terrible times afterwards,” says Carol, a 35-year-old lawyer*, when I ask about her mood, which is the reason for her referral.
Carol explains that she occasionally experiences a few days of feeling exceedingly happy, over-energised and “wired”.
She describes her thinking as “100 miles an hour”, with no need for sleep. Anything and everything appears possible, and spending money becomes “fun”. She even feels able to do her work faster, although she admits she is easily distractible and less patient. Sometimes, she is even irritable with