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 16 year old female patient presented with over familiarity, flight of ideas, elevated mood, increased sexual desire, pseudohallucinations. What will be the diagnosis?
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Elevated mood with flight of ideas and a psychotic feature (pseudohallucinations) distinguishes a full manic episode from the milder hypomanic episode.
Updated On: Jun 23, 2026
- Mania
- Schizomania
- Hypomania
- Cyclothymia
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The Correct Option is A
Solution and Explanation
Step 1: Identify the key psychiatric symptoms.
Step 2: Apply diagnostic criteria.
Step 3: Conclusion. The full constellation of elevated mood, flight of ideas, over familiarity, hypersexuality, and pseudohallucinations (psychotic feature) is consistent with a manic episode. Presence of pseudohallucinations (a psychotic feature) rules out hypomania. The answer is Mania.
- Over familiarity: Reduced social inhibition; increased interpersonal closeness -- a feature of elevated mood states.
- Flight of ideas: Rapid, loosely connected thoughts racing from one topic to another -- classic formal thought disorder in mania.
- Elevated mood: Euphoria or expansiveness -- the cardinal feature of mania.
- Increased sexual desire (hypersexuality): A recognised feature of manic episodes under DSM-5 (increased goal-directed activity including sexual activity).
- Pseudohallucinations: Hallucinations perceived as coming from within the mind rather than external space; they occur in mania and are not indicative of schizophrenia in this context.
Step 2: Apply diagnostic criteria.
- Mania (DSM-5): Distinct period of abnormally elevated/expansive/irritable mood + increased energy lasting >7 days (or any duration if hospitalisation needed), with ≥3 of: grandiosity, decreased need for sleep, pressured speech, flight of ideas, distractibility, increased goal-directed activity, excessive pleasurable activities. Causes marked impairment.
- Hypomania: Similar symptoms but lasting 4-7 days and not causing marked impairment; no psychotic features.
- Schizomania: Not a standard DSM diagnosis; schizoaffective disorder has both psychotic and mood components.
- Cyclothymia: Chronic fluctuating mood (hypomanic + depressive symptoms) for ≥2 years, never meeting full criteria for mania or major depression.
Step 3: Conclusion. The full constellation of elevated mood, flight of ideas, over familiarity, hypersexuality, and pseudohallucinations (psychotic feature) is consistent with a manic episode. Presence of pseudohallucinations (a psychotic feature) rules out hypomania. The answer is Mania.
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