What details did the patient provide regarding their chief complaint and symptomology to derive your differential diagnosis? What was the duration and severity of their symptoms? How are their symptoms impacting their functioning in life? Objective: What observations did you make during the psychiatric assessment?

 Based on the examination of the patient's results, the appropriate differential diagnoses are
Bipolar I Disorder, Social Anxiety disorder, and Attention-deficit/hyperactivity disorder
(ADHD). They are listed below in order of the most appropriate or primary.
1. F31.2 Bipolar I disorder, Current or most recent episode manic, with psychotic
features: Bipolar I Disorder is known as having a cycle of manic, depressive, hypomanic,
or mixed symptoms such as manic-depressive disorder. The patient may simultaneously
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COMPREHENSIVE PSYCHIATRIC EVALUATION NOTE
experience depressive and manic symptoms; manic symptoms may range from agitated,
lots of energy, feeling high, accelerated activity level, fast thoughts. Depressive
symptoms vary from the troubled sleeping episode, less energetic, low moods with no
enjoyment and interest in something, and slowed down or feeling tired (Johnson et al.,
2016). DSM-5 diagnosis for Bipolar I Disorder one has to experience at least one
episode of mania or hypomania. For the patient to be categorized as mania, irritable
mood, expansive, or elevated must persist for not less than a week for almost daily. Based
on this diagnosis, T.M is experiencing depression, poor sleep, mood instability, "manic"
episodes, and decreased motivation.
2. F90.0 Attention-deficit/hyperactivity disorder, Predominantly inattentive
presentation: Attention-deficit/hyperactivity disorder (ADHD): ADHD is one of the
most widely recognized neurodevelopmental disorders in adolescence. It is typically first
analyzed in youth and regularly keeps going into adulthood. A mental condition is
known as impulsiveness, attention deficiency, and hyperactivity. The condition starts
during the childhood stage and escalates to adulthood. The acute behavioral symptoms
include fidgeting, lack of restraint, aggression, impulsivity, excitability, persistent
repetition of actions or words, continuous repetition of words or actions, or absentmindedness. Mood-related symptoms include mood swings, anger, excitement, and
boredom, while the generalized symptoms are learning disability and depression (Cortese
& Tessari, 2017). DSM-5 diagnosis for attention deficit hyperactivity disorder (ADHD)
includes at least one week of restlessness, getting tired quickly, or impaired
concentration. Based on the T.M diagnostic results, the symptoms coincide with those
of ADHD through decreased motivation, decreased concentration, and social anxiety.