Mix Questions VIII
A 14-year-old boy is brought for review. He is normally fit and well and hasn't seen a doctor for over five years. His mother has been increasingly concerned about his behaviour in the past few weeks. She describes him staying up late at night, talking quickly and being very irritable. Yesterday he told his mother he was planning to 'take-over' the school assembly and give 'constructive criticism' to his teachers in front of the other pupils. He feels many of his teachers are 'underperforming' and need to be 'retaught' their subjects by him. He admits to trying cannabis once around six months ago and has drank alcohol 'a few times' in the past year, the last time being two weeks ago. Prior to his deterioration a few weeks ago his mother describes him as a happy, welladjusted, sociable young man. Which one of the following is the most likely diagnosis?
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