Rosh Psychiatry Board Practice Exam

Which symptom would help confirm a diagnosis of bipolar I disorder?

1. Long-term employment stability

2. Absence of hospitalization history

3. Recent creativity with increased energy

4. Periods of low mood prior to this episode

The correct answer is: Recent creativity with increased energy

The presence of recent creativity accompanied by increased energy is a significant symptom that can help confirm a diagnosis of bipolar I disorder. This condition is characterized by the experience of manic episodes, which often include elevated mood, increased energy, and sometimes enhanced creativity. During manic phases, individuals may display an overflow of ideas and exhibit behaviors that are more energetic than usual, such as engaging in multiple projects or pursuing creative endeavors with heightened enthusiasm. In the context of diagnosing bipolar I disorder, it’s essential to identify characteristics of manic or hypomanic episodes. Increased creativity can often be intertwined with the euphoric or irritable mood seen in these episodes, reinforcing the presence of the disorder. Therefore, this symptom aligns well with the diagnostic criteria for bipolar I disorder, which emphasizes the importance of manic symptoms. Other choices do not correlate as strongly with the diagnostic criteria for bipolar I disorder. For instance, long-term employment stability and absence of hospitalization do not provide specific information regarding the presence of manic episodes, as individuals with bipolar I disorder can maintain consistent employment or avoid hospitalization while still experiencing significant mood episodes. Periods of low mood may indicate a depressive component but do not specifically confirm a manic episode necessary for diagnosing bipolar I disorder on their own.