[Expert Solution]: A student health nurse receives a call…

A student health nurse receives a call about a young adult who is a graduate student at the university. The caller identifies themselves as the student’s girlfriend and she expresses concern that, “He’s relapsing.” She shares that the young adult was diagnosed with bipolar I disorder as a teenager after bragging he could “survive shooting himself in the head because bullets can’t hurt me.” He has been hospitalized three times in the past 8 years. She reports that he is a grad student and is about to take his mid-term exams. He told her he stopped taking his medication a few weeks ago so that he’d be “clear-headed” for the exams. For the past week, he has been pacing most of the day and he talks almost constantly, very quickly. He hasn’t slept more than a few hours in the last 3 days and is “too busy to eat much.” She tells the nurse that he has told her about many new plans and that he has expressed frequently, “I feel so alive!” but then also gets irritable very quickly. She adds that “he’s drinking much more than usual” but raises his voice with her when she suggests any intervention.