Which of the following symptoms experienced over 1 month would be most helpful to diagnose bipolar disorder?
1. Difficulty sleeping, obsession with death, hallucinations
2. Delusions, unkempt appearance, fatigue
3. Abnormal eating patterns, feelings of despair, flight of ideas
4. Increased goal-directed behavior and talkativeness, distractibility
Correct Answer: 3
Rationale: Bipolar disorder involves periods of mania and depression. Abnormal eating patterns and feelings of despair are symptoms of depression, whereas flight of ideas is a symptom of mania. Increased goal-directed behavior, talkativeness, and distractibility are symptoms of mania. Difficulty sleeping, obsession with death, hallucinations, delusions, unkempt appearance, and fatigue are symptoms of depression.
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