Bipolar I

Bipolar I, Current Manic State and Remarkable Hypersexuality

The female patient, Jessica, is in a manic state with high physical energy and exhibiting hypersexual behavior.  Jessica was brought in by her partner after inappropriate behavior during a social gathering.  Jessica has had increased energy for a couple of weeks and the last 3 days has not been sleeping and wants to get out at night to the clubs so she can meet new people.  Jessica has stopped her medications because they make her too “normal,” which is “boring.”  Last night they went to a party and Jessica tried to seduce several people and, at a certain point, she forced a kiss onto a stranger.  During her admission intake with the nurse, Jessica continues to be sexually inappropriate and tells the (female nurse): “I believe that you are attracted to me, go ahead, kiss me!”