Mr. K has no past psychiatric medication or recent substance use. His family history is significant for a brother who had a single manic episode and past suicide attempt in his adolescence. Mr. K is employed at a biotechnology company, where he does shiftwork, however since returning from his cruise, he has been unable to go to work due to his current symptoms.
Mr. K does not take any regular medications however, he reports using scopolamine for motion sickness on the cruise, and his wife tells you that she believes this may have led to his developing mania.
What would you say to Mr. K and his wife? What is Mr. K's diagnosis? How would you treat his manic symptoms?
"Manic After Taking A Vacation" by Embay Tan (Current Psychiatry).