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Problem: A 33-year-old male patient diagnosed with bipolar I disorder comes in for evaluation. During the patient interview, he stated that he has not slept much over the past four days and has not felt tired. The patient is more talkative than usual and does not allow any periods of silence during the interview. He appears irritable and easily distracted. The patient mentions that he and his wife have frequently argued due to a couple of shopping trips where he spent several hundred dollars. The patient comments that he has always felt that "he could have done better," and his wife is not worthy of being married to him anyway. He has been working as usual and has been exceptionally productive over the past 4 days. Which is the most likely diagnosis of this patient?
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