Giovanna Eynaudi Considering the information provided in the case of Mr. Jock, and after aligning all symptoms and signs with the DSM-5 criteria, the patient should receive the diagnosis of Bipolar I, ongoing manic episode, of severe severity, with psychotic features congruent with mood, with catatonia. As mentioned in the DSM-5, to receive the diagnosis of Bipolar I, the individual must meet criteria for at least one manic episode, which may (but does not require) have been preceded or may be followed by hypomanic or major depressive episodes (Criterion A for Bipolar I), and should not be better explained by the presence of schizophrenia, schizoaffective, schizophreniform or delusional disorder, or other specified disorders or unspecified schizophrenia spectrum and other psychotic disorders (Criterion B of Bipolar I). In this particular case, Mr. Jock's symptoms met the criteria for an episode of mania, which is characterized by a period of abnormally and persistently elevated, expansive, or irritable mood and abnormally and persistently increased goal-directed activity or energy , lasting at least 1 week and present for most of the day, almost every day (DSM-5, Manic Episode Criterion A). During this period, the patient should significantly experience at least three or more symptoms of inflated self-esteem or grandiosity, decreased need for sleep, more talkativeness than usual or pressure to keep talking, flight of ideas, or the subjective experience that thoughts are racing , distractibility, increased goal-directed activities or psychomotor agitation, and/or excessive involvement in activities that have a high potential for painful consequences (DSM-5, Manic Episode Criterion B). Jock meets both criteria A and B for a manic episode as he experiences...... half of document ...... apine, quetiapine, aripiprazole, risperidone and may include ziprasidone) to treat psychotic symptoms and mood stabilizers such as lithium or valproate to control manic episodes. Furthermore, and since the medical treatment is constantly monitored, it would be useful to educate Mr. Jock and his family regarding drug therapy in order to increase compliance with the treatment. This may include information about the risk of manic relapse that can occur, how to identify symptoms, and what to do when you notice these symptoms. Finally, Mr Jock should also consider psychoeducation and care management to increase the effectiveness of the intervention. This will involve the patient and their family members throughout treatment as they learn about the course of the disease, signs of relapse, and the benefits and risks involved in each of the available treatment options.