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A 62-year-old man presents to his primary care physician at the insistence of his wife. The man states that there is nothing wrong with him but that he has not been sleeping nearly as much as he used to, often needing less than 2 hours of sleep a night. His wife notes that he has been exceedingly irritable, has been charging excessive amounts of money on their credit cards, and has been talking about running in a marathon, although he has never expressed such an interest before. The patient has no previous psychiatric or medical history. He denies the use of drugs or alcohol. what is the diagnosis of this patient??
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