A 32-year-old male presents to the office complaining of feeling elated over the past 2 weeks. What is the most likely diagnosis? What would be your initial treatment at this time? What patient education and monitoring would you do at this time?

A 32-year-old male presents to the office complaining of feeling elated over the past 2 weeks. He has had increased energy and reports sleeping for 3 or 4 hours per night. He has been making rash decisions and has been spending excessive amounts of money lately. He reports that prior to these symptoms, he has had periods of time lasting several months where he has not felt like going to work and has had feelings of sadness. What is the most likely diagnosis? What would be your initial treatment at this time? What patient education and monitoring would you do at this time?