DSM-IV-TR Casebook Diagnosis of "Factory Girl"
This case indicates how difficult it is to distinguish the
excitement seen in the Catatonic Type of Schizophrenia from that
seen in a Manic Episode. This woman has many symptoms that suggest the
manic syndrome. Her mood is described as alternately silly, cheerful,
and irritable. There are pressure of speech (e.g., "She
chatters continually, and will not let anyone get in a word")
and hyperactivity (e.g., "she hops about, bends down, claps
her hands"). She is also grandiose (e.g., "she
looks on herself as the mistress of the house; she pays the nurses
and appoints them") and sexually provocative.