,HISTORY AND HOSPITAL COURSE: , The patient is a 22-year-old female with a history of bipolar affective disorder, was initially admitted for evaluation of increasing mood lability, disorganization, and inappropriate behaviors. 
,HISTORY AND HOSPITAL COURSE : , The patient is a 22 - year - old female with a history of bipolar affective disorder , was initially admitted for evaluation of increasing mood lability , disorganization , and inappropriate behaviors .