This document summarizes a mental health consultation for a patient exhibiting signs of hypomania such as elevated and irritable mood, inflated self-esteem, distractibility, lack of insight, and paranoid thinking. The psychologist recommends increasing the patient's Depakote, adding Zyprexa to treat acute hypomania symptoms, obtaining a psychiatric history, switching from Paxil to Lexapro due to risks, switching from Klonopin to a shorter-acting benzodiazepine, and considering alternative diagnoses such as histrionic personality disorder or mild dementia. The psychologist offers to provide more assessment after clarifying diagnostic issues.