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Question category: Psychiatry

A 19 year old is brought to A+E. He was on a night out 2 nights ago and is described by his friend as a "party animal". He is now acting very oddly. He is clearly hallucinating and is speaking rapidly. He is euphoric and laughing inappropriately. He appears agitated and his affect is blunted. His pupils are dilated and he is tachycardic. What is the most likely diagnosis?

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