LMSW Practice Test

A therapy patient who is overly talkative, restless, and grandiose might be suspected of which condition?

1. Amphetamine intoxication.

2. Alcohol intoxication.

3. A psychotic episode.

4. Dissociation.

The correct answer is: Amphetamine intoxication.

The presence of characteristics such as being overly talkative, restless, and grandiose points toward symptoms that are often associated with stimulant use, particularly amphetamines. When someone is under the influence of amphetamines, they can become unusually energetic, euphoric, and talkative, exhibiting a rapid flow of thought and speech. This elevated mood can also be accompanied by increased activity levels and a heightened sense of self-importance or grandiosity. In contrast, alcohol intoxication typically leads to a more subdued state, with characteristics such as slurred speech and decreased motor skills, which do not align with the symptoms described. A psychotic episode could involve grandiosity or racing thoughts, but it is more commonly associated with delusions or hallucinations, which are not mentioned in the scenario. Dissociation is characterized by a disconnect from one's thoughts or sense of identity, leading to a lack of cohesive conversation or engagement, which also does not match the patient's described behavior. Thus, the signs presented strongly suggest amphetamine intoxication as the most likely condition.