Write a case formulation and treatment plan for the following patient below that includes documentation of diagnostic studies that will be obtained, referrals to other health care providers, therapeutic interventions including psychotherapy, psychopharmacology, education, disposition of the patient, and any planned follow-up visits. Each diagnosis or condition documented in the assessment should be addressed in the plan. The details of the plan should follow an orderly manner.

1. The primary diagnostic consideration is Bipolar I Disorder, which is characterized by the presence of manic episodes that may be preceded or followed by hypomanic or depressive episodes. P.P.'s symptoms align with this diagnosis as she reported a history of manic episodes characterized by grandiosity, hyperverbal speech, decreased need for sleep, hypersexuality, and the presence of psychotic features (auditory hallucinations). The patient reports periods lasting 4 to 5 days where she experiences decreased need for sleep and engages in impulsive behavior, such as having sex with multiple partners. These symptoms are consistent with DSM-5 criteria for a manic episode, which would support a diagnosis of Bipolar I Disorder.
2. Schizoaffective Disorder can be ruled out due to the episodic nature of psychotic symptoms occurring exclusively during manic phases, rather than as independent, sustained episodes outside mood disturbances. P.P.'s persistent mood disorder of Bipolar I is a better fit for her fluctuating mood and energy levels compared to schizoaffective disorder.
3. Borderline Personality Disorder shares features with P.P.'s presentation, such as impulsivity and unstable relationships. However, the presence of distinct manic episodes, along with grandiosity and decreased need for sleep, is more indicative of bipolar mania than the more chronic, pervasive symptoms of BPD. Additionally, P.P. does not report the chronic feelings of emptiness or fear of abandonment typical in BPD, nor self-harming behaviors beyond one instance of a suicide attempt, which speaks less to BPD and more toward mood instability related to bipolar disorder.
4. The patient's episodes of low energy and staying in bed 4 to 5 times a year could suggest periods of major depressive episodes, further supporting a Bipolar I Disorder diagnosis rather than pure major depressive disorder. Also, the past use of antidepressants such as Zoloft exacerbating her symptoms is a common phenomenon in bipolar disorder, where antidepressants without mood stabilizers can induce mania or hyperactivity.
5. P.P.'s family history, including her mother's diagnosis of bipolar disorder, adds to the genetic predisposition argument for Bipolar I Disorder. The mood evaluation reveals episodes with classic manic symptoms that are typical of this disorder, supporting it as the most appropriate diagnosis. P.P.'s historical response to psychiatric medications such as Risperdal and Seroquel, often used as mood stabilizers in bipolar disorder, reinforces the diagnosis. Her adverse reaction to medications that squashed her creativity also aligns with the experience of individuals with bipolar disorder who report that mood stabilizers can sometimes dull their creative highs, which they may associate with their manic phases.
6. P.P.'s clinical presentation, combined with her psychiatric history, symptomatology, and family background, strongly suggests Bipolar I Disorder as the most fitting diagnosis. Further psychiatric evaluation is advised to refine the treatment plan, potentially integrating mood stabilizers and supportive psychotherapy to manage her symptoms effectively.