Great and thought provoking example. I think you could argue there could be some genetic susceptibility to having a manic episode when placed under stressors like that, meaning potentially there's a relative with bipolar disorder or pretty severe major depressive disorder. I don't think most people would fall into a manic episode when placed in situations like that, but it is impossible to know. In my time rotating in the psych emergency department I saw someone with a similar presentation to Ola. No psychiatric history, stressful event happened, didn't sleep for a few days, came in in frank psychosis, treated with Seroquel, left the next day totally fine. Diagnosis given was brief reactive psychosis. Maybe the same happened for Ola Wong.