Which mental health condition is characterized by inflated self-esteem and trouble sleeping?

Bipolar disorder is characterized by significant fluctuations in mood, which include episodes of mania or hypomania. During these episodes, individuals often experience inflated self-esteem or grandiosity, resulting in an overly positive self-image or unrealistic confidence in their capabilities. This can lead to behaviors that are riskier or more impulsive than usual. Additionally, difficulty sleeping is a common symptom during manic phases, where individuals might feel energized and require less sleep than normal.

The other conditions listed do not align with both of these symptoms. Major depressive disorder is primarily associated with feelings of sadness and low self-esteem, not inflated self-esteem. Generalized anxiety disorder primarily involves excessive worry, not typically associated with manic behaviors or inflated self-esteem. Schizophrenia features symptoms related to distorted thinking and perception, rather than the mood fluctuations seen in bipolar disorder. Thus, the combination of inflated self-esteem and trouble sleeping is most indicative of bipolar disorder.