Explanation:
The best treatment regimen for this patient is ---
Risperidone and valproic acid
It is given that the college student is unable to sleep for five days. He also has a past medical history of depression and Alport syndrome and he does not take any medicine for that. His speech is also pressured and fast and he has trouble in focusing.
Risperidone belongs to a typical antipsychotics, a class of drugs. It is given to treat mental disorders and it helps one to concentrate and make decisions. By taking risperidone, one can think clearly.
Whereas valproic medication is given to ease out the moods of a person, who is suffering form bipolar disorder.
Thus the old male college student should be treated with Risperidone and valproic acid.