Fluctuating Psychomotor Activity

Fluctuations in psychomotor activity is a symptom of Catathymia and Trementia, it is manifested as constant switching between hyperactivity and hypoactivity or a mixed state.

Criterias

 * Hyperactivity: symptoms include hyper-vigilance, restlessness, fast or loud speech, irritability, combativeness, impatience, swearing, singing, laughing, uncooperativeness, euphoria, anger, wandering, easy startling, fast motor responses, distractibility, nightmares, and persistent thoughts (hyperactive sub-typing is defined with at least three of the above). If none are met, consider symptoms similar to ADHD.
 * Hypoactivity: symptoms include unawareness, decreased alertness, sparse or slow speech, lethargy, slowed movements, staring, and apathy (hypoactive sub-typing is defined with at least four of the above). If none are met, consider symptoms similar to SCT.