Tripolar Disorder

Tripolar Disorder is a mood condition in the Trementia Spectrum, it is characterized by a cycle of mood swings between mania and paraphobia with episodes of blunted affective state, symptoms such as fusion between reality and the imaginary and distortions of how the outside world is perceived (see Catathymia), required for diagnosis.

Mood states
Mood swings in Tripolar Disorder can be more severe than those in Bipolar Disorder, there are several categories of mood states, but delusions can occur even in mild states such as hypomania. Those written in bold are considered a medical emergency due to physical complications.


 * Mania
 * Hypomania
 * Mania
 * Delirious mania
 * Paraphobia
 * Hypophobia
 * Paraphobia
 * Delirious paraphobia


 * Hypothymia
 * Hypothymia (decreased affect)
 * Athymia (no affect)

Symptoms
A. During this period, three or more of the following symptoms must be present and represent a significant change from usual behavior:


 * 1) Inflated	self-esteem or grandiosity
 * 2) Decreased	need for sleep
 * 3) Increased	talkativeness
 * 4) Racing	thoughts
 * 5) Distractibility
 * 6) Increase	in goal-directed activity or psychomotor agitation
 * 7) Engaging	in activities that hold the potential for painful consequences,	e.g., unrestrained buying sprees

B. To be considered paraphobia, three or more of the following symptoms must be present and represent a significant distress:


 * 1) Physical	signs, eg. Shaking, tremors, sweating
 * 2) Pervasive	mistrust of others
 * 3) Complaints	of nonexistant persecution
 * 4) Excessive	anxiety that does not diminish with familiarity
 * 5) Hypervigilance
 * 6) Psychomotor	agitation
 * 7) Increase	in phobias

C. To be considered as a hypothymia, two or more of the following symptoms must be present:


 * 1) Blunted affect, lack of emotional reaction
 * 2) Lack of care for things
 * 3) Inability to experience pleasure
 * 4) Social withdrawal
 * 5) Lack of initiative
 * 6) Akinesia or/and mutism
 * 7) Lack of motivation

D. At least two of the following symptoms must occur during mood states.


 * Distortions of how the outside world is perceived
 * Fusion between reality and the imaginary
 * Epitonic behavior