
Tripolar disorder is caused by the interaction between borderline personality disorder and bipolar disorder, which leads to a syndrome known as manic dysphoria.
Tripolar disorder is characterized by symptoms such as:
- Uncontrollable and irrational anger
- Psychosis
- Paranoia
- Hallucinations
Symptoms may be distressing, difficult to manage, and a huge burden on the healthcare system.
7 symptoms of tripolar disorder
Since tripolar disorder is a combination of several personality disorders, it may present with a mix of symptoms:
- Self-harm or injury: The person may try to injure themselves through self-harm and parasuicidal acts so that they can get admitted to a medical ward. By gaining entry into these wards, they may try to get access to psychotropic substances and painkillers.
- Drug abuse: The person may exaggerate physical and mental symptoms to gain access to restrictive sedative drugs and painkillers. They may contact different healthcare services and general practitioners to acquire a medical prescription for restricted drugs.
- Factitious behavior: People with tripolar disorder have a tendency to exaggerate their physical and mental health issues, such as severe depression or suicidal ideation.
- Feigning chronic and constant pain: The person may pretend to be experiencing extreme pain to get a prescription for painkillers. Acetaminophen tends to exert a relaxing effect on the person, which in turn leads to a chronic addiction to painkillers.
- False claims of multiple allergies: People with tripolar disorder frequently complain of allergies to several medications. As there is no test to prove these claims, their prescription often gets filled with a lengthy list of allergies. This is done on purpose to drive the physician to provide the desired treatment.
- False allegations: The person may make false allegations against hospital staff when they challenge their misbehaviors and symptoms. They mat pretend to have worsened psychiatric symptoms including depressive symptoms and suicidal thoughts to prove medical staff wrong.
- Behavior escalation: The person may be perfectly fine when hospital staff closely observes them in psychiatric or medical wards. However, as the intensity of observation declines, people with tripolar disorder may deliberately present with escalated physical and depressive symptoms.
What are the different states of tripolar disorder?
1. Depressive state
The first state of tripolar disorder is a lethargic and obsessive type of depression. During this state, the person may stay in bed for long periods of time, appearing depressed and displaying few emotions. It may be challenging for them to make any decision as every choice is considered repeatedly and obsessively.
2. Manic state
The second state is the "classic" manic state, in which the person is:
- Extremely positive and optimistic
- Bubbling with ideas and energy
- Interested in striking up conversations with people, sending messages or emails
- More interested in sexuality and romance than usual
3. Intermediate state
- The third state or the "mixed" state is usually very painful. Characteristics of this state are as follows:
- Stuck in negative thoughts, judgments, internal agitation, and irritability
- Shuffling between stability and sudden mood swings, which range from depression to agitation or even typical mania
- Being in an extremely negative, turbulent, or agitated state

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