Using short term up trends (STUT) and short term down trends (STDT),
it is possible to then identify peaks and troughs which are the
next level up from short term trends. The definition of a peak is
the highest point between a STUT and a STDT. A trough is the
lowest point between a STDT and a STUT.
If a security exhibits higher peaks and higher troughs, then it
is in a medium term up trend. Similarly, when it exhibits lower
peaks and lower troughs, it is in a medium term down trend. If
however it fails to achieve a higher peak, rather forms a similar
peak to the previous peak, it is likely to be forming a double
top. You can see this displayed in the chart below.

The double top completes when the security trades below the
previous trough. When a double top forms, the previous trough now
becomes a significant level. It was at this level that the
security last experienced support and should the security trade
below this level, then the support is obviously no longer there,
and this is not present a positive outlook.

In the chart above, you can see where a double bottom has formed.
Opposite to the double top where the previous trough is
important, the previous peak between the two troughs becomes the
significant level for the double bottom forming.
It is widely accepted that a trend should be assumed to still
exist until there is absolute evidence that it has ended.
Absolute evidence would be where a trend in the opposite
direction has been established.
In the chart to the left, the security forms a similar peak
(marked with the red line). When this occurs, there is reason to
doubt the strength of the present trend however further evidence
is required that the trend has ended. When the security trades
below the previous trough, the security is on its way to forming
a lower trough than the previous one.
When this occurs, not only has the security failed to achieve a
higher peak, it has also failed to achieve a higher trough. This
is sufficient evidence that the medium term up trend has ended
and that a new medium term down trend has commenced.
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