
Descubre el impacto que tiene DBSA en las vidas de los individuos quienes viven con trastornos del estado de ánimo.
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Personal Calendar

Print a PDF version of the monthly calendar for your use.

TREATMENT AND PHYSICAL TRACKING - WEEKLY CHART

Check the days you go to talk therapy and support group.
List your mood disorder medications, how many pills prescribed, and how many you take each day.
List your medications for other illnesses and any other supplements you take.
Check the days when you have side effects. If you have several bothersome side effects, use a line for each.
Check the days when you have a physical illness.
If applicable, check the days when you have your menstrual period.
If applicable, check the days when you use alcohol and/or drugs.
Write down how many hours of sleep you got.
Write down how many meals and snacks you had.
Check the days when you did some kind of physical activity or exercise.
Check the days when you spent some time relaxing.
Check the days when you reached out to other people.
Check the days when you had a major life event that affected your mood. List the events if there are more than one.
Fill in the box that describes your mood for the day. If your mood changes during the day, fill in the boxes for the highest and lowest moods and connect them.
If you experience a mixed state, check the box.
Look for patterns. See how your moods relate to your treatment and lifestyle.

Sample Calendar

Talk therapy / support groups			Sun	Mon	Tues	Wed	Thu	Fri	Sat
Talk therapy	check the days you went to talk therapy			x		x
Support group	check the days you went to support groups						x

Your prescriptions			Sun	Mon	Tues	Wed	Thu	Fri	Sat
Medication name	Dose	# of pills per day	Total number of pills taken each day
Medication A	200 mg	2	2	2	3	1	2	2	2
Medication B	15 mg	2	2	0	2	2	2	1	2




Side effects			Sun	Mon	Tues	Wed	Thu	Fri	Sat
Headache	check the days you had side effects			x	x
	check the days you had side effects
	check the days you had side effects

Physical illness			Sun	Mon	Tues	Wed	Thu	Fri	Sat
Flu	check the days you had a physical illness				x	x	x
	check the days you had a physical illness
	check the days you had a physical illness

Menstrual period	check the days you had your period								x
Drank/used drugs	check the days that you drank/used drugs							x	x
Hours of night sleep	record the number of hours slept		8	5	5	7	8	10	8
Number of meals	record the number of meals eaten		2	3	3	3	2	3	2
Number of snacks	record the number of snacks eaten		2	1	3	2	0	3	4
Physical activity	check the days you did a physical activity					x		x
Relaxation time	check the days you spent time relaxing		x						x
Helped others	check the days you helped others			x	x

Major life event			Sun	Mon	Tues	Wed	Thu	Fri	Sat
Argument with friend	check the day the event happened						x



Mood tracking			Sun	Mon	Tues	Wed	Thu	Fri	Sat
Extremely manic	shade the box(es) that reflect your mood
Very manic	shade the box(es) that reflect your mood
Somewhat manic	shade the box(es) that reflect your mood
Mildly manic or hypomanic	shade the box(es) that reflect your mood
STABLE MOOD	shade the box(es) that reflect your mood
Mildly depressed	shade the box(es) that reflect your mood
Somewhat depressed	shade the box(es) that reflect your mood
Very depressed	shade the box(es) that reflect your mood
Extremely depressed	shade the box(es) that reflect your mood
Mixed state	check the box if you experience a mixed state that day

Blank Calendar

Talk therapy / support groups			Sun	Mon	Tues	Wed	Thu	Fri	Sat
Talk therapy	check the days you went to talk therapy
Support group	check the days you went to support groups

Your prescriptions			Sun	Mon	Tues	Wed	Thu	Fri	Sat
Medication name	Dose	# of pills per day	Total number of pills taken each day






Side effects			Sun	Mon	Tues	Wed	Thu	Fri	Sat
	check the days you had side effects
	check the days you had side effects
	check the days you had side effects

Physical illness			Sun	Mon	Tues	Wed	Thu	Fri	Sat
	check the days you had a physical illness
	check the days you had a physical illness
	check the days you had a physical illness

Menstrual period	check the days affected
Drank/used drugs	check the days affected
Hours of night sleep	record the number of hours slept
Number of meals	record the number of meals eaten
Number of snacks	record the number of snacks eaten
Physical activity	check the days you did a physical activity
Relaxation time	check the days you spent time relaxing
Helped others	check the days you helped others

Major life event			Sun	Mon	Tues	Wed	Thu	Fri	Sat
	check the day the event happened
	check the day the event happened
	check the day the event happened

Mood tracking			Sun	Mon	Tues	Wed	Thu	Fri	Sat
Extremely manic	shade the box(es) that reflect your mood
Very manic	shade the box(es) that reflect your mood
Somewhat manic	shade the box(es) that reflect your mood
Mildly manic or hypomanic	shade the box(es) that reflect your mood
STABLE MOOD	shade the box(es) that reflect your mood
Mildly depressed	shade the box(es) that reflect your mood
Somewhat depressed	shade the box(es) that reflect your mood
Very depressed	shade the box(es) that reflect your mood
Extremely depressed	shade the box(es) that reflect your mood
Mixed state	check the box if you experience a mixed state that day

page created: May 8, 2006

page updated: May 8,2006


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