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  • Bipolar Mood Chart

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    Tracy
    175 visualizzazioni2 pagine
    Monthly chart for bipolar patients to record intensity of symptoms for mania and depression.

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    © Attribution Non-Commercial (BY-NC)

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    Monthly chart for bipolar patients to record intensity of symptoms for mania and depression.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Scarica in formato PDF, TXT o leggi online su Scribd
    Segnala contenuti inappropriati
    175 visualizzazioni2 pagine

    Bipolar Mood Chart

    Caricato da

    Tracy
    Monthly chart for bipolar patients to record intensity of symptoms for mania and depression.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Scarica in formato PDF, TXT o leggi online su Scribd
    Segnala contenuti inappropriati
    di 2

    Name Month Year

    DAYS 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31
    Severe Significant impairment
    Not able to work
    ELEVATED

    Moderate Significant impairment


    Able to work

    Mild Without significant


    impairment
    NORMAL

    NORMAL

    Mild Without significant


    impairment
    DEPRESSED

    Moderate Significant impairment


    Able to work

    Severe Significant impairment


    Not able to work
    Anxiety 0=None
    1=Mild
    Irritability 2=Moderate
    3=Severe
    Weight on day 28

    Hours slept

    Medication (name/mg)
    DAILY NOTES

    DATE NOTES

    DAYS 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31
    Medication (name/mg)

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