BIPOLAR MOOD CHART - JUNE 2012 +5 +4 +3 +2 +1

**Mark the closest of both highs and lows with an X** MANIA
+5 altered consciousness crying very expansive elevated mood short tempered
+4 hallucinations unreasonable poor concentration inflated self esteem mild mood elevation
MANIC +3 incoherant screaming rapid speech expansive guarded attitude
+2 X disorganized speech flight of ideas grandiose apprehensive distractable
+1 X X disoriented grandiose delusions quickened pace unwarranted optimism confident
NORMAL 0 poor concentration hallucinations disinhibited overconfident optimistic
-1 grandiose swearing decreased decorum active guarded body language
-2 X X X X crying threatening active verbally loud energetic
DEPRESSED -3 X X X X X X X X X X X X unreasonable lashing out overconfident less need for sleep racing thoughts
-4 no need of sleep no need of sleep little need for sleep distractable less need for sleep
-5
DAY 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 DEPRESSION
HOURS SLEPT 4 6.5 4 5.5 6 5 5 4 6 4.5 4.5 4 4 5.5 2.5 4.5 emotional paralysis extreme hopelessness apathy looks sad loss of satisfaction
WEIGHT ON DAY 14 & 28 175 accusatory hallucinations serious suicidal thoughts or attempt hopeless pessimistic feels weak
NONE X X stupor delusional guilt suicidal thoughts avoids others self-reproach
MILD X X X X X X X mute unable to concentrate poor concentration minimal responses altered eating
ANXIETY
MODERATE X X X X serious suicidal thoughts or attempt no activities self-reproach worried slightly withdrawn
SEVERE severe agitation severe agitation obsessive guilt plays with hands or hair slight tension
NONE X X X X X X X X X non-functional somatic delusions isolates self frequent somatic complaints fidgety
MILD X X X apathy unable to sleep despite medication lethargic withdrawn irritable
IRRITABLE
MODERATE X crying spells crying spells crying spells restless sleep fatigued
SEVERE extreme fatigue isolates self major sleep difficulty self-reproach restless sleep
MEDS AM X X X X X X X X X X X X X X
TAKEN PM X X X X X X X X X X X X X X NORMAL - EUTHYMIC
ALCOHOL/MEDS X X X X appropriate mood no anxiety
SELF HARM X X X X no suicidal thoughts no sleep difficulties
CRYING SPELLS X X X X X X normal speech no somatic complaints
SUICIDAL THOUGHTS X X X X X normal thought good concentration
AFFECTING WORK X X X X guilt absent self esteem average
 BIPOLAR MOOD CHART - JULY 2012 +5 +4 +3 +2 +1

**Mark the closest of both highs and lows with an X** MANIA
+5 altered consciousness crying very expansive elevated mood short tempered
+4 hallucinations unreasonable poor concentration inflated self esteem mild mood elevation
MANIC +3 incoherant screaming rapid speech expansive guarded attitude
+2 disorganized speech flight of ideas grandiose apprehensive distractable
+1 X disoriented grandiose delusions quickened pace unwarranted optimism confident
NORMAL 0 poor concentration hallucinations disinhibited overconfident optimistic
-1 X X X grandiose swearing decreased decorum active guarded body language
-2 X X X X X X X X X X crying threatening active verbally loud energetic
DEPRESSED -3 X X X unreasonable lashing out overconfident less need for sleep racing thoughts
-4 X no need of sleep no need of sleep little need for sleep distractable less need for sleep
-5
DAY 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 DEPRESSION
HOURS SLEPT 13 6 5 8 6 10 11 8 6 7 6 5 4 8 10 6 5 emotional paralysis extreme hopelessness apathy looks sad loss of satisfaction
WEIGHT ON DAY 14 & 28 211 accusatory hallucinations serious suicidal thoughts or attempt hopeless pessimistic feels weak
NONE X X X X X stupor delusional guilt suicidal thoughts avoids others self-reproach
MILD X X X X X X X X mute unable to concentrate poor concentration minimal responses altered eating
ANXIETY
MODERATE X X X X serious suicidal thoughts or attempt no activities self-reproach worried slightly withdrawn
SEVERE severe agitation severe agitation obsessive guilt plays with hands or hair slight tension
NONE X X X X X X X X X X non-functional apathy isolates self frequent somatic complaints fidgety
MILD X X X X X apathy unable to sleep despite medication lethargic withdrawn irritable
IRRITABLE
MODERATE X X crying spells crying spells crying spells restless sleep fatigued
SEVERE extreme fatigue isolates self major sleep difficulty self-reproach restless sleep
MEDS AM X X X X X X X X X X X X X X X X X
TAKEN PM X X X X X X X X X X X X X X X X NORMAL - EUTHYMIC
ALCOHOL/MEDS X appropriate mood no anxiety
SELF HARM X X X X X X no suicidal thoughts no sleep difficulties
CRYING SPELLS X X X X normal speech no somatic complaints
SUICIDAL THOUGHTS X X X normal thought good concentration
AFFECTING WORK X X X X X guilt absent self esteem average