SIMPLIFIED MOOD & ENERGY THERMOMETER

How to read mood & energy thermometer (+ anger&anxiety):

Less than half day Almost all day

EXTREME 10 EXTREME
(almost all day)

(less than half-day)

9
8
(almost all day)
SEVERE SEVERE

(less than half-day)

7
6
(almost all day)
MODERATE MODERATE

(less than half-day)

5
4
(almost all day)
MILD MILD

(less than half-day)

3
2
(almost all day)
SLIGHT SLIGHT

(less than half-day)

1
O (OKAY) (less than half-day)
0 O (OKAY)
0 (almost all day)

Mood & Energy Thermometer: This is an improved and practical way of monitoring complex mood cycles and daily
schedule. Given that some clinicians and patients may get confused about different meanings of 1 to 10 scales, we
considered to improve the language in communicating (and monitoring) mood.
Moreover, many children report their energy levels more accurately than their mood and therefore, we incorporated
energy levels in the mood rating.
The Mood and Energy Thermometer that we developed at Western Psychiatric Institute and Clinic (WPIC) rates
mania and increased energy on a 1 to 10 scale and rates depression and tiredness on -1 to -10 scale and attempts to
form a common language between patients, families, and clinicians.
This scale also takes into account time spent in depression and/mania such as -4 would mean “mild depression” and
“mild tiredness” present in >=50% of the time (an even score means < 50% of the day) and -3 would mean “mild
depression” and “mild tiredness” present in < 50% the time (an odd score means < 50% of the day).
Our inclusion of measuring energy levels is consistent with the new classification system of DSM 5, because energy
level is now in DSM 5 as a main mood symptom criterion. Bipolar track patients (whether they have mania or
depression, or mixed features) are rating their mood and energy levels every day on this scale and our master’s
degree clinician (on the inpatient unit) meet with them on daily basis to help them better identify and record their
mood symptoms.
This approach has significant clinical value for not only identifying diagnosis and best treatment interventions but
also preventing a potential next mood episode.
Parents can also rate their child’s mood to keep the treatment team updated about their observation.

This form may only be used for non-commercial education and research purposes. If you would like to use this instrument for commercial purposes or for commercially sponsored research, please
contact the Office of Technology Management at the University of Pittsburgh at 412-648-2206 for licensing information.
Copyright 2008, University of Pittsburgh. All rights reserved.
 Name:
Date:

MOOD & ENERGY THERMOMETER (simplified)

Please circle one or more FROM EACH COLUMN that reflects your mood & energy levels reflecting your day. You can
circle more than one if you mood/energy changes during the day.

-almost all day(8) -almost all day(8)

E Feel very happy & giggling & laughing, Have excessive energy & constantly
and can control self only briefly & very difficult moving and pacing about, and can control
L SEVERELY ELEVATED
to calm down & don't function well.
SEVERELY ENERGETIC
energy only briefly & very difficult to slow
down & don't function well.

E (7, 8) -less than 50% of the day(7) (7, 8) -less than 50% of the day(7)
Feel very happy & giggling & laughing, Have excessive energy & constantly
V and can control self only briefly & very difficult
to calm down & don't function well.
moving and pacing about, and can control
energy only briefly & very difficult to slow

A -almost all day(6)

down & don't function well.
-almost all day(6)
T Feel cheerful/optimistic much more than
usual/baseline (out of proportion) & some
Have excessive energy & constantly
moving and pacing about, and can control

E MODERATELY ELEVATED
difficulty to control self & some difficulty to
calm down & don't function as good as before. MODERATELY
energy only briefly & very difficult to slow
down & don't function well.
-less than 50% of the day(5) ENERGETIC -less than 50% of the day(5)
D (5,6)
Feel cheerful/optimistic much more than (5,6) Feel energetic and hyper much more

/
usual/baseline (out of proportion) & some than usual/baseline (out of proportion) &
difficulty to control self & some difficulty to restless/pace & some difficulty to control
calm down & don't function as good as before. energy & some difficulty to slow down &
U don't function as good as before.
-almost all day(4) -almost all day(4)
P Feel cheerful and optimistic more than
usual/baseline & others may notice it, but can
Feel energetic and hyper more than
usual/baseline & others may notice it, but
MILDLY ELEVATED calm down & function ok. MILDLY ENERGETIC can easily slow down & function ok.
(3,4) -less than 50% of the day (3) (3,4) -less than 50% of the day(3)
Feel cheerful and optimistic more than Feel energetic and hyper more than
usual/baseline & others may notice it, but can usual/baseline & others may notice it, but
calm down & function ok. can easily slow down & function ok.

D
E Ok Ok
P (0,1,2) (0,1,2)

R
E -less than 50% of the day(-3) -less than 50% of the day(-3)
S
Feel depressed and cheerless more than Feel more tired and less active than
usual & enjoying things and having fun is usual/baseline & others may notice it, but can
somewhat difficult & others may notice a be active during the day & function ok.
S MILDLY DOWN change, but can brighten up & function ok. MILDLY TIRED
(-3,-4) -almost all day(-4) (-3,-4) -almost all day(-4)
E Feel depressed and cheerless more than
usual & enjoying things and having fun is
Feel more tired and less active than
usual/baseline & others may notice it, but can

D somewhat difficult & others may notice a

change, but can brighten up & function ok.
be active during the day & function ok.

/ -less than 50% of the day(-5)

Feel depressed and cheerless (out of
-less than 50% of the day(-5)
Feel more tired and less active than

D proportion) much more than usual & enjoying

things and having fun is more difficult & some
usual/baseline & others may notice it, but can
be active during the day & function ok.

O
difficulty to brighten up & don't function as
MODERATELY DOWN good as before. MODERATELY TIRED
(-5,-6) -almost all day(-6) (-5,-6) -almost all day(-6)
W Feel depressed and cheerless (out of Feel more tired and less active than
proportion) much more than usual & enjoying usual/baseline & others may notice it, but can
N things and having fun is more difficult & some
difficulty to brighten up & don't function as
be active during the day & function ok.

good as before.
-less than 50% of the day (-7) -less than 50% of the day(-7)
Feel very depressed & cheerless & Have excessive tiredness & very difficult
gloomy, and don’t enjoy things and don’t feel to move around & spend very long time to rest
like having fun & very difficult to brighten up & & physical activity is limited to few & don't
don't function well. function well.
SEVERELY DOWN SEVERELY TIRED
(-7, -8) (-7, -8)
-almost all day(-8) -almost all day(-8)
Feel very depressed & cheerless & Have excessive tiredness & very difficult
gloomy, and don’t enjoy things and don’t feel to move around & spend very long time to rest
like having fun & very difficult to brighten up & & physical activity is limited to few & don't
don't function well. function well.
This form may only be used for non-commercial education and research purposes. If you would like to use this instrument for commercial purposes or for commercially sponsored research, please contact the
Office of Technology Management at the University of Pittsburgh at 412-648-2206 for licensing information.
Copyright 2008, University of Pittsburgh. All rights reserved.
Rasim Somer Diler, MD. Child and Adolescent Bipolar Spectrum Services (Cabs), Western Psychiatric Institute and Clinic of University of Pittsburgh Medical Center: “Mood and Energy Thermometer (simplified).” Revised in 2014.

SLEEP SCHEDULE
• Did you have good sleep last night? Yes/No
• What time did you go to bed last night? _____
• Did you have difficulty to fall asleep last night? Yes/No
• Did you have difficulty to stay asleep last night? Yes/No
• How many hours of sleep did you get last night? _____
• Who was your first contact in the morning? ________
 ANGER & ANXIETY THERMOMETER
Please circle one or more FROM EACH COLUMN that reflects your anger & anxiety/worry levels reflecting your day. You
can circle more than one if you anger/anxiety changes during the day.

W
-almost all day(8) -almost all day(8) O
Feel very angry, and can control self Feel very worried/anxious, and can
only briefly & very difficult to calm down &
SEVERELY control self only briefly & very difficult to calm
SEVERELY ANGRY don't function well.
WORRIED/ANXIOUS
down & don't function well. R
(7, 8) -less than 50% of the day(7) (7, 8)
-less than 50% of the day(7)
Feel very angry, and can control self only
briefly & very difficult to calm down & don't
Feel very worried/anxious, and can
control self only briefly & very difficult to calm R
A function well. down & don't function well.
-almost all day(6) -almost all day(6) I
Feel more angry than usual/baseline (out Feel more worried/anxious than
N of proportion) & some difficulty to control self usual/baseline (out of proportion) & some

MODERATELY ANGRY
& some difficulty to calm down & don't function
as good as before.
MODERATELY difficulty to control self & some difficulty to
calm down & don't function as good as before. E
WORRIED/ANXIOUS
G (5,6) -less than 50% of the day(5) -less than 50% of the day(5)
D
(5,6)
Feel more angry than usual/baseline (out Feel more worried/anxious than
of proportion) & some difficulty to control self usual/baseline (out of proportion) & some

R & some difficulty to calm down & don't function

as good as before.
difficulty to control self & some difficulty to
calm down & don't function as good as before. /
-almost all day(4) -almost all day(4)
A
Y Feel more angry than usual/baseline &
others may notice it, but can calm down &
MILDLY
Feel worried/anxious than usual/baseline
& others may notice it, but can easily slow
MILDLY ANGRY function ok. down & function ok. N
(3,4) -less than 50% of the day (3)
WORRIED/ANXIOUS -less than 50% of the day(3)
(3,4)
Feel more angry than usual/baseline & Feel worried/anxious than usual/baseline X
others may notice it, but can calm down & & others may notice it, but can easily slow
function ok. down & function ok.
I
O
U
S
Ok Ok
(0,1,2) (0,1,2)
Rasim Somer Diler, MD. Child and Adolescent Bipolar Spectrum Services (Cabs), Western Psychiatric Institute and Clinic of University of Pittsburgh Medical Center: “Anger and Anxiety Thermometer (Simplified).” 2014.

This form may only be used for non-commercial education and research purposes. If you would like to use this instrument for commercial purposes or for commercially sponsored research, please contact the Office of
Technology Management at the University of Pittsburgh at 412-648-2206 for licensing information.
Copyright 2008, University of Pittsburgh. All rights reserved.