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OOD TRACKING - Depression and Bipolar Support …

MOOD TRACKINGT racking your activities such as eating, sleeping and relaxing can helpyou see how much of an impact these things have on your moods. Thecharts on the next pages can help you see patterns. Take a few minuteseach evening to fill them out. Make copies or draw your own, so you canuse them every month. Share them with your health care provider(s).12 2004 Depression and Bipolar Support AllianceMEDICATION MONTH/YEAR_____DOSE PER PILLS PER DAY PILLS PER DAY TAKENMEDICATION NAMEPILL (MG)PRESCRIBED12345678910111213141516171 819202122232425262728293031 Medication103333333333332333333333343233 3333 List the names of all medications prescribed to you by your doctor(s), notjust those for mood disorders. Write your dosage and the number of pillsprescribed per day. At the end of each day, write down how many pills you actually took. If you take your medication in the morning and evening, it might be helpfulto use two lines, one for AM and one for MONTH/YEAR_____DAY1234567891011121314151 6171819202122232425262728293031 Hours of nighttime sleep7 Number of meals3 Number of snacks1 IF YESP hysical activity?

M OOD TRACKING Tracking your activities such as eating, sleeping and relaxing can help you see how much of an impact these things have on your moods.

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