Self Management Symptom Progression

Use this form to track the progression of symptoms of mania and depression for past episodes. The goal is to become an expert in the early warning signs of mania and depression, so that you can use these warning signs to identify the beginning of new episodes, and take action before you become severely ill.

Below is a sample form to provide an example of how to chart symptom progression in terms of changes in mood, behavior and thoughts.

Version for mania - Blank Printable PDF
Version for depression - Blank Printable PDF

Mild Form of Symptom (Mania)

Moderate Form of Symptom (Mania)

Severe Symptom  (Mania)

 

 

 

Mood--feeling more anxious

Getting irritable

Angry-“driven happy”

 

 

 

 

 

 

Behavior-Decreased sleep. Increased sense of energy. Increased talking

Snapping at others. Starting many new projects. Not sleeping

Fights. Flirtations with other men. “Steamrolling” over others

 

 

 

 

 

 

Thoughts—“I can do anything-I’m better”

“People are out to get me” “No one can stop me”

“I’m out of control”

 

 

 

 

 

 

 

 

 


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The Kurt and Barbara Gronowski Psychology Clinic
5150 El Camino Real, Suite 22, Bldg C
Los Altos, California 94022
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