Personal Calendar 

TREATMENT AND PHYSICAL TRACKING - WEEKLY CHART

1. Check the days you go to talk therapy and support group.

2. List your mood disorder medications, how many pills prescribed, and how many you take each day.

3. List your medications for other illnesses and any other supplements you take.

4. Check the days when you have side effects. If you have several bothersome side effects, use a line for each. 

5. Check the days when you have a physical illness.

6. If applicable, check the days when you have your menstrual period.

7. If applicable, check the days when you use alcohol and/or drugs.

8. Write down how many hours of sleep you got.

9. Write down how many meals and snacks you had.

10. Check the days when you did some kind of physical activity or exercise.

11. Check the days when you spent some time relaxing.

12. Check the days when you reached out to other people.

13. Check the days when you had a major life event that affected your mood. List the events if there are more than one.

14. Fill in the box that describes your mood for the day. If your mood changes during the day, fill in the boxes for the highest and lowest moods and connect them.

15. If you experience a mixed state, check the box.

16. Look for patterns.  See how your moods relate to your treatment and lifestyle.

Sample Calendar

Week 1

Week 2