RATE YOUR BIPOLAR MOOD

FROM MOODSWING by Ronald Fieve M.D.
Use this scale to track your mood patterns. Keep a record or make a
chart. Once you learn what your mood patterns are, you may be able to keep
episodes from happening.
100....................Medical emergency. Wildly manic and psychotic; can't
stop talking; incoherent, overactive, belligerant, or elated. Not sleeping
at all. At times delusional; hallucinating. May be either violent or paranoid.
.90....................Extreme elation so that patient can't rate self;
in need of more medication and control. Completely uncooperative.
.80....................Severe elation. Should be admitted, or if in
hospital usually wants to sign out of ward. Sleeping very little. Hostile
when crossed; loss of control. Needs medication.
. 70....................Moderate Elation. Overactivity and talkitiveness;
irritable and annoyed. Needs only four to six hours sleep. Socially inappropriate;
wants to control. Outpatient treatment has been advised by doctors.
.60....................Mildly elevated mood and many ideas for new projects;
occasionally mildly obtrusive. If creative, the energy is highly useful.
Hyperactive. Feels wonderful, on top of the world. Increased sexual drive;
wants to spend money and travel. Treatment may be contrindicted or not
needed.

MOOD IS WITHIN NORMAL RANGE (45-55)

.40....................Mildly depressed mood, but noticeable lack
of energy; chronic lack of optimism and pleasure. Feels slowed down. Treatment
may not be desired, although it may be indicated. Decreased interest in
sex. Decreased motivation.
.30.....................Moderate Depression. Loss of energy; disintersted
in others; early weight, sleep and appetite disturbance; able to function
with effort but wants to stay in bed during day; doesn't want to go to
work; feels life is not worthwhile. Little sexual interest. Outpatient
treatment advised by doctors.
.20....................Severe depression Takes care of daily routine
but needs prodding and reminding; loss or gain of weight; sleep disorder.
Volunteers suicidal feelings. Very withdrawn; may be paranoid.
.10....................Extreme depression Actively suicidal, totally
withdrawn or extremely agitated. Difficult rating self on mood scale.
..0....................Medical Emergency Unable to eat or take medications.
Can't follow ward routine. Delusional; suicidal. Stuporous. Stares into
space; very little response to questioning. May require tube feeding.

20-80 Consumers Rating Scale 0-100 Nurses and Psychiatrists Rating
Scale
0-20 Inpatient Treatment 30-70 Outpatient Treatment 80-100 Inpatient
Treatment |