By: James E. DelGenio MS, LCPC
Senior Staff Therapist,
The Family Institute at Northwestern University
How to build structure for consistency in management of mood disorders!
This form helps you monitor your progress towards goals each week. Consistency is key when you have a mood disorder. People with mood disorders need planning and structure to help manage their symptoms. You can also track your marital/relationship goals if you choose. This tool helps track progress toward goals by adding structure to your week. Make multiple copies. Modify as needed; feel free to add or delete goals. Rate mood 1 through 10. Ten is best – 1 worst. Place copy on your refrigerator or someplace where you can check it daily. Mark the goals each day so that you can see the week in review. Note alcohol/drug use and your mood rating in the 3 days after use. Being consistent in your goals makes a huge difference in managing your mood. Try it!
Week of _________________
Goal: Mon Tues Wed Thurs Fri Sat Sun
Civility and respect
Sleep # of hours
Drug, alcohol use
Time out called
Time out respected
Note: Always consult with your doctor before starting any exercise program.
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Disclaimer: This material is meant to be used in conjunction with psychiatric treatment, medication, if necessary, and supportive therapy. Always share this material and your questions about this material with your doctor and therapist.