Bipolar mood log - ​Printable Daily Mood Tracker with Scoring

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Bipolar Mood Log

Branded fillable daily mood tracking log with scoring and auto-generated clinical note

Mark Zauss, LMHC, LPC, CCMHC, NBCC, BC-TMC, ASDCS, NATC, CCTP, CCTP II, ADHD-CCSP, C-DBT
Psychoeducational and clinical mood monitoring worksheet for bipolar spectrum symptoms, mood patterns, and treatment planning.

Client Information

Client Name

Date

Day of Week

Hours Slept

Overall Daily Ratings

Overall Mood (0–10)

Energy Level (0–10)

Anxiety Level (0–10)

Irritability Level (0–10)

Impulsivity (0–10)

Focus / Concentration (0–10)

Stress Level (0–10)

Mood Descriptors

Check as many moods as apply today.

Stable Calm Content Euphoric Elevated Invincible Grandiose Intensely confident Hypersexual Unusually driven Restless with high energy Overstimulated Magical thinking Racing thoughts Fast speech / talkative Excessively active More productive than usual More social than usual More creative than usual Sleeping less but feeling rested More optimistic than usual Mildly impulsive Sad Empty Hopeless Slowed down Exhausted Withdrawn Tearful Numb Guilty Ashamed Worthless Isolative Agitated Anxious Irritable Angry Tense Overwhelmed

Mania / Hypomania Indicators

Check any that applied today.

Needed much less sleep Felt unusually energized Talked more than usual Thoughts felt fast or hard to slow down Started many projects Increased goal-directed activity Risky spending or financial behavior Risky sexual behavior or urges Impulsive decisions Felt unusually important or powerful Magical or grandiose thinking Others noticed a major change in me

Depression Indicators

Check any that applied today.

Depressed mood Loss of interest / pleasure Fatigue / low energy Poor concentration Felt slowed down Slept too much or too little Feelings of guilt / worthlessness Social withdrawal Hopeless thoughts Thoughts of death / self-harm

Safety / Warning Flags

No sleep or almost no sleep Dangerous spending Psychosis / hearing or seeing things Strong grandiosity or magical beliefs Severe agitation Suicidal thoughts Self-harm urges Substance use escalation

Warning flags suggest the need for closer monitoring and may indicate a need for urgent professional evaluation depending on severity and safety concerns.

Triggers, Medications, and Daily Notes

Medications taken as prescribed? Yes No Partially

Used alcohol or substances? No Yes

Major Trigger Today

Events / Stressors / Context

Notes / What happened today

Self-Scoring

Mania Score

0

0–12

Hypomania Score

0

Mood descriptors + activation pattern

Depression Score

0

0–10

Mixed / Agitated Score

0

Anxiety, irritability, agitation overlap

Warning Flag Score

0

Higher = more caution

Calculate Scores Print / Save as PDF Download HTML Reset

Auto-Generated Clinical Note

Progress Tracking Table

Date	Hours Slept	Overall Mood	Mania	Hypomania	Depression	Mixed	Warnings	Main Trigger

Sources / Clinical Basis
American Psychiatric Association. (2022). Diagnostic and statistical manual of mental disorders (5th ed., text rev.; DSM-5-TR).
Goodwin, F. K., & Jamison, K. R. (2007). Manic-depressive illness: Bipolar disorders and recurrent depression (2nd ed.). Oxford University Press.
National Institute of Mental Health. Bipolar disorder resources and symptom information.
This worksheet is intended for psychoeducational and clinical tracking purposes and does not replace emergency assessment or formal diagnosis.