Bipolar Spectrum Worksheet: Mania, Hypomania, and Depression Self-Assessment Tool

---

Bipolar Spectrum Clinical Worksheet

Mark Zauss, LMHC, LPC, CCMHC, NBCC, BC-TMC, ASDCS, NATC, CCTP, CCTP II, ADHD-CCSP, C-DBT

Mania (Severe – DSM Level)

Requires elevated/irritable mood + increased energy lasting ~1 week with impairment. :contentReference[oaicite:0]{index=0}

Grandiosity / inflated self-esteem

Example: “I am superior / special abilities / invincible”

Decreased need for sleep

Example: 2–3 hours of sleep and still energized

Pressured speech

Example: talking nonstop, hard to interrupt

Racing thoughts / flight of ideas

Distractibility

Excessive goal-directed activity

Example: working nonstop, multiple projects

Risky behavior

Spending, sex, impulsive decisions

Magical thinking

Example: believing you have special powers or destiny

Hypomania (Moderate Elevation)

Elevated mood + increased energy for ≥4 days without major impairment. :contentReference[oaicite:1]{index=1}

Increased energy

More productive

Decreased need for sleep

Increased confidence

More talkative

Increased creativity

Mild impulsivity

Depression (Major Episode)

Requires 5+ symptoms including depressed mood or loss of interest for 2 weeks. :contentReference[oaicite:2]{index=2}

Depressed mood

Loss of interest

Low energy

Poor concentration

Sleep disturbance

Feelings of worthlessness

Hopelessness

Suicidal thoughts

Mild Depression

Low motivation

Fatigue

Irritability

Mild sadness

Reduced focus

Scoring

Calculate Print

Mania:

0

Hypomania:

0

Depression:

0

Mild:

0