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Cycle so quickly you can't track moods?


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I don't always cycle really quickly. Sometimes I can be at a depression or some hypomania for several days at a time, maybe even more. It's obviously not too difficult to track moods when I'm like this. I use the mood charts, etc. on moodtracker.com and they work pretty well for me overall, but not when I cycle throughout the day. I'm not sure how to easily and accurately track my moods on days like this; I can mark them as "mixed" with the appropriate levels of depression/elation, but I'm looking for a chart or other tool that not only allows you to track your moods for individual days but also throughout the day (morning, noon, evening, etc.)

I had a tdoc who briefly mentioned that these existed but I quit seeing her before I could find out where to find them. 

Sorry if I'm not being very clear, my thoughts have been racing and scattered. But I'd like to know if anyone knows any of the tools that let you track your mood for several times in a day as opposed to just a generalisation of one day.

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I use T2 Mood Tracker on my Droid. It can track an arbitrary number of times throughout the day. Unfortunately, it's designed primarily for PTSD. But you can create custom categories and measures. It takes a little work and you have to put some thought into what you're going to rate to aggregate into the new categories, but once you do you're set. For instance, I've added a mania category with 8 different factors I rate to get the aggregate. I happen to only use it once a day because I don't cycle that quickly, but you can set up to 3 reminders throughout the day.

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Just read misanthropicusername's post so you can ignore some of my comments as had written this post at the same time:

I haven't come across such specialised moid trackers but here is a review on mood trackers: http://candidaabrahamson.wordpress.com/2012/06/22/theres-a-bipolar-app-for-that-part-ii-beyond-just-mood-tracking/

I skimmed it and there doesn't appear to be a tracker which allows multiple entries per day although it warrents a further look. There is only the option to track mixed states on some as you pointed out but just in terms of daily severity.

Rapid cycling is the switch between hypomania and depression whereas mixed state is more an agitated high energy depression, right? (Maybe someone can jump in here and point out the difference between mixed states and rapid cylcing.) Because I think mixed states would be easier to mood chart using a classuc online mood tracker.

You could always keep an old school paper mood chart by recording a lower and upper range for your daily mood (eg: 4 - 8) and a number for the switches in mood per day (and graph on the same chart using excel).

Edited by nightbutterfly
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I use T2 Mood Tracker on my Droid. It can track an arbitrary number of times throughout the day. Unfortunately, it's designed primarily for PTSD. But you can create custom categories and measures. It takes a little work and you have to put some thought into what you're going to rate to aggregate into the new categories, but once you do you're set. For instance, I've added a mania category with 8 different factors I rate to get the aggregate. I happen to only use it once a day because I don't cycle that quickly, but you can set up to 3 reminders throughout the day.

 

I've tried to use that app but it just frustrates me. That's the one thing missing from Android right now: a decent mood tracker. I wish Optimism would hurry up and release an Android app like they've been promising in their FAQ for fucking years.

 

Anyways, when this happens to me I just rate my mood as the median and put in the notes section on that day that it was mixed and note the details. This is in the Optimism app.

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I've tried to use that app but it just frustrates me. That's the one thing missing from Android right now: a decent mood tracker. I wish Optimism would hurry up and release an Android app like they've been promising in their FAQ for fucking years.

 

Yeah, it was pretty frustrating out-of-the-box, so to speak. I've cutomized it so much it bears little resemblance to the original and fits my moods pretty well now, though. The only thing I use any other tracker for now is to track my prn clonazepam.

 

Totally agreed Android needs a good tracker in the app store. Haven't heard of Optimism, but if it's not on Android, I'm not gonna look just so I can be disappoint about its absence.

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I'm a very rapid cycler and always have been; I can, and have, switched between mania, depression, and mixed episodes in a single day. It's not terribly common for that to happen, but it is possible. More often, I cycle between depression of varying degrees of severity and hypomania or a mixed state. 

Optimism is my favorite mood tracker; on days when I cycle rapidly several times, I just log the worst episode of the day into Optimism and then write briefly about the other, less severe states in the note section. That approach has helped me log patterns specifically for the worst of my symptoms and, in turn, has helped me deal with the rapid cycling issue way easier than if I had tried to track everything with the same fervor. That just gets tiring and it's not always possible.

However, there was a time when I was trying to log literally everything pertaining to my moods, and I was also unable to find a satisfactory chart that allowed for unlimited logging. I just settled for a journal: I logged the time, mood, what state I believed I was in, and the severity. I did that as many times a day as I needed to, and sometimes I'd write a little extra about certain triggers, etc. But mostly it was just a one-line kind of deal, and aside from being exhausting to fill out, was very helpful.

I know it isn't quite the answer you were looking for, but maybe it will help some.

Actually, PatientsLikeMe.com does allow you to log your mood as many times a day as you like with the "Instant Me" or "How are you feeling now?" tool. There are several other very useful charts and quality of life logs. So maybe this site will be what you're looking for? 

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I've tried to use that app but it just frustrates me. That's the one thing missing from Android right now: a decent mood tracker. I wish Optimism would hurry up and release an Android app like they've been promising in their FAQ for fucking years.

 

Yeah, it was pretty frustrating out-of-the-box, so to speak. I've cutomized it so much it bears little resemblance to the original and fits my moods pretty well now, though. The only thing I use any other tracker for now is to track my prn clonazepam.

 

Totally agreed Android needs a good tracker in the app store. Haven't heard of Optimism, but if it's not on Android, I'm not gonna look just so I can be disappoint about its absence.

 

You should check out the online version of Optimism, you can use it in a browser on any OS, and I think they have Windows and OS X apps too although they were buggy for me. The iPhone app is the best mood tracker out there though, and the graphs it generates are clear and helpful. I've had professionals remark how useful the app is and write it down to recommend to other patients! They just need to make the Android version more than mere vapourware.

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Rapid cycling is the switch between hypomania and depression whereas mixed state is more an agitated high energy depression, right? (Maybe someone can jump in here and point out the difference between mixed states and rapid cylcing.) Because I think mixed states would be easier to mood chart using a classuc online mood tracker.

 

a Mixed States is a condition during which symptoms of mania and depression occur simultaneously (e.g., agitation,anxietyfatigue, guilt, impulsiveness, insomnia, irritability, morbid and/or suicidal ideation, panicparanoia, pressured speech and rage). Typical examples include tearfulness during a manic episode or racing thoughts during a depressive episode.

 

Rapid cycling bipolar disorder is diagnosed after four episodes of depression, mania, or hypomania occur within one year. 

 

Sorry did this very quickly, but hope it helps.  Will clarify if need be.

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Mixed states can also be when the mood changes really quickly during short periods of time if it happens consistently for at least a few weeks according to the ICD-10.

And according to the DSM-IV:

A. The criteria are met both for a Manic Episode and for a Major Depressive Episode (except for duration) nearly every day during at least a 1-week period. 

B. The mood disturbance is sufficiently severe to cause marked impairment in occupational functioning or in usual social activities or relationships with others, or to necessitate hospitalization to prevent harm to self or others, or there are psychotic features.

C. The symptoms are not due to the direct physiological effects of a substance (e.g., a drug of abuse, a medication, or other treatment) or a general medical condition (e.g., hyperthyroidism).

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Mixed states can also be when the mood changes really quickly during short periods of time if it happens consistently for at least a few weeks according to the ICD-10.

The ICD-9 is simply a billing code system for doctors and insurance companies use for billing purposes. It is not a dx tool.

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Mixed states can also be when the mood changes really quickly during short periods of time if it happens consistently for at least a few weeks according to the ICD-10.

The ICD-9 is simply a billing code system for doctors and insurance companies use for billing purposes. It is not a dx tool.

 

In the US maybe. I was diagnosed by the ICD-10 here in the UK.

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I've only skimmed this topic so far to see if anyone responded with the mood tracker I use.

 

MedHelp has a nice mood tracker. See mine as an example if you like. You can track your mood as many times throughout the day as you like, plus mood symptoms and common life events that could be triggering mood changes. They also have a MoodyMe app that you can use on your phone in conjunction with the online mood tracker, so you can update it on the go as well (I don't have any experience with the app though, so...).

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