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Rate symptoms daily to track patterns and progress

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Karma   
Karma

Admin note: Also see Dr. Joseph Glenmullen's withdrawal symptom checklist Use this to track symptoms.


Daily Symptom Tracking Template

PDF of Daily Symptom Tracking Template




Alto suggested that I start a topic on this because I've mentioned it several times to members.

I rate my symptoms daily on a scale of 1 to 10, 1 being "awful, I feel like I'm dying, I can't take it any more", 10 being "great, flipping fantastic!", a 7 is when I feel the symptom, but I can tolerate it and get through the day - so for me a 7 is acceptable. Before I decrement my dosage I want at least two weeks of 7 or better in my symptom ratings ... especially anxiety and depression.

I rate my sleep the next morning and I rate anxiety, depression, ringing in my ears, pain, etc. at night. In the morning I go through the list and rate my sleep from the night before - I make a note next to some of the other symptoms, e.g. Aches & Body Pains - slight pain in right wrist AM, Anxiety - none AM, Ringing in the ears - mild AM, moderate by noon - that way I have reminders of how I've felt throughout the day to accurately rate my symptoms in the evening.

It doesn't matter if my 7 and your 7 are different - this rating system is for you. Once you start thinking about how the specific symptom felt during the day compared to the day before, you will begin to see when a specific symptom is improving or deteriorating. I find it really helpful when I am trying to tweak thyroid treatment or determine when I'm through initial withdrawal symptoms associated with decrementing my dosage.

Below are all of the things I rate daily - note that some of these symptoms are no longer a problem for me and generally get a rating of a 10. But I started this in 2008 when I was healing from celiac disease and getting my thyroid treatment optimal from hashimoto's thyroiditis. I had bone and muscle pain, fatigue and energy challenges, so should any of those problems come back I want to be able to detect it. E.g. the wrist pain I have is tendonitis and for me it is an indicator of whether my thyroid treatment is optimal.

Aches & Body Pains, Anxiety, Appetite, Energy, Ringing in the Ears, Fatigue, Mood (flat, upside or downside of flat, joyful, irritable), Drowsiness or Sleepiness in AM or during the day, Night sweats/day sweats, and Bowels/Digestion.

You should rate your symptoms, these are just examples of my symptoms.

Karma Edited by KarenB
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Rhiannon   
Rhiannon

Karma, I do this too, and I'm always suggesting it to other people too. It has been really helpful to me.

 

Somehow my subjective assessment of my symptoms is just wonky. I think it's just another way that the meds and the withdrawal screw up my frontal lobe function, my judgment and such.

 

And I've seen the same thing happen with other people on the forums. You can tell by reading their posts that their symptoms have waxed and waned but they themselves seem to be unaware of the changes.

 

Now, after two years of tapering, I don't use the log as much as I did at first. I still use it, just not daily. I've found certain signposts--certain kinds of thoughts or sensations or behaviors--that I use as "markers" now, of how symptomatic I am or am not. But--that's with two years of practice. I wouldn't have gotten such clarity without the log, I'm pretty sure.

 

One of my withdrawal symptoms (actually one of my markers, now) is a recklessness about cutting more, an urge to cut more and faster. So having the chart (I use a chart, charting my daily dosages and symptoms together) has saved me from disaster several times.

 

I especially always recommend charting of symptoms for people who are holding. It seems really common for people to hold and then even though from their writing it's clear that they're more rational and calm after a while, they tend to claim that the hold hasn't done any good at all. I can't say for sure one way or another of course, so I always recommend keeping a log so they'll have some objective data to tell them if the hold is helping. (I generally advise to hold until the improvements plateau out--that is, the numbers in the chart are staying the same for a long time.)

 

So anyway. Thanks for bringing this up. Now there are two of us! :D

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ladybug   
ladybug

I've started to do that too! For my sleep mostly so I can see if my sleep problems follow any pattern. I am trying to figure out a rating system now and then I will make monthly graphs to look for patterns.

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Altostrata   
Altostrata

I keep track of my sleep patterns on a calendar, with symbols:

 

X normal sleep

 

/ (slash) 6-7 hours

 

_ (long dash) 4-6 hours in long stretches

 

-- (broken dash) 4-6 hours broken sleep

 

(half-round hoop, this is the best symbol I could find) 2-4 hours

 

0 (goose egg, zero) 0-2 hours

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Rhiannon   
Rhiannon

Sorry, I should have given more detail. In my previous taper, I was dropping every month, but only had a day or two of "stable" in between. It was quite a rollercoaster, and not at all a success... This time I was wondering if there was a plateau duration I should be aiming for - not so much drop by the calender, but by "been stable for 7 days" or whatever.

 

This time, so far, I've had very minor symptoms which have passed, but I've only had one small drop. I've even had a positive improvement in one department.

 

Best wishes

Bubbles

 

I taper in a different way, smaller cuts more often, with intermittent holds when symptoms ramp up, so not sure if my experience is really relevant. But for me, I think just a couple of days isn't really long enough to be sure that I'm stable.

 

Stable is kind of relative anyway, for me, it's more like "definitely feeling much better almost all the time and not really wobbly at all." For me, it does take five days to a week of feeling that way before I really feel confident some actual stabilization and healing has taken place.

 

Hence the usefulness of keeping track of symptoms, because when I have my daily ratings of symptoms to look at, it's easier to see if there's a definite leveling off.

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strawberry17   
strawberry17

This is an interesting idea, I started using an XL spread sheet a few months ago to keep track of how my sleep was when going through a dreadful period, but after a while, for me, it just felt unhealthy to be scrutinising, almost like scrutinising it was make it a self fulfilling prophesy and making it worse, so I ditched it and went with the flow instead. Horses for courses I expect.

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Narcissus   
Narcissus

Yes, I think attending too closely to the sleep issue can worsen things for some people.

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mlrp   
mlrp

There is a phone app (available free on android and iphone) for tracking symptoms that I tried using for a few weeks.

 

It's called T2 Mood Tracker. It was developed by a Defense Dept contractor to assist vets with psych health and traumatic brain injury issues.

 

The app comes with six pre-loaded issues: anxiety, depression, general well-being, head injury, PTSD, and stress. You can customize and add your own categories. It actually spits out an excel linear graph of your symptoms over time.

 

I ultimately found all the categories and sliders too fiddly to deal with on a daily basis. But I did use it for a couple of weeks or so and the resulting graph was interesting. Even though it wasn't right for me, it is highly rated and may be useful to some.

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LightEmergesFromDarkness   
LightEmergesFromDarkness

I like the idea of keeping track of symptoms during the tapering process. i have been keeping track somewhat for a few mos now on a calendar of what days i get vertigo, and what days i do not. personally i find it kind of time consuming to rate the severity of my symptoms on a daily basis. and i dont want to over worry too much. my CNS was not completely stable before i started the taper on my depakote. but i feel that i need to get off the depakote before my physical health complications get any worse. at this point, after already having rapid tapers in the past, im not sure that holding my dose on my current taper is going to help stabilize my CNS. i think the damage is already done and i just need to make steady and small cuts.

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Altostrata   
Altostrata

You can of course modify the record-keeping for your own needs.

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Rockingchaircat   
Rockingchaircat

If anything else a journal- gave me a tracking of what I was like before.  By typing down what I was feeling a year ago- (on Benzo buddies) it gave me a perspective on the progress I've made since.   For me the best structure- is what ever I felt like doing when I felt like doing anything at all.

 

If you feel like typing- do so. No one is going to judge you for typing an encyclopedia (just follow the guidelines the administrators set up). If you don't feel like typing- then don't. No recriminations. You can always catch up later if and when you feel like it.

Going back through my journal on BB- I can 'read between the lines' about the way I was feeling back then.

 

Your journal is for your benefit. It's a fringe benefit for the next round of folks who come across this site.  Your experiences may end up helping someone else. 

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KarenB   
KarenB

I use the symptom checklist Petunia gave you at the top, and add up my score each day for an overall, comparable number. 

I also give each day a single word to describe it overall:  Awful, bad, ok, good, great. 

Then I make a small note about anything extra that might have given me worse symptoms eg PMS, family visiting, stress due to children etc.

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scallywag   
scallywag

I've  been using the Glenmullen spreadsheet. It has been helpful to review the list as a prompt -- "Did I have this today?" I'm going to add a symptom to the top of my list -- "don't feel like recording symptoms" That way it's the first one I review and an easy way out.

 

Instead of a 0-10 scale for symptoms, I'm using 0=none, 1=mild, 4=moderate, 9=severe.  I could spend far too much time considering the difference between a 7 rating and an 8, so I do better with fewer, clearer categories.

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scallywag   
scallywag

Glenmullen's list is set up to identify whether a symptom was present. You could use the checkboxes to insert a rating. 
 
I've created a simple word file (.docx) that could be used to track the timing of symptoms. 1 page/day or more if needed. 
 
Clicking this link will open a download page on the Mediafire site. If you're not using an ad-blocker, you may see a very busy page. Look for the big green rectangular download button:


Daily Symptom Tracking Template

PDF of Daily Symptom Tracking Template

Edited by scallywag
add PDF; clarify what happens when clicking

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Cicci   
Cicci

I'm using the Android app "Dailyo" on my smart phone and think it is great for the purpose!

You can rate different things during the day, see statistics and charts for your entries.

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Terry   
Terry
On 2/16/2012 at 9:02 PM, Karma said:

Admin note: Also see Dr. Joseph Glenmullen's withdrawal symptom checklist Use this to track symptoms.


Daily Symptom Tracking Template

PDF of Daily Symptom Tracking Template

 


 


Alto suggested that I start a topic on this because I've mentioned it several times to members.

I rate my symptoms daily on a scale of 1 to 10, 1 being "awful, I feel like I'm dying, I can't take it any more", 10 being "great, flipping fantastic!", a 7 is when I feel the symptom, but I can tolerate it and get through the day - so for me a 7 is acceptable. Before I decrement my dosage I want at least two weeks of 7 or better in my symptom ratings ... especially anxiety and depression.

I rate my sleep the next morning and I rate anxiety, depression, ringing in my ears, pain, etc. at night. In the morning I go through the list and rate my sleep from the night before - I make a note next to some of the other symptoms, e.g. Aches & Body Pains - slight pain in right wrist AM, Anxiety - none AM, Ringing in the ears - mild AM, moderate by noon - that way I have reminders of how I've felt throughout the day to accurately rate my symptoms in the evening.

It doesn't matter if my 7 and your 7 are different - this rating system is for you. Once you start thinking about how the specific symptom felt during the day compared to the day before, you will begin to see when a specific symptom is improving or deteriorating. I find it really helpful when I am trying to tweak thyroid treatment or determine when I'm through initial withdrawal symptoms associated with decrementing my dosage.

Below are all of the things I rate daily - note that some of these symptoms are no longer a problem for me and generally get a rating of a 10. But I started this in 2008 when I was healing from celiac disease and getting my thyroid treatment optimal from hashimoto's thyroiditis. I had bone and muscle pain, fatigue and energy challenges, so should any of those problems come back I want to be able to detect it. E.g. the wrist pain I have is tendonitis and for me it is an indicator of whether my thyroid treatment is optimal.

Aches & Body Pains, Anxiety, Appetite, Energy, Ringing in the Ears, Fatigue, Mood (flat, upside or downside of flat, joyful, irritable), Drowsiness or Sleepiness in AM or during the day, Night sweats/day sweats, and Bowels/Digestion.

You should rate your symptoms, these are just examples of my symptoms.

Karma

 

I really like this.  My husband likes to rate things and says I should do it with how I feel each morning.  I've been doing this, though not recording it.  My hubby often asks me "what's your number today?"  I've been using the opposite way of rating though (according to how bad symptoms are), so that a 2 actually means a good day.  Your records are more comprehensive than mine.  I do make notes, but they're brief and not as specific as yours.  It sounds like you do a really good job of it.

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