Deppression Diary
Deppression Diary
pre
ssi
ona
ndPa
in:
ASy
mpt
omDi
ary
Thephysi
calsymptomsofdepr essioncanincludepain,suchasheadaches,backaches,
muscleaches,andstomachpr oblems.Keepingasy mpt om di
arycanhelpyouandyour
doct
orbett
ertr
eatyourdepressi
onandpai n.Printt
hisdiaryandtr
ackyourpainandf
eeli
ngs.
Showitt
oy ourdoct
oratyournextappoi
ntment.
Dat
e Mon. Tues. Wed. Thur
s. Fr
i. Sat
. Sun.
Ti
me
TypeofPai
n
(burning,
throbbing,
stabbing,
crampi ng,
aching,etc.)
I
ntensi
tyof 1 2 1 2 1 2 1 2 1 2 1 2 1 2
Pai
n 3 4 3 4 3 4 3 4 3 4 3 4 3 4
(1i
snopai
n.
10ist
hewor s
t 5 6 5 6 5 6 5 6 5 6 5 6 5 6
pai
npossi
ble) 7 8 7 8 7 8 7 8 7 8 7 8 7 8
9 10 9 10 9 10 9 10 9 10 9 10 9 10
How YouFeel
(sad,afr
aid,
anxious,
agitat
ed,
normal,etc.
)
WhatWere
YouDoing
WhenPain
Began?
(worki
ng,
shopping,
rest
ing,et
c)
Other
Symptoms
(l
ackofappet i
te,
fati
gue,
i
nsomni a,
restl
essness
,
etc.)
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2009WebMD,LLC.Al
lri
ght
sreser
ved.