This is an excerpt from my upcoming book, We Get Better: 48 Treatment Options for Chronic Depression.
***
Treatment option 3: Keeping a daily mood log
Rating and recording your mood two or three times daily and tracking it over time is a treatment option that is often overlooked. This might be because–let’s face it–the follow-through can be a bit of a pain. If there weren’t so many good reasons to use this strategy, I wouldn’t waste your time. But there really are so many good reasons.
The first reason I like mood logs is that they provide additional data when assessing the value of a particular treatment or set of treatments. Sometimes, it’s hard to know what’s working and what isn’t; tracking your results supports this goal significantly.
The second reason to use a mood log is that doing so allows for much-needed moments of introspection throughout the day. How am I doing? What do I need right now? Is there an emotion here that I need to address? Becoming more aware of your mood states and cycles can help you plan activities accordingly.
Finally, and possibly most important, the mood log provides evidence that, contrary to what you might feel during especially difficult times, depression is not a constant state. Instead, there are times of contentment and even joy mixed in with times of loneliness, sadness or worry. For some people, this knowledge alone is revelatory, as depression’s refrain is that sadness is permanent (unending), pervasive (carrying through every part of life), and personal (part of who you are).
The first rule of the mood log is: be as consistent as you can be. The second rule is: be as honest as you can be. It’s important that you trust the accuracy of your entries; otherwise, you won’t be motivated to apply the data to your treatment plan choices and to believe that you really are making progress.
If desired, in your treatment plan notebook, start a mood log. Check in on your emotional state either twice a day at about 10am and 6pm or three times a day–morning, afternoon and evening. Assign a number from one to ten that best represents your mood, with ten being blissfully elated; five being even-keeled, without either depression or elation; and one being deeply depressed. Be as accurate as possible without overthinking it.
In the weeks to come, periodically review your mood log. Notice any patterns that emerge. Certain activities and times of day might trigger certain emotional states on a fairly reliable basis. Note this information, and use it to inform your daily schedule and your depression treatment plan.
At least once a month, calculate your average mood score. Reflect on whether or not your mood seems to be stabilizing over time and possible reasons for this. Again, use this information to inform your depression treatment plan and make changes as needed.
***
Babies come. But babies don't go. Get Fights You’ll Have After Having a Baby: A Self-Help Story on Amazon now.
***