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ADOLESCENT DIALECTICAL BEHAVIOR THERAPY DIARY CARD Name: Urges Welfare 05No. Of times filled out: Daily ActionsSuicideUse0505SelfHarm #Suicide attempt #Use Avoid what? Street drugs SpecifyAlcoholPrescriptionsSpecifySpecifyEmotions:

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How to fill out adolescent diary card

01

To fill out an adolescent diary card, follow these steps:

02

Start by writing the date at the top of the diary card.

03

Fill in your personal information, such as your name, age, and contact details.

04

Divide the diary card into relevant sections, such as mood, activities, thoughts, and behaviors.

05

Each day, record your mood by rating it on a scale of 1 to 10, with 1 being the worst and 10 being the best.

06

Write down any activities you engaged in throughout the day, including school, work, hobbies, or social events.

07

Document any thoughts or emotions you experienced, whether positive or negative. Be as specific as possible.

08

Note any behaviors you engaged in that you want to track, such as substance use, self-harm, or other impulsive actions.

09

Lastly, reflect on the day as a whole and jot down any additional comments or observations you deem relevant.

10

By following these steps, you can effectively fill out an adolescent diary card and track your progress over time.

Who needs adolescent diary card?

01

Adolescent diary cards are beneficial for individuals who want to monitor and manage their emotional well-being.

02

This includes teenagers or young adults who may be struggling with mental health conditions such as anxiety, depression, or bipolar disorder.

03

They can also be helpful for therapists, counselors, or healthcare professionals working with adolescents to gain insights into their daily experiences and emotions.

04

Anyone who wishes to gain a better understanding of their thoughts, feelings, and behavioral patterns can benefit from using an adolescent diary card.

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What is adolescent diary card?

Adolescent diary card is a tool used to track and monitor behaviors, emotions, and activities of adolescents.

Who is required to file adolescent diary card?

Adolescent patients and their caregivers are required to fill out and file the adolescent diary card.

How to fill out adolescent diary card?

Adolescent diary card can be filled out by recording daily activities, emotions, and behaviors in the designated sections.

What is the purpose of adolescent diary card?

The purpose of adolescent diary card is to help track progress, identify patterns, and improve treatment plans for adolescents.

What information must be reported on adolescent diary card?

Information such as mood, behaviors, activities, triggers, and medication adherence must be reported on adolescent diary card.

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