Bipolar Disorder Management Plan

Personal Information

Name: _________________________ Date: _________________________ Emergency Contact: _________________________

My Support Team

• Primary Psychiatrist: _________________ Phone: _________________
• Therapist: _________________ Phone: _________________
• Primary Care Provider: _________________ Phone: _________________
• Local Crisis Hotline: _________________

My Warning Signs

Manic Episode Warning Signs

• Decreased need for sleep
• Increased energy and activity
• Racing thoughts
• Rapid speech
• Risky behavior
• Other: _________________

Depressive Episode Warning Signs

• Changes in sleep patterns
• Loss of interest in activities
• Feeling hopeless or worthless
• Changes in appetite
• Social withdrawal
• Other: _________________

My Medication Plan

Daily Wellness Strategies

1. Sleep Schedule

   • Bedtime: _________
   • Wake time: _________

2. Exercise Plan

   • Type: _________________
   • Frequency: _________________
   • Duration: _________________

3. Stress Management Techniques

   • Deep breathing
   • Meditation
   • Progressive muscle relaxation
   • Other: _________________

Crisis Action Plan

If I Notice Warning Signs

1. Contact my psychiatrist or therapist
2. Review and adjust sleep schedule
3. Increase support system contact
4. Avoid major decisions

Emergency Plan

If I have thoughts of harming myself or others:

1. Call 911 or go to nearest emergency room
2. Contact emergency support person
3. Call National Suicide Prevention Lifeline: 988

Tracking Tools

• Daily mood rating (1-10): _____
• Hours of sleep: _____
• Medication adherence: Y/N
• Stress level (1-10): _____

Follow-up Schedule

Next Psychiatrist Appointment: _________________ Next Therapy Session: _________________

Notes

Signature: _________________ Date: _________________