Daily Symptom and Management Monitoring Tool
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Name: _________________ Date Started: //___
Rate each symptom from 0-10 (0 = None, 10 = Severe)
| Symptoms | Mon | Tue | Wed | Thu | Fri | Sat | Sun |
|---|---|---|---|---|---|---|---|
| Flashbacks | |||||||
| Nightmares | |||||||
| Anxiety Level | |||||||
| Avoidance Behaviors | |||||||
| Hypervigilance |
Identify situations that triggered PTSD symptoms:
Positive changes noticed:
Challenges faced:
Next appointment: //___ Treatment adjustments:
Bring this chart to each therapy session
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