Table 2.

Design sessions: wellness rating scale (n=5).

Rating	Definition	Personalized wellness anchor (user ID)
+4 Severe up	Poor judgment, dangerous behaviors, not sleeping, hallucinations/delusions	Spend too much money (2002) Not sleeping (2003) Breaking stuff (2005)
+3 Moderate up	Many symptoms day to day, manic episode probably happening, difficult to maintain activities/routine	Physically energized (2001) Everything amplified (2002) Cussing out strangers (2005)
+2 Mild up	Some ongoing symptoms or early warning signs; manic episode may be coming, can still maintain activities/routine	Mood more volatile (2002) Binge drinking (2005) Walking for a long distance (2008)
+1 Slight up	Response to recent/upcoming good event, likely normal variation in wellness, understandable and manageable	More hopeful (2002) Chipper (2005) Exercise a little bit (2008)
0 Balanced	Neither up nor down, doing well	Engaged in life (2002) Like being around people (2005) Mood happy (2008)
-1 Slight down	Response to recent/upcoming bad event, likely normal variation in wellness, understandable and manageable	I'd rather sit at home (2001) Slight upset (2003) Sarcastic (2005)
-2 Mild down	Some ongoing symptoms or early warning signs, depressive episode may be coming, can still maintain activities/routine	Angry (2002) Selectively returning messages (2005) Loss of energy level interferes with daily tasks (2008)
-3 Moderate down	Many symptoms day to day, depressive episode probably happening, difficult to maintain activities/routine	Using sleep to avoid life (2001) Skipping meals (2005) Slow thought process (2008)
-4 Severe down	Serious ideas about suicide, immobilized, dangerous behaviors, disrupted sleep, hallucinations/delusions	Lack of motivation to do things (2003) Suicide planning (2005) Loss of interest in everything (2008)