Table 5.
Pilot study: coping plan for managing signs and symptoms (n=11).
| Rating | Definition | Personalized anchor and plan (user ID) | |
|
|
|
Anchor | Plan |
| +4 Severe up | Poor judgment, dangerous behaviors, not sleeping, hallucinations/delusions | Super aggressive (2005) Invincible (2001) Risky activities (2041) |
Increase supervision. (2063) Let supports know. (2086) |
| +3 Moderate up | Many symptoms day to day, manic episode probably happening, difficult to maintain activities/routine | Hardly sleeping (2001) Really angry (2005) Excessive energy (2008) |
Stick to routine. (2016) Lean on family for support. (2008) |
| +2 Mild up | Some ongoing symptoms or early warning signs, manic episode may be coming, can still maintain activities/routine | Bizarre thoughts (2016) Short-tempered (2005) Sleep less (2001) |
Be conscious, notice signs. (2003) Ask supports if noticing manic symptoms. (2005) |
| +1 Slight up | Response to recent/upcoming good event, likely normal variation in wellness, understandable and manageable | Friendly (2005) More social (2016) More active (2041) |
Watch substance intake, especially alcohol, during the week. (2063) Moderate alcohol consumption. (2001) |
| 0 Balanced | Neither up nor down, doing well | Balanced sleep (2016) Energy level is normal (2001) Productive (2001) |
Recognize you are doing a great job! (2041) Eat healthy and exercise. (2063) |
| -1 Slight down | Response to recent/upcoming bad event, likely normal variation in wellness, understandable and manageable | Pessimistic reaction to events (2005) Can't motivate self (2016) Irritable (2003) |
Let self feel sad, then move on because [I] can't change events. (2008) Do things that make you happy. (2003) |
| -2 Mild down | Some ongoing symptoms or early warning signs, depressive episode may be coming, can still maintain activities/routine | Crying (2016) Start losing appetite (2005) More restless (2008) |
Try not to sleep too much or spend too much time in bed. (2003) Live day by day. (2008) |
| -3 Moderate down | Many symptoms day to day, depressive episode probably happening, difficult to maintain activities/routine | Trouble leaving house (2041) Oversleeping (2016) Grooming not shaving (2008) |
Go to [my] mom's house. (2016) Call family supports. (2041) |
| -4 Severe down | Serious ideas about suicide. Immobilized. Dangerous behaviors. Disrupted sleep. Hallucinations/delusions. | Actively trying to harm self (2003) Odd thoughts (2008) Hate cycle (2016) |
See doctor immediately. (2008) Contact those you trust. (2003) |