“They have a chart and a graph/ Of my despondency/
They want to chart a path/ For self-recovery/ And want to know/
What I’m thinking / What motivates my mood” ~ Sara Groves, “Maybe There’s A Loving God”
October was a tumultuous month that will be reported about over the next couple of days. I ended up in a “behavioral” (see psychiatric) hospital for 7-8 days then on the 24th of October entered a day program (see intensive outpatient therapy) for 9 days. During the day program, I encountered a series of questions I had to answer each morning. The first and most important among them was rating our mood.
The mood system worked on a numerical system from 0-10. The system varied between individuals, but here’s the system that I worked out in my head (using the day program’s guidelines somewhat):
0 – Severely depressed, suicidal and/or homicidal, requires immediate inpatient treatment, unable to function (in daily activities)
1 – Severely depressed, potentially suicidal and/or homicidal, should be closely watched, inpatient treatment may be necessary, unable to function
2 – Severely depressed, somewhat suicidal and/or homicidal, should be occasionally monitored, no inpatient treatment necessary, unable to function
3 – Moderately depressed, possible thoughts of suicide and/or homicide, should be occasionally monitored, great difficulty functioning
4 – Mildly depressed, passing thoughts of suicide and/or homicide, monitoring recommended but not necessary, some difficulty functioning
5 – Not depressed but not joyful either, in a state of existence, “emotionally numb,” no suicidal and/or homicidal ideations, no monitoring necessary, some ability to function, borderline mood (potential for instant change to a 4 or 6)
6 – Mildly joyful, content, no suicidal and/or homicidal ideations, low functioning problems
7 – Moderately joyful, upbeat, little to no functioning problems
8 – Moderately joyful, happy, optimistic, positive, no functioning problems
9 – Extremely joyful, happy, optimistic, cheerful, positive, “in a good mood,” “feel great,” no functioning problems
10 – Extremely joyful, manic, happy, energetic, euphoric, optimistic, cheerful, self-confident, positive, excited, giddy, ability to function may vary (inability to no functioning problems)
I’ll rarely be found at a 10. Most of the time I bounce between 4 and 7. 10 isn’t necessarily a problem as long as it’s not a mood that lasts consistently. It’s not out of the ordinary to feel a 10 on a wedding day or at a graduation, but waking up in the middle of a normal routine as a 10 is out of the ordinary — especially if someone is known to struggle with depression.
So that’s my new mood system that will be now be found at the bottom of each entry. I hope it can help some people. I know it has certainly helped me and my husband.
Update: This mood chart has been modified as of December 30, 2008.