# PWR-166 — Mood stabilisation: learner worksheet Release: Revision 7T · Full Tutorial Edition Estimated time: Estimated 13 min reading; practical time is provider-set Difficulty: Intermediate Equipment: Basic stationery or digital tools — a clinician-reviewed mood and function pattern log.; The clinician’s care plan, personalised early-warning list, crisis contacts and medication instructions.; A daily log with mood range, sleep start/end, activity, function, medication taken as prescribed, substance changes and significant events. Space: Desk / seated Automated structural checklist: 10 of 10 structural checks present Evidence quality/context: G4; Deep research depth Automated method-quality band: Comprehensive Method-rating basis: Structure coverage, instruction/check specificity, alternative distinctness, source troubleshooting, comparison depth and whether purpose/check fields are authored rather than derived. Editorial review: Pending manual editorial sign off ## Before you begin - [ ] I read the tutorial authority and stop conditions. - [ ] I have the required equipment/space or a declared accessible alternative. ## Canonical source context This lesson teaches the learner’s part of a clinician-led mood-stability plan: record mood with sleep, activity, function, medication adherence and warning signs; keep routines within the agreed range; use the written response ladder; and review patterns without changing treatment alone. It does not teach self-diagnosis or self-medication. Target outcome: For fourteen days, the learner completes the agreed daily pattern log and follows the clinician-approved response ladder for any warning sign without changing medication or sleep intentionally. ### Authority and setup conditions - Prepare a clinician-reviewed two-week mood, sleep, activity, function and warning-sign log tied to an individual care plan - Before the first mood stabilisation attempt, write the exact result you will score: Clinically assessed episode course, function and harms within an individualized care system. - The clinician confirms diagnosis, current episode status, medication plan, privacy, monitoring burden and who reviews data. - Write thresholds for routine contact, same-day contact and emergency action before logging starts. ### Required or supplied materials - a clinician-reviewed mood and function pattern log. - The clinician’s care plan, personalised early-warning list, crisis contacts and medication instructions. - A daily log with mood range, sleep start/end, activity, function, medication taken as prescribed, substance changes and significant events. ## 1. Write the response ladder With the clinician, list green routine signs, amber early warnings, red urgent signs and the exact person/action for each level. Why: A pre-agreed ladder turns monitoring into timely action rather than passive data collection. Success check: Every level names observable signs, contact and timing. Accessible alternative: Ask the qualified provider to adapt positioning, cue modality, pace, interface or rest while preserving this step’s declared check: “Every level names observable signs, contact and timing.” If an adaptation changes the measured task or configuration, record it as a different configuration rather than an equivalent attempt. Alternative relationship: Conditional equivalence requires target and configuration check Learner notes: ________________________________________________________________________________ Completed: [ ] ## 2. Set one daily check time Choose a regular time that does not disrupt sleep. Keep the check under five minutes. Why: Consistent brief sampling improves comparability and limits rumination. Success check: The log is completed once daily at the declared time. Accessible alternative: Ask the qualified provider to adapt positioning, cue modality, pace, interface or rest while preserving this step’s declared check: “The log is completed once daily at the declared time.” If an adaptation changes the measured task or configuration, record it as a different configuration rather than an equivalent attempt. Alternative relationship: Conditional equivalence requires target and configuration check Learner notes: ________________________________________________________________________________ Completed: [ ] ## 3. Record sleep and routine first Enter sleep start, wake time, awakenings, meals, medication as prescribed and major routine changes before rating mood. Why: Sleep and routine changes can be important warning context and should not be reconstructed from mood alone. Success check: Objective routine fields are complete before the mood field. Accessible alternative: Ask the qualified provider to adapt positioning, cue modality, pace, interface or rest while preserving this step’s declared check: “Objective routine fields are complete before the mood field.” If an adaptation changes the measured task or configuration, record it as a different configuration rather than an equivalent attempt. Alternative relationship: Conditional equivalence requires target and configuration check Learner notes: ________________________________________________________________________________ Completed: [ ] ## 4. Rate mood and activation separately Use the clinician’s scales for low mood and activation/energy; add irritability or anxiety only if the plan includes them. Why: High activation and low mood can coexist and require separate visibility. Success check: Each planned dimension has its own value and no average “mood score.” Accessible alternative: Ask the qualified provider to adapt positioning, cue modality, pace, interface or rest while preserving this step’s declared check: “Each planned dimension has its own value and no average “mood score.”” If an adaptation changes the measured task or configuration, record it as a different configuration rather than an equivalent attempt. Alternative relationship: Conditional equivalence requires target and configuration check Learner notes: ________________________________________________________________________________ Completed: [ ] ## 5. Add function and observable signs Record one concrete function result and any personalised warning sign, such as missed work, rapid speech or unusual spending urge. Why: Observable function and behaviour make a rating more interpretable. Success check: Every day includes one function item and explicit yes/no warning signs. Accessible alternative: Ask the qualified provider to adapt positioning, cue modality, pace, interface or rest while preserving this step’s declared check: “Every day includes one function item and explicit yes/no warning signs.” If an adaptation changes the measured task or configuration, record it as a different configuration rather than an equivalent attempt. Alternative relationship: Conditional equivalence requires target and configuration check Learner notes: ________________________________________________________________________________ Completed: [ ] ## 6. Apply the ladder that day Compare the entry with the thresholds. Follow the contact or emergency action immediately; do not wait for a trend when a red sign appears. Why: Some signs require action before a pattern is statistically clear. Success check: The log records what action was taken and when. Accessible alternative: Ask the qualified provider to adapt positioning, cue modality, pace, interface or rest while preserving this step’s declared check: “The log records what action was taken and when.” If an adaptation changes the measured task or configuration, record it as a different configuration rather than an equivalent attempt. Alternative relationship: Conditional equivalence requires target and configuration check Learner notes: ________________________________________________________________________________ Completed: [ ] ## 7. Keep treatment unchanged unless directed Continue medication, sleep and routine exactly as prescribed while awaiting advice. Record deviations honestly. Why: Independent changes can worsen risk and make the pattern uninterpretable. Success check: No treatment change occurs without attributable clinical direction. Accessible alternative: Ask the qualified provider to adapt positioning, cue modality, pace, interface or rest while preserving this step’s declared check: “No treatment change occurs without attributable clinical direction.” If an adaptation changes the measured task or configuration, record it as a different configuration rather than an equivalent attempt. Alternative relationship: Conditional equivalence requires target and configuration check Learner notes: ________________________________________________________________________________ Completed: [ ] ## 8. Review patterns with the clinician At the agreed review, look for sequences across sleep, activation, function and events. Keep contradictory days and missing data visible. Why: A clinician interprets the pattern in context; selective charts can mislead. Success check: The review produces a documented keep, adapt or urgent-care decision. Accessible alternative: Ask the qualified provider to adapt positioning, cue modality, pace, interface or rest while preserving this step’s declared check: “The review produces a documented keep, adapt or urgent-care decision.” If an adaptation changes the measured task or configuration, record it as a different configuration rather than an equivalent attempt. Alternative relationship: Conditional equivalence requires target and configuration check Learner notes: ________________________________________________________________________________ Completed: [ ] ## Reflection What changed? ________________________________________________________________________________ What remains difficult? ________________________________________________________________________________ What will I repeat, adapt, ask for help with, or stop? ________________________________________________________________________________ --- Completion of this worksheet demonstrates tutorial participation only. It does not establish capability, qualification, safety clearance, diagnosis, treatment or independent validation.