Early Warning Signs Scale for Bipolar Disorder

This form can be used to track the frequency and intensity of certain behaviors and feelings over time. It’s important to note that this is not a diagnostic tool, but rather a way to recognize patterns that may warrant a discussion with a healthcare professional.

Bipolar Disorder Early Warning Sign Scale

For each item, rate the frequency and intensity over the past week on a scale from 0 to 4, where

• 0 = Not at all
• 1 = Rarely
• 2 = Sometimes
• 3 = Often
• 4 = Very Often/Intensely

1. Mood Elevation

Feeling unusually optimistic, energetic, or irritable.

Not at all Rarely Sometimes Often Very Often/Intensely

2. Sleep Disturbances

Difficulty falling or staying asleep, or reduced need for sleep.

Not at all Rarely Sometimes Often Very Often

3. Increased Activity or Restlessness

More active than usual, starting multiple new projects.

Not at all Rarely Sometimes Often Very Often/Intensely

4. Impulsivity/Risky Behavior

Making impulsive decisions, engaging in risky activities.

Not at all Rarely Sometimes Often Very Often/Intensely

5. Racing Thoughts

Thoughts moving quickly from one idea to another.

Not at all Rarely Sometimes Often Very Often/Intensely

6. Difficulty Concentrating

Finding it hard to focus or make decisions.

Not at all Rarely Sometimes Often Very Often/Intensely

7. Irritability or Agitation

Feeling easily annoyed or overreacting to small issues.

Not at all Rarely Sometimes Often Very Often/Intensely

8. Emotional Sensitivity

Overreacting emotionally to situations.

Not at all Rarely Sometimes Often Very Often/Intensely

9. Social Withdrawal

Avoiding social interactions, losing interest in socializing.

Not at all Rarely Sometimes Often Very Often/Intensely

10. Changes in Eating Habits

Eating significantly more or less than usual.

Not at all Rarely Sometimes Often Very Often/Intensely

11. Performance Changes

Decline in performance at work or school.

Not at all Rarely Sometimes Often Very Often/Intensely

Total Value: 4/44

Scoring

0-11: Low likelihood of early warning signs.

12-22: Moderate likelihood; monitor and possibly consult a healthcare professional.

23-44: Higher likelihood; strongly consider discussing with a healthcare professional.