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picture1_Dbt Pdf 108821 | Sud Diary Card Key 2021


 139x       Filetype PDF       File size 0.11 MB       Source: www.minnesotacenterforpsychology.com


File: Dbt Pdf 108821 | Sud Diary Card Key 2021
dbt sud diary card key descriptions ranking rx take meds yes or no ang anger ranging from irritation to rage 1 10 for the anx anxiety ranging from concerned to ...

icon picture PDF Filetype PDF | Posted on 27 Sep 2022 | 3 years ago
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                                     DBT-SUD Diary Card Key 
                                                  Descriptions                              Ranking 
                        RX                         Take Meds?                               Yes or No 
                       ANG            Anger (ranging from irritation to rage)       
                                                                                   1 – 10* for the  
                       ANX          Anxiety (ranging from concerned to panic)      highest intensity of  
                                                                                   the day 
                       SAD         Sadness (ranging from discontent to despair)                    
                                      Guilt (ranging from apologetic to deep                       
                     GUILT                            regret)                                      
                                                                                                   
                     SHAME             Shame (ranging from embarrassed to                          
                                                    mortified)                                     
                       JOY          Joy (ranging from contentment to exhilaration)                 
                                                                                                   
                                                                                                       1-10* for the             
                      PAIN           Physical Pain (ranging from minor to major)             lowest intensity of  
                                                                                                   the day 
                         SI                      Suicidal Ideation 
                                            (thoughts of killing yourself)         Intensity of urges (#) 
                                               Self-injury behavior                 
                        SIB          (purposefully drawing blood, causing tissue    
                                                      damage)                                                                    
                       TIB                 Therapy-interfering behavior                                                   
                                   (examples: missing appointments, assignments)                     Yes or No:                                             
                       ALC                            Alcohol                               Whether or not you 
                      DRUG                             Drugs                                 acted on the urges. 
                        HS                        Hours of Sleep                         Number of Hours 
                      QUIT                    Urges to Quit Therapy                           0 – 10* 
                        TX 
                     OTHER               Anything else you want to track            
                     OTHER               Anything else you want to track                           
                     OTHER               Anything else you want to track                           
                                           * 0= none, 1= low, 10=high                              
                                                Minnesota Center for Psychology, LLC 
                                        2324 University Ave W, Ste 120 Ÿ Saint Paul MN 55114 
                                              Phone: 651-644-4100 Ÿ Fax: 651-644-4885 
                                                                   
                                                                                                           01/21 
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...Dbt sud diary card key descriptions ranking rx take meds yes or no ang anger ranging from irritation to rage for the anx anxiety concerned panic highest intensity of day sad sadness discontent despair guilt apologetic deep regret shame embarrassed mortified joy contentment exhilaration pain physical minor major lowest si suicidal ideation thoughts killing yourself urges self injury behavior sib purposefully drawing blood causing tissue damage tib therapy interfering examples missing appointments assignments alc alcohol whether not you drug drugs acted on hs hours sleep number quit tx other anything else want track none low high minnesota center psychology llc university ave w ste saint paul mn phone fax...

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