This form is not a diagnostic instrument and is only to be used within the context of your medical treatment and by you if you are greater than 18 years old. Share your checklist responses and assessment with your physician or other health care provider. The maker and provider of this form disclaims any liability, loss, or risk incurred as a consequence, directly or indirectly, from the use and application of any of this material.

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Why Monitor Your Mood?

A way to track how your treatment is going.

Once you have completed the M3 Screen and have discussed the results with your doctor, you may have agreed to begin psychotherapy and/or medication treatment. At this point we encourage you to record your progress with the M3 Monitor, a tracking form for assessing progress and potential side-effects over time. This monitoring system may be shared with the treating physician via hard copy, fax, email, or may be securely accessed through a Microsoft HealthVault account. Physicians can make use of the M3 Monitor data to decide if and when medication adjustments are indicated. Because most courses of treatment should last a minimum of 9 to 12 months, the M3 encourage monitoring for a full year from the beginning of treatment.

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This form is not a diagnostic instrument and is to be used solely within the context of your medical treatment with your physician or other health care provider. The maker and provider of this form disclaims any liability, loss, or risk incurred as a consequence, directly or indirectly, from the use and application of any of this material. My Mood Monitor™ V.03.06 Copyright © 2002-2010 by M3 Information™, The M-3 Checklist and Mymoodmonitor.com are free for personal home use. For any other uses, including clinical., educational, non-profit, hospital research, or for-profit settings please contact mail@m-3information.com. No further reproduction or distribution, or reverse engineering is permitted without written permission from M3 Information. Patent Pending.