NIMH S-DBT Diary Card - University of Washington - depts washington: Fill out & sign online

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Click ‘Get Form’ to open the NIMH S-DBT Diary Card in our editor.
Begin by entering your Initials or ID# at the top of the form. Your initials should consist of the first letters of your first and last names, while the ID# is a unique 6-digit number.
Indicate whether you filled out the card during your session by circling 'Y' for Yes or 'N' for No.
In the section labeled 'How often did you fill out this side?', check the appropriate frequency based on your usage over the past week.
For each day, rate your urges to commit suicide and use drugs on a scale from 0 to 5, marking the highest intensity experienced that day.
Complete sections on emotional and physical misery, as well as any medications taken, ensuring to specify types and dosages where applicable.
Document any self-harm actions, lies told, and reinforcements received throughout the week in their respective columns.
Finally, review all entries for accuracy before saving or sharing your completed diary card using our platform's export features.

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