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Depression & Anxiety Symptom Diary

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Print out this page and use the spaces below to track when you have symptoms, what they are, and how they affected your day. You can print out as many pages as you need. Be sure to keep track of your symptoms for 4 to 6 weeks. Then show this symptom diary to your doctor so he or she can make a proper diagnosis.

 Day/Date  Symptoms  How long they lasted  Impact on day
       
       
       
       
       
       
       
       
       
       

Note to Doctor: Your patient has downloaded this symptom diary from http://www.lexapro.com in an effort to inform you about symptoms he or she has been experiencing. This tool is meant to serve as an aid to you and your patient. The ultimate diagnosis should be made based on your own clinical experience and knowledge of your patient's medical history.