Personal Notes While at McLean

7/30/2019 Personal Notes While at McLean

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Personal Notes

While at McLean Hospital


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This bookleT is a resource for your privaTe use. you do noT need To share

whaT you record in here wiTh anyone unless you choose To do so.

People come to McLean Hospital in all stages

o illness. You may already have one or more

psychiatric diagnoses or an idea o what is going

on with you. Conversely, you may not have had

any prior mental health care. Writing down your

thoughts, questions and concerns about your

diagnosis and medications can be helpul, as

can reviewing these with your psychiatrist

while you are in the hospital. Nurses

are also available at all times to

answer your questions about

your diagnosis.

IntroDuctIon


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Personal Notes While at McLean Hospital 1

Person

alNotesMy Diagnosis

My diagnosis is:_____________________________________________________________________________________________________________

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My medications are: _______________________________________________________________________________________________________

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Questions I have about my diagnosis: ___________________________________________________________________________________

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Symptoms or eelings I need to tell my treatment team about: ______________________________________________________

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Fears I have about my diagnosis: _________________________________________________________________________________________

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How my diagnosis may aect my uture: ________________________________________________________________________________

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2 Personal Notes While at McLean Hospital

Person

alNotes Goals o My Hospitalization

Beore my hospitalization, I was having diculties with these activities: __________________________________________

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I was worried about: _______________________________________________________________________________________________________

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I came to the hospital because: ___________________________________________________________________________________________

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I hope this hospitalization helps me to: _________________________________________________________________________________

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I am most concerned about my:

Work/School Family Future Friends Health Body

I am also concerned about: ________________________________________________________________________________________________

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Person

alNotesFamily and Friends Contact Sheet

It can be especially difcult to call amily and riends ater being in the hospital. To help you guide the

conversation, jot down your thoughts beore making the call.

Before the conversation:

Today, I want to contact:___________________________________________________________________________________________________

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I want to talk to him/her about: __________________________________________________________________________________________

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I am araid o talking to this person about:______________________________________________________________________________

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Im going to say:_____________________________________________________________________________________________________________

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After the conversation:

We talked about: ____________________________________________________________________________________________________________

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Now I eel: ___________________________________________________________________________________________________________________

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Person

alNotes Family and Friends Contact Sheet

It can be especially difcult to call amily and riends ater being in the hospital. To help you guide the

conversation, jot down your thoughts beore making the call.

Before the conversation:

Today I want to contact: ___________________________________________________________________________________________________

_________________________________________________________________________________________________________________________________

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I want to talk to him/her about: __________________________________________________________________________________________

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I am araid o talking to this person about:______________________________________________________________________________

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Im going to say:_____________________________________________________________________________________________________________

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After the conversation:

We talked about: ____________________________________________________________________________________________________________

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Now I eel: ___________________________________________________________________________________________________________________

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Person

alNotesDaily Refections

Date:__________________________________________________________________________________________________________________________

My goal or the day: ________________________________________________________________________________________________________

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The names o my nurses today: __________________________________________________________________________________________

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Activities today: ____________________________________________________________________________________________________________

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My visitors today: __________________________________________________________________________________________________________

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I talked to my doctors about:______________________________________________________________________________________________

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I still have these question and concerns: ________________________________________________________________________________

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I also eel: ____________________________________________________________________________________________________________________

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Person

alNotes Daily Refections

Date:__________________________________________________________________________________________________________________________

My goal or the day: ________________________________________________________________________________________________________

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I also eel: ____________________________________________________________________________________________________________________

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Person

alNotesDaily Refections

Date:__________________________________________________________________________________________________________________________

My goal or the day: ________________________________________________________________________________________________________

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I also eel: ____________________________________________________________________________________________________________________

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Person

alNotes Building My Resilience/Maintaining My Wellness

I deriveHope rom:_________________________________________________________________________________________________________

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MyStrengthsandSkills are: _______________________________________________________________________________________________

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I fndHealing in/rom:_____________________________________________________________________________________________________

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My plan or maintaining Wellness: _______________________________________________________________________________________

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Person

alNotes_________________________________________________________________________________________________________________________________

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115 Mill Street::Belmont, MA::02478::www.mcleanhospital.org::800.333.0338

Personal Notes While at McLean

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