THE ROAD BACK There is Hope. There is a Solution.
Chapter Seven Daily Journal Date: __________ Pre-Taper / Taper (Circle one) Day # _____, Step # _____ Note: Do Not Change Eating or Exercise Habits During The Program! Current Drugs & Dosages: (List all taken, time of day and amount) _______________ _______________ _______________ _______________ _______________ _______________ _______________ _______________ Food and Liquid: (List all food and liquid consumed, time of day and amount) The Road Back Nutritionals: (List all taken, time of day and amount) Rate the Following Areas Using a Scale of 1 to 10: (Rate daytime anxiety at bedtime and rate the previous night's sleep first thing in the morning. Rate all other items before bedtime.)
Symptom
1-10 Rating
List All Changes Made During the Day
Aches
Anxiety
Appetite
Body Pains
Energy
Exercise
Fatigue
Mood
Sleep
The Road  Back
Made with Xara
Chapter Seven Daily Journal Date: __________ Pre-Taper / Taper (Circle one) Day # _____, Step # _____ Note: Do Not Change Eating or Exercise Habits During The Program! Current Drugs & Dosages: (List all taken, time of day and amount) _______________ _______________ _______________ _______________ _______________ _______________ Food and Liquid: (List all food and liquid consumed, time of day and amount) The Road Back Nutritionals: (List all taken, time of day and amount) Rate the Following Areas Using a Scale of 1 to 10: (Rate daytime anxiety at bedtime and rate the previous night's sleep first thing in the morning. Rate all other items before bedtime.) Symptom 1-10 Rating List All Changes Made During the Day Aches Anxiety Appetite Body Pains Energy Exercise Fatigue Mood Sleep
Ativan Celexa Cymbalta Depakote Dilantin Effexor Elavil Klonopin Latuda Lexapro Neurotin Paxil Prozac Trintelix Seroquel Trazodone Remeron Valium Viibryd Wellbutrin Xanax Zoloft