Adults living with bipolar disorder, their partners, carers and mental health practitioners can use this printable worksheet to record personal early warning signs of mania and depression, then plan what to do before symptoms escalate.
This Bipolar Relapse Prevention Plan of Action Worksheet is a printable planning tool for recording the personal changes that may signal a shift towards mania, hypomania or depression. It gives adults living with bipolar disorder a structured space to notice patterns, organise thoughts and prepare practical next steps to discuss with a mental health professional, partner, carer or trusted supporter.
The layout can be completed during therapy, at a care planning appointment, in a support group, or as part of home learning about mood management. Users can list changes in sleep, energy, thinking, spending, social behaviour, motivation or routines, then add realistic actions that may help them seek support earlier. It can also be used after a past episode to reflect on what was noticed, what helped and what may need changing in future plans.
Prompts for friends and family make the worksheet useful for shared conversations, not just private notes. It encourages clear, respectful wording about what supporters can say, what practical help may be welcomed and when extra professional support should be considered.
- Use it as a downloadable worksheet for personal relapse planning.
- Print copies for counselling sessions, recovery work or care reviews.
- Keep the completed plan somewhere accessible so it can be revisited and updated as circumstances, treatment and support needs change over time.








