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Depressed Before Period Note Sheet

A plain note sheet for depressed before period timing, daily impact, sleep, pain, stress, safety notes, and clinician questions.

Feeling depressed before a period can be scary.

You do not have to name the cause today. Write down what happened, when it happened, and what you want to ask.

This page is for notes. It is not a diagnosis. It is not treatment advice. It is not a crisis plan.

Safety note first

Answer these before you fill out the rest.

Do I feel safe right now? Did I have thoughts of self harm? Did I feel unable to do basic care? Did I feel out of control? Do I need immediate help? Do I already have a clinician or crisis plan to follow?

If danger feels immediate, seek urgent help now. If you are in suicidal, mental health, emotional distress, or substance use crisis and not in immediate physical danger, call or text 988.

Quick low mood note

Fill this out after the hard moment, if you can.

Question Your answer Date Time Cycle day, if known Days before bleeding, if known Low mood level, 0 to 10 Hopeless or numb feeling, 0 to 10 Sleep last night Pain or cramps, 0 to 10 Food, appetite, or cravings Stress that day What changed my day? Did I feel safe? yes / no / unsure What do I want to ask?

Short notes help. "Stayed in bed after work" is enough.

Daily note sheet

Use one row per day. Track before, during, and after bleeding.

Date Cycle day Period timing Low mood 0 to 10 Sleep Pain 0 to 10 Stress Food or cravings Daily impact Safety note : : : before / during / after

Do not force the notes to fit PMS, PMDD, or depression. Timing can help even when the cause is not clear.

What was around it?

Check only what fits.

Poor sleep. More stress than usual. Cramps or pelvic pain. Headache. Breast pain. Fatigue. Low appetite. More cravings or hunger. Skipped meal. Work or school pressure. Relationship stress. Alcohol or substance use. New medicine or supplement. Bleeding started soon after. This also happens far from period timing.

These are context notes. They do not diagnose a cause.

Daily impact

Write what changed in daily life.

Area What happened How much did it affect me? Work or school none / some / a lot Care tasks none / some / a lot Food or meals none / some / a lot Sleep none / some / a lot Relationships none / some / a lot Chores or errands none / some / a lot Basic care none / some / a lot

Plain notes are useful. "Did not shower" helps if basic care changed.

Pattern review

After one cycle, answer these.

Question Your notes Did low mood start before bleeding? How many days did it last? Which day felt hardest? Did it ease after bleeding started? Did sleep change first? Did pain show up too? Did appetite or cravings change too? Did this happen outside period timing? What made me seek help?

Bring the pattern to a clinician if low mood, safety worries, or daily impact keeps coming back.

Questions for a clinician

Pick what fits.

Could this timing matter? What other causes should we think about? How many cycles should I track? What safety details should I share? What symptoms mean I should call before the next visit? Should I track sleep, pain, stress, and food too? What details should I keep private unless they help care?

If symptoms feel severe, the PMDD appointment prep checklist can help you prepare for a visit. The PMDD two cycle symptom tracker is useful when daily timing matters. If safety is part of the concern, use immediate help first. The PMDD safety plan template is a worksheet, not emergency care.

One page visit summary

Copy this into a note or print it.

text Depressed before period visit note

Main concern:

When it starts:

Period timing:

Worst low mood level:

Sleep pattern:

Pain or cramps:

Food or cravings:

Stress context:

Daily impact:

Safety concern:

What I want help with:

Privacy note

Mood notes can include mental health, sex, medicine, conflict, work, and safety details.

Keep only what helps care. A short note may be enough.

Floriva can keep short cycle notes on your device. Paper works too. No app can promise full privacy. You choose what to type, export, screenshot, print, or share.

For storage choices, read the period anxiety data privacy checklist and the focus and mood cycle data privacy checklist. For a short clinician note, use the before period mood doctor message script.