Level 1. HOSPITALIZED. Extreme depression, actively suicidal, totally withdrawn, delusional, and unable to eat or take medications. Medical emergency.

Level 2. PREPARE TO GO TO HOSPITAL. Severe depression must be reminded to do most daily routines, loss or gain of weight, very withdrawn, extremely agitated, rarely sleeps or sleeps too much, suicidal thoughts. Medical treatment is needed.

Level 3. RED FLAG. Moderate depression, loss of energy, disinterested in others, sleep and appetite disturbed, normal functions become an effort, wants to stay in bed, does not want to go to work, life is not worthwhile, little sexual interest. Outpatient treatment is needed

Level 4. WARNING. Mildly depressed mood, a noticeable lack of energy, motivation decreased, restlessness, no feelings of pleasure, feels slowed down, decreased interest in sex. Remain aware

Levels 4.5-5.5. BALANCE. Mood within a normal range. Even as this would be considered "normal", a person with bipolar disorder can feel strange. They may wonder why they are no longer unhappy or depressed. They can even feel bored in missing the euphoric highs of mania.

Level 6. WARNING. Mildly elevated moods, many ideas for projects, creative, funny, feels wonderful, increased sex drive, and increased activity. Remain aware

Level 7. RED FLAG. Moderate elation, overactive, over talkative, sleeps only 4 to 6 hours a night, could go on spending sprees, travel is an option, becomes unsure of self and could switch from happy to irritable easily. Outpatient treatment is advised in some cases.

Level 8. HOSPITAL. High, extreme elation, flight of ideas, agitated, indecisive, hostile, sleeping very little, and rapid speech. Should be admitted or observed very closely.

Level 9. PREPARE TO GO TO HOSPITAL. Extreme elation, out of control, hardly sleeps, and completely uncooperative. Hospitalization is necessary.

Level 10. HOSPITALIZED. Wildly manic and psychotic, can’t stop talking, incoherent, elated, belligerent, not sleeping at all, possibly delusional, paranoid or hallucinating. Medical emergency.