WHAT CHANGED?
Notice the pattern before guessing the cause.
When things suddenly seem better, worse or simply different, organize what changed around the same time so you can have a clearer conversation with the care team.
Timing is not proof of cause. This tool helps capture observations and chronology. Sudden or serious changes may need prompt medical or mental-health assessment.
Describe what you observed before trying to explain why it happened.
Bedtime, waking, total sleep, naps, snoring, nightmares or daytime sleepiness
Started, stopped, missed, dose/timing changes, new OTC products or supplements
Illness, injury, pain, headaches, GI symptoms, appetite, menstrual/hormonal or other physical changes
Schedule, home, noise, sensory load, travel, season, caregiver or living arrangement
Conflict, loss, new friendship, isolation, dating, family or peer changes
New job/class, workload, accommodations, expectations, attendance or transition
Exercise, recreation, volunteering, community participation or time spent at home
Started/stopped therapy, provider changes, new skills, frequency or support changes
Only if relevant; note changes without judgment
Move, breakup, bereavement, birth, financial stress, legal issue, trauma or other major event
NEUROCOACH — WHAT CHANGED?
Worse / harder
Past 2–4 weeks · Observation summary · No cause inferred
Questions this may help us ask
- Which changes happened before the improvement or worsening?
- Are any changes likely unrelated, or are there several things happening at once?
- Is there a medical, medication, sleep or mental-health issue that needs assessment?
- What should we track next, and for how long?