Commentary
During clinical depressive periods, three or more of the following symptoms are present:
- Insomnia or hyper insomnia (sleeping more than is normal)
- Low energy level, chronic tiredness
- Feelings of inadequacy, loss of self-esteem, or self-deprecation
- Decreased effectiveness or productivity at school, work or home
- Decreased attention, concentration, or ability to think clearly
- Social withdrawal
- Loss of interest in or enjoyment of pleasurable activities
- Inability to respond with pleasure to praise or rewards
- Less active or talkative than usual, or feels slowed down or restless
- Pessimistic attitudes toward the future, brooding about past events, or feeling sorry for self
- Tearfulness or crying