According to the DSM-IV*, a medical reference commonly used by health care professionals to aid in diagnosis, a major depressive episode consists of many of the following symptoms, occurring nearly every day for at least two weeks.
- Depressed mood most of the day; feeling sad or empty, tearful
- Significant loss of interest or pleasure in activities that used to be enjoyable
- Significant weight loss (when not dieting) or weight gain; decrease or increase in appetite
- Difficulty sleeping or sleeping too much
- Agitation; or slowing down of thoughts and reduction of physical movements
- Fatigue or loss of energy
- Feelings of worthlessness or inappropriate guilt
- Poor concentration or having difficulty making decisions
- Thinking about death or suicide
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