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Not everyone who is depressed has every symptom. Some people experience a few symptoms, some many. Severity of symptoms varies with individuals and also over time.

Common symptoms of depression may include:

  • Persistent sad, anxious, or "empty" mood.
  • Feelings of hopelessness, pessimism.
  • Feelings of guilt, worthlessness, helplessness.
  • Loss of interest or pleasure in hobbies and activities that were once enjoyed, including sex.
  • Decreased energy, fatigue, being "slowed down."
  • Difficulty concentrating, remembering, making decisions.
  • Insomnia, early-morning awakening, or oversleeping.
  • Appetite and/or weight loss as well as overeating and/or weight gain.
  • Thoughts of death or suicide; suicide attempts.
  • Restlessness, irritability.
  • Persistent physical symptoms that do not respond to treatment, such as headaches, digestive disorders, and chronic pain.