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Major depression is when a person has 5 or more of the following symptoms for more than 2 weeks:
- Trouble sleeping or excessive sleeping
- A dramatic change in appetite, often with weight gain or loss
- Fatigue and lack of energy
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Feelings of worthlessness, self-hate, and inappropriate guilt
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Extreme difficulty concentrating
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Agitation, restlessness, and irritability
- Inactivity and withdrawal from usual activities, a loss of interest or pleasure in activities that were once enjoyed (such sex)
- Feelings of hopelessness and helplessness
- Thoughts of death or suicide
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Depression can appear as anger and discouragement rather than feelings of hopelessness and helplessness. If depression is very severe, it may be accompanied by psychotic symptoms, such as hallucinations and delusions. These are usually consistent with the depressed mood, and may focus on themes of guilt, personal inadequacy, or disease.
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