I feel down even when good things happen to me
Doing little things takes me great effort
I have difficulty making decisions
I feel sad, down, and unhappy
I feel like a guilty person who should be punished
Pleasure and joy are no longer in my life
My appetite is much less or much greater than usual
I have trouble concentrating
I am feeling tired and fatigued
My sleep has been disturbed: not enough, too much, or waking up in the middle of the night
I have a loss of interest in sex
I have suicidal thoughts or desires
Without dieting, I have lost or gained weight
