The following are the nine symptoms which are used in the fifth edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5) to diagnose Major Depressive Disorder.
1 Depressed Mood
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A person with a depressed mood may report feeling "sad" or "empty" or may cry frequently. Having a depressed mood is one of the two core symptoms which is used to diagnose depression. A person must have at least one of these two core symptoms in order to be diagnosed with Major Depressive Disorder.
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2 Decreased Interest or Pleasure
The second core symptom of depression is a decreased interest or pleasure in things that were once enjoyed. A person exhibiting this symptom will show markedly diminished interest or pleasure in all, or almost all, daily activities.
In addition to having at least one of the core depression symptoms, a person would need to have at least five other depression symptoms from this list in order to meet the diagnostic criteria for Major Depressive Disorder.
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3 Weight Changes
Significant changes in weight when not attempting to gain or lose (a gain or loss of 5% or more in a month) may be indicative of depression. In children, this may also present as a failure to make expected weight gains.
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4 Sleep Disturbances
Either insomnia or sleeping too much may be a symptom of depression.
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5 Psychomotor Agitation or Retardation
The person may be observed to be either agitated and restless or physically slowed down in their speech and movements.
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6 Fatigue
Deep fatigue or a loss of energy is a symptom of depression.
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7 Feelings of Worthlessness or Guilt
A depressed person may feel that they have no value or they may feel inappropriately guilty about things they have no control over.
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8 "Brain Fog"
A depressed person may have a diminished ability to think, concentrate or make decisions.
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9 Thoughts of Death
A depressed person may have frequent thoughts of death and suicide although they may or may not have an actual plan for carrying it out.
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