During these episodes, symptoms occur most of the day, nearly every day, and may include:
Feelings of sadness, tearfulness, emptiness, or hopelessness
Angry outbursts, irritability or frustration, even over small matters
Loss of interest or pleasure in most or all normal activities, such as sex, hobbies, or sports
Sleep disturbances, including insomnia or sleeping too much
Tiredness and lack of energy, so even small tasks take extra effort
Reduced appetite and weight loss or increased cravings for food and weight gain
Anxiety, agitation, or restlessness
Slowed thinking, speaking, or body movements
Feelings of worthlessness or guilt, fixating on past failures or self-blame.