(Five or more symptoms present over a two-week period)

• Depressed mood most of the day
• Markedly diminished interest or pleasure in all or almost all activities
• Significant weight loss when not dieting, weight gain, or decrease or increase in appetite
• Insomnia or increased sleepingRestlessness or slowing down of body movements
• Fatigue or loss of energy
• Feelings of worthlessness or excessive or inappropriate guilt
• Diminished ability to think or concentrate, or indecisiveness
• Recurrent thoughts of death (not just fear of dying), recurrent thoughts of suicide, or a suicide attempt