• Sadness, emptiness, and/or tearfulness
  (Children and adolescents may be irritable instead.)
  
  
• Significantly decreased interest or pleasure in all or nearly all of your usual activities
  (Subjective or observed by others.)
  
  
• Decreased energy/fatigue
  
  
• Sleeping significantly more or less than usual
  
  
• Decrease or increase in appetite and/or loss or gain of more than five percent of body weight within a month without dieting
  (Children may not weigh enough to meet expected standards.)
  
  
• Difficulty thinking, concentrating, or making decisions
  
  
• Slowed body movements, or an increase in nonproductive, repetitious actions (fidgeting, hand wringing, pulling on clothes or hair, etc.)
  (Must be observed by others.)
  
  
• Feelings of worthlessness, or excessive or inappropriate guilt
  (Not just because you’re depressed.)
  
  
• Suicidal thoughts, plans, or attempts

Consists of first or second symptom,
plus four or
more others



Symptoms present most of the day nearly every day for at least two weeks






Focus is more on
actions

Consists of first or second symptom,
plus two or
more others



Symptoms present most of the day nearly every day for at least two years without subsiding for more
than two months




Focus is more on thoughts