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Core symptoms:

 Pervasive and persistent low mood (feeling down, depressed or hopeless)

 Anhedonia (a loss of pleasure or interest in usually enjoyable activities)

 Lacking in energy, increased tiredness or fatigue

 Withdrawal from everyday activities.

Common symptoms:

 Reduction in self-esteem or self-confidence

 Poor concentration

 Sleep disturbance (either sleeping more or less than usual)

 Worthlessness

 Guilt

 Significant changes in appetite or weight

 Psychomotor agitation or retardation (moving more restlessly or more slowly than usual)

 Irritability

 Tearfulness

 Decreased libido

 Thoughts that life is not worth living or of suicide.

When reaching a probable diagnosis of depression, symptoms of anxiety can also be common. Therefore, whether depression has impacted functioning and this in turn has led to anxiety or worry, or whether anxiety has led to avoidance of activities leading to depressive symptoms, it is important to determine the primary presenting problem.