I have felt an intense, pervasive sense of unhappiness that doesnt seem to lift.

I have had difficulties falling asleep, staying asleep, or sleeping much more than usual.

My eating patterns have changed significantly, eating much less or much more than usual, potentially leading to weight change.

I believe that things will never get better or that I cant improve my situation.

I have withdrawn from social activities and relationships I once enjoyed.

I have felt persistently tired or drained of energy, even without physical exertion, and lack of motivation.

I have had trouble focusing or making decisions.

I have felt more irritable or frustrated than usual.

I have lost interest in activities that were once enjoyable.

I have experienced physical symptoms such as headaches or stomachaches, without a clear medical cause, and feel more stressed than usual.

I have been overly critical of myself or felt undue guilt.

Fears or worries about my daily life or the future have consumed me.

I have experienced rapid and extreme mood changes.

I have neglected responsibilities at work, school, or home.