| 1- Markedly depressed mood, feelings of hopelessness or self-deprecating thoughts |
| 2 - Marked anxiety, tension, feelings of being "keyed up" or "on edge" |
| 3- Marked affective lability (e.g. feeling suddenly sad or tearful or increased sensitivity to rejection) |
| 4- Persistent and marked anger or irritability or increased interpersonal conflicts |
| 5- Decreased interest in usual activities (e.g. work. school. friends. hobbies) |
| 6- Subjective sense of difficulty in concentrating |
| 7- Lethargy, easy fatigability or marked lack of energy |
| 8- Marked change in appetite, overeating or specific food cravings |
| 9- Hypersomnia or insomnia |
| 10- A subjective sense of being overwhelmed or out of control |
| 11- Other physical symptoms such as breast tenderness or swelling headaches joint or muscle pain a sensation of "bloating" or weight gain |
