Emotional:

  • Persistent sad or "empty" mood
  • Anxiety
  • Guilt
  • Anger
  • Mood swings
  • Helplessness
  • Hopelessness, pessimism. Thoughts of death or suicide. Suicide attempts.
  • Increase in self-critical thoughts.

Physical:

  • Sleeping too much or too little
  • Overeating or loss of appetite
  • Constipation
  • Weight loss or gain
  • Irregular menstrual cycle
  • Gradual loss of sexual desire
  • Chronic fatigue and lack of energy; Feeling fatigued, even after 12 hours of sleep
  • Unexplained headaches, backaches and related complaints; Persistent symptoms which do not respond to treatment
  • Digestive problems, including stomach pain, nausea, indigestion, and/or change in bowel habits

Behavioral:

  • Crying for no apparent reason
  • Withdrawal from other people and new situations
  • Getting angry easily
  • Being unmotivated to set or meet goals; Missing deadlines or diminished performance
  • Loss of interest in one’s physical appearance; in hobbies and activities that were once enjoyed
  • Impaired memory, inability to concentrate, indecisiveness, confusion
  • Reduced ability to cope on a daily basis
  • Increased alcohol and/or drug use

Symptoms of Mania

Not everyone who is depressed or manic experiences every symptom.  Some people experience a few symptoms, some many.  Also, severity of symptoms varies with individuals.

  • Inappropriate elation, euphoria
  • Inappropriate irritability
  • Severe insomnia
  • Grandiose notions (feelings of personal greatness, invulnerability)
  • Easily distracted, often without cause
  • Disconnected and racing thoughts
  • Increased sexual desire and activity
  • Markedly increased energy
  • Poor judgment (spending too much money, impulsive business investments)
  • Inappropriate social behavior
  • Needing less sleep than normal
  • Talking a lot or feeling that you can’t stop talking