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Recognizing the severity of depression can be crucial for seeking appropriate help and support. Here are some signs that may indicate depression is severe:

  1. Persistent and Intense Symptoms: The symptoms of depression persist nearly every day and are significantly affecting your ability to function in daily life. This includes feeling sad, hopeless, or empty for most of the day, every day.

  2. Social Isolation: You have withdrawn from friends, family, and social activities. You find it challenging to connect with others or derive pleasure from activities that you used to enjoy.

  3. Impaired Functioning: Depression is interfering with your ability to work, attend school, or carry out basic responsibilities at home.

  4. Changes in Sleep and Appetite: Significant changes in sleep patterns (insomnia or oversleeping) and appetite (loss of appetite or overeating) are common indicators of severe depression.

  5. Physical Symptoms: Severe depression may manifest with physical symptoms, such as chronic fatigue, unexplained aches, and pains, headaches, or digestive issues.

  6. Thoughts of Self-Harm or Suicide: If you have persistent thoughts of self-harm or suicide, or if you have developed a specific plan to carry out such actions, it is a severe and potentially life-threatening situation that requires immediate attention.

  7. Feeling Worthless or Guilty: A sense of worthlessness, excessive guilt, or constant self-criticism is a common feature of severe depression.

  8. Difficulty Concentrating: You find it challenging to concentrate, make decisions, or remember things, making it hard to function in everyday life.

  9. Loss of Interest and Motivation: You have lost interest in almost all activities, and even tasks that used to be enjoyable or important to you feel like a burden.

  10. Psychotic Features: In severe cases of depression, some individuals may experience psychotic symptoms, such as hallucinations (seeing or hearing things that aren't there) or delusions (false beliefs).

If you or someone you know is experiencing several of these signs and symptoms, it is essential to seek professional help immediately. A mental health professional, such as a psychiatrist, psychologist, or counselor, can assess the severity of the depression and recommend appropriate treatment options, which may include therapy, medication, or a combination of both.

In urgent situations where there is a risk of harm to oneself or others, do not hesitate to call emergency services or a suicide helpline. Remember that help is available, and seeking support is a courageous and important step toward recovery.

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