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Severe depression, also known as major depressive disorder (MDD), is a serious mental health condition that significantly impacts a person's ability to function in daily life. It is characterized by an overwhelming and persistent feeling of sadness, hopelessness, or emptiness. Severe depression affects emotions, thoughts, behaviors, and physical well-being. Here are some common signs and symptoms of severe depression:

1. Persistent Depressed Mood: A person with severe depression experiences a consistently low or sad mood, most of the day, nearly every day, for at least two weeks or longer.

2. Loss of Interest or Pleasure: A marked decrease in interest or pleasure in activities that were once enjoyable, including hobbies, social interactions, or work-related tasks.

3. Significant Weight Changes: Noticeable weight loss or weight gain not attributed to dieting, leading to a change in appetite.

4. Sleep Disturbances: Insomnia (difficulty falling asleep or staying asleep) or hypersomnia (excessive sleeping) can be common in severe depression.

5. Fatigue and Loss of Energy: Feeling chronically tired and lacking energy, even after minimal effort.

6. Feelings of Worthlessness or Guilt: Excessive and inappropriate feelings of guilt or worthlessness, often without a specific cause.

7. Difficulty Concentrating: Individuals with severe depression may have trouble focusing, making decisions, or remembering things.

8. Recurrent Thoughts of Death or Suicide: Persistent thoughts of death, suicidal ideation, or suicide attempts are serious indicators of severe depression.

9. Agitation or Psychomotor Retardation: Restlessness or slowed movements can be observed in individuals with severe depression.

10. Physical Aches and Pains: Unexplained physical symptoms, such as headaches, stomach aches, or back pain, may be associated with severe depression.

It's important to note that not all individuals with severe depression will display all of these symptoms, and the severity and presentation of symptoms can vary from person to person. Additionally, other medical conditions or substances can sometimes mimic or exacerbate depression symptoms, making an accurate diagnosis essential for effective treatment.

If you or someone you know is experiencing symptoms of severe depression or any suicidal thoughts, it's crucial to seek help from a mental health professional or a helpline immediately. Depression is a treatable condition, and with the right support and treatment, many people can find relief and regain their quality of life.

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