Depression

Low Mood and Loss of Interest

• Patient reports persistent sadness, emptiness, or low mood that interferes with daily functioning.
• Client experiences decreased interest or pleasure in activities that were previously enjoyable or meaningful.
• Patient reports feeling disconnected from their previous sense of identity, interests, strengths, or sense of purpose.

Motivation and Daily Functioning

• Patient reports low motivation and difficulty initiating or completing everyday tasks and responsibilities.
• Client reports depressive symptoms that interfere with relationships, work, school, self-care, or other areas of daily functioning.
• Patient reports fatigue, decreased energy, or feeling physically slowed down despite adequate effort.

Hopelessness, Guilt, and Self-Criticism

• Client experiences feelings of hopelessness, helplessness, or feeling stuck when considering the future.
• Patient reports increased self criticism, guilt, shame, or negative beliefs about themselves.
• Client experiences rumination, negative self talk, or difficulty disengaging from distressing thoughts.

Concentration and Decision Making

• Patient reports difficulty concentrating, making decisions, or maintaining focus due to depressive symptoms.
• Client reports slowed thinking or difficulty processing information during periods of increased depressive symptoms.
• Patient experiences difficulty following through with responsibilities due to reduced focus, indecision, or mental fatigue.
• Client reports feeling overwhelmed by choices or daily decisions that previously felt manageable.

Withdrawal and Disconnection

• Client demonstrates withdrawal from friends, family, hobbies, or other meaningful activities.
• Patient reports reduced interest in social interaction and increased time spent alone.
• Client describes feeling emotionally disconnected from others, even when support is available.
• Patient reports difficulty reaching out for help or maintaining regular communication with supports.

Sleep, Appetite, and Physical Symptoms

• Client experiences changes in sleep or appetite that are impacting daily functioning.
• Patient reports sleeping too much, difficulty falling asleep, or difficulty staying asleep.
• Client reports changes in appetite, eating patterns, or weight associated with mood symptoms.
• Patient experiences physical heaviness, low energy, or slowed movement related to depressive symptoms.