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The depressive episodes are characterized by intense feelings of sadness and despair that can eventually grow into feelings of hopelessness and helplessness. Some of the symptoms of a depressive episode include: discrete periods of persistent sad, anxious, or empty feelings; mood swings; feelings of hopelessness or pessimism; feelings of guilt, worthlessness, or helplessness; loss of interest or pleasure in ordinary activities; decreased energy; a feeling of fatigue; difficulty concentrating, remembering, or making decisions; restlessness or irritability; sleep disturbances; loss of appetite and weight, or weight gain; chronic pain or other persistent bodily symptoms that are not caused by physical disease; anhedonia, psycomoter retardation; near inability to move; and thoughts of death or suicide (Griswald 8)...
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