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They may also feel a sense of malaise. To people who do not know them they may appear to be operating and functioning normally. However, to themselves they feel as they are only operating at 30-40 %. People who suffer from severe or acute depression, they move and speak slowly. They actively withdraw from people and society. They want to be left alone, they cannot function, have no motivation to work and feel that nothing is worthwhile. Psychotic depression is when the person breaks from reality they experience delusions associated with guilt or self blame. They have extreme symptoms of mild depression and often become acutely hypochondriacs...
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