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Many people feel sad periodically, especially after a traumatic life event. How can you tell if a blue mood is normal sadness or a sign of depression? The key differences between normal feelings of despondency and clinical depression are duration and severity. Clinical depression lingers and is more pervasive than normal sadness. Check each of the statements in the list below that are true of you. The more of these symptoms you have and the longer they've persisted, the more likely it is that you're experiencing depression. Since depression is a major risk factor for suicide, it is vitally important that it be treated.

Self-loathing

Feelings of worthlessness, guilt or self-criticism are overwhelming.

Bleak outlook

The future looks hopeless.

Reckless behavior

Engaging in risky activities such as drug or alcohol abuse, reckless driving, or unsafe sex provides a temporary means of escape.

Persistent sadness

Empty and despondent feelings won't go away.

Unexplained pain

Persistent aches, pains or digestive problems aren't helped by treatment.

Sleep changes

It's difficult to fall asleep at night or stay asleep until morning.

Appetite changes

An increase or decrease in appetite has caused more than a five percent change in body weight.

Loss of energy

Even small tasks are too difficult to complete.

Loss of interest

Social events, hobbies and even sex are no longer enjoyable.

Irritability

It's more difficult to tolerate frustrations without getting angry.

Indecisiveness

Concentrating and decision-making has become difficult.

The symptoms you experience may differ based on your sex. Men tend to perceive depression as a sign of being weak or overemotional, and they are less likely to recognize symptoms of hopeless or self-loathing. They are also more likely to acknowledge physical symptoms such as sleeplessness or pain. Irritability and anger are more socially acceptable for men to admit.

Twice as many women are treated for depression as men. This is partly because sad emotions and crying are more socially acceptable, but it's also because women's hormones fluctuate with pregnancy and menstrual cycles. Women are more likely than men to experience pronounced guilt, excessive sleeping, and overeating.

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