Depression and HIV

CRITERIA FOR MAJOR DEPRESSION

Column A
(must include 1 of these)

Column B
(must include 4 of these)

Feeling depressed (down, sad, blue, hopeless) most of the day and almost every day. It can evolve gradually over a few weeks or suddenly after great stress.

Loss of interest and pleasure in things that are usually interesting and pleasurable; this can be partial or complete. Some people may not be able to feel better no matter what the circumstances; others may periodically respond to positive things by feeling better.

Loss of appetite and/or weight loss without dieting or medical cause, or increase in appetite and/or undesired weight gain.

Insomnia (waking up early and not being able to fall back asleep; difficulty falling asleep), or sleeping too much.

Being slowed down physically or mentally. You and other people notice that it takes you longer than usual to accomplish activities.

Being agitated (restless, can’t sit still, pacing, wringing hands, rubbing head).

Fatigue; loss of energy.

Feeling excessively guilty or worthless.

Difficulty in concentrating. Feeling that your thinking is slowed down. Increased difficulty in making small decisions.

Persistent thoughts about death and/or suicide.

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