Down mood most of the time.                                                          Energy decrease, fatigue, and a slowed-down feeling. Pleasurable activities are no longer enjoyed.                Remembering, concentrating, and decision making are more difficult.                                                                                                          Eating problems.                                                                                        Sleep problems.                                                                                            Sense of hopelessness, helplessness, worthlessness, guilt. Ever recurrent aches/pains don’t respond to treatment.      Death thoughts, or a suicide plan.

Symptoms of depression in young men may manifest as aggressive acting-out, irritability, low impulse control with inability to tolerate stress, and a greater willingness to take risk.