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Symptoms may include
- Persistent sadness, emptiness, or – especially in children – irritability and angry outbursts
- Loss of interest or enjoyment in activities previously liked (sports, games, social activities)
- Fatigue, low energy, and slowed thinking or movement
- Changes in sleep – difficulty sleeping or sleeping excessively
- Changes in appetite or weight – eating significantly more or less than usual
- Feelings of worthlessness, guilt, or hopelessness
- Difficulty concentrating, remembering things, or making decisions – often noticed at school
- Social withdrawal – pulling away from friends, family, and activities
- Somatic complaints – frequent headaches, stomach aches, or other physical symptoms without a clear medical cause
- School refusal, decline in academic performance, or loss of motivation
