Energy, Criticism, and Sleep: Symptoms of persistent depressive disorder can
 cause significant impairment and may include:
 . Loss of interest in daily activities
 . Sadness, emptiness or feeling down
 * Hopelessness
 * Tiredness and lack of energy
 . Low self-esteem, self-criticism or feelingg
 Trouble concentrating and trouble making
 Irritability or excessive anger
 » Decreased activity, effectiveness and
 Avoidance of social activities
 Feelings of guilt and worries over the past
 e Poor appetite or overeating
 Sleep problems