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Feeling sad or having a depressed mood
Loss of interest or pleasure in activities once enjoyed
Changes in appetite — weight loss or gain
Trouble sleeping or sleeping too much
Loss of energy or increased fatigue
Feeling worthless or guilty
Difficulty thinking, concentrating or making decisions
Thoughts of death or suicide


Difficulty paying attention
Being overactive
Acting without thinking
Making careless mistakes
Problems sustaining attention in conversations, lectures, or lengthy reading
Unable to listen when spoken to directly
Get easily sidetracked or lose focus
Have problems managing time
Losing things such as wallets, keys, paperwork, eyeglasses, and cell phones
Becoming easily distracted
Forgetful in everyday activities, such as chores, returning calls, and keeping appointments


Strong urge to use the substance; desire or failed attempts to cut down or control substance use
Failure to complete major tasks at work, school or home
Social life, work or leisure activities are given up or cut back because of substance use
Continued use despite known problems
Need for larger amounts to get the same effect
Withdrawal symptoms (different for each substance)


Generalized anxiety disorder
Panic disorder
Social anxiety disorder:
Obsessive-compulsive disorder
Post-traumatic stress disorder
Separation anxiety disorder


Disorganized speech
Impaired ability to function


During a manic phase, symptoms include:
heightened sense of self-importance
exaggerated positive outlook
significantly decreased need for sleep
poor appetite and weight loss
racing speech, flight of ideas, impulsiveness
ideas that move quickly from one subject to the next
poor concentration, easily distracted
increased activity level
excessive involvement in pleasurable activities
poor financial choices, rash spending sprees
excessive irritability, aggressive behavior


Feeling upset by things that remind you of the past
Having nightmares or flashbacks of the event(s) that make you feel like it’s happening all over again
Feeling emotionally cut off from others
Feeling numb or losing interest in things you used to care about
Feeling irritated or having angry outbursts
Difficulty sleeping
Trouble concentrating
Easily startled

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