Depression
- Prolonged sadness or unexplained crying spells
- Significant changes in appetite or sleep patterns
- Pessimism or indifference
- Loss of energy or persistent lethargy
- Feelings of guilt or worthlessness
- Inability to enjoy former interests or social withdrawal
- Unexplained aches and pains
- Recurring thoughts of death or suicide
| Mania
- Heightened mood, exaggerated optimism and self-confidence
- Decreased need for sleep without fatigue
- Excessive irritability or aggressive behavior
- Increased physical or mental activity
- Racing speech, flight of ideas and impulsiveness
- Poor judgment or easily distracted
- Reckless behavior, such as spending sprees, rash business decisions, erratic driving, or sexual indiscretions
- In the most severe cases, auditory hallucinations
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