In the Philadelphia area, depression is a major problem. Proper evaluation and diagnosis is important.

Depression can be endogenous (coming from the inside…genetic predisposition (mood disorders), medication side effects, disease side effects [hypothyroidism, MS, etc.] or exogenous (coming from the outside…poor nutrition [lack of Vitamin D, etc.], lack of exercise, inter-personal problems). Usually, there are components of both. Some symptoms of depression include:
• Depressed Mood
• Loss of interest or pleasure
• Weight loss or gain
• Sleeping difficulties
• Fatigue/loss of energy
• Irritability
• Problems concentrating, making decisions, with memory
• Feelings of worthlessness, helplessness or hopelessness
• Inappropriate guilt
• Recurrent thoughts of death or suicide

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