Overall Furthest Text: Δ(Somatic Symptoms, Suicidality Symptoms) | PHQ-9

PHQ-9 Somatic Symptoms:
Sleep disturbances: Difficulty falling asleep at night, waking up frequently and struggling to get back to sleep, or conversely, sleeping excessively beyond what feels normal or necessary. Fatigue and low energy: Persistent tiredness throughout the day, feeling physically drained or depleted, lacking the energy to complete routine tasks or activities. Appetite changes: A noticeable decrease in appetite or loss of interest in food, or alternatively, eating more than usual, often without feeling genuinely hungry. Psychomotor changes: Physical movements and speech that have become noticeably slowed down—to the point where others might observe it—or the opposite pattern: heightened restlessness, fidgeting, an inability to sit still, or moving around considerably more than typical.

PHQ-9 Suicidality Symptoms:
Experiencing thoughts about death, wishing you were dead, or having thoughts about harming yourself.

Overall Closest Text: Δ(HAM-D, PROCEED) | Somatic Symptoms

HAM-D Somatic Symptoms:
Sleep Difficulties Some people experience trouble falling asleep at the beginning of the night, ranging from occasional difficulty to a persistent problem. Others find their sleep is disrupted in the middle of the night—they feel restless, wake repeatedly, and have difficulty settling back down. A third pattern involves waking very early in the morning, well before intended, and being unable to return to sleep despite wanting to. Changes in Movement and Energy A person may notice a general slowing down—their thoughts seem to move sluggishly, their speech becomes slower or more effortful, and even simple activities feel labored. This can range from subtle hesitation to profound immobility where engaging in conversation or daily tasks becomes extremely difficult. Alternatively, some people experience the opposite: a restless, agitated state where they cannot sit still and feel compelled to move, often accompanied by underlying anxiety. Physical Symptoms of Anxiety Anxiety can manifest throughout the body. This includes digestive upset or indigestion, a racing or pounding heart, tension headaches, shortness of breath, or urinary frequency. These physical signs can range from mildly noticeable to so severe they interfere with daily functioning. Digestive and Appetite Changes Appetite may diminish noticeably, sometimes accompanied by a heavy or uncomfortable sensation in the abdomen and constipation. These symptoms can be mild or significantly affect eating and digestion. General Physical Symptoms The body may feel heavy—particularly the limbs, back, or head. There may be diffuse aching, especially in the back, along with a pervasive loss of energy and a tendency to tire easily from minimal effort. Changes in Sexual Function Interest in sex may decrease or disappear. For those who menstruate, cycle irregularities may occur. Preoccupation with Health Some individuals become increasingly focused on their bodies, ranging from heightened self-awareness of physical sensations to persistent worry about illness, to an irritable insistence that something is medically wrong, and in severe cases, fixed beliefs about having a serious disease despite reassurance. Weight Changes Unintentional weight loss may occur, from barely perceptible to clearly visible and significant.

PROCEED Somatic Symptoms:
Physical discomfort and bodily changes People may experience unexplained aches, pains, or other physical complaints. Changes in appetite are common, leading to noticeable weight gain or loss. Interest in sexual activity often diminishes or disappears entirely. Sleep disturbances Sleep patterns become disrupted in various ways. Some people sleep far more than usual, struggling to get out of bed or napping excessively during the day. Others find their sleep fragmented and unrefreshing, waking frequently throughout the night. Many experience difficulty falling asleep or staying asleep, lying awake for hours. Observable behavioral changes Emotional expression may shift noticeably. Crying spells can occur frequently, sometimes without clear triggers. In more severe cases, people may speak very little or stop talking altogether. Facial expressions often appear flat, sad, or emotionally muted. Movements and speech may slow down considerably, with people appearing to move through molasses. Diminished vitality Even simple daily tasks feel like they require enormous effort. A pervasive sense of physical weakness sets in. Energy levels drop substantially, making it hard to initiate or complete activities. Persistent fatigue lingers regardless of how much rest someone gets.