What are some symptoms of PND?

Number and degree of symptoms varies for every individual.

• Miserable, depressed mood of a deep, unrelenting sadness — like a gut ache, nearly all or all the time (though often worse in the morning).
• Tearfulness, or crying ‘all’ the time, or the inability to cry even though you feel you need to.
• Feeling immense shame, low self-worth, unrelenting self-guilt or crippling self-reproach (e.g. blaming oneself unnecessarily when things go wrong). Or lacking confidence, so feeling like an inadequate failure suffering massive self-doubt.
• Plummeting self-image and self-esteem.
• Feeling overwhelmed, finding it difficult to cope
• Feeling confused, indecisive, uncertain
• Being irritable and hypersensitive
• Lacking interest, having no interest
• Feeling tired, exhausted, apathetic.
• Feeling alone and remote.
• Compulsively obsessing over everyday things.
• Lost vocabulary.
• Insomnia, wakeful sleeps
• Talking all the time, even when hardly anyone is listening to you — or not talking at all.
• More of these symptoms are listed in pages 387-389.