Do you have frequent thoughts of death or suicide?

Are you no longer interested in activities that you once enjoyed?

Have you had feelings of unusual sadness for 2 weeks or longer?

Do you find it difficult to concentrate?

Do you often feel restless or anxious?

Are you troubled with feelings of worthlessness or guilt?

Have you had a change in your sleep pattern, either an inability to sleep or wanting to sleep all the time?

Have you had a recent change in your appetite?

Have you gained or lost or more in the past 6 weeks without trying?

If you have answered "No" to the above questions, go back to Check Your Symptoms and continue to answer the questions to evaluate your symptoms.

Do you have frequent thoughts of death or suicide?

Have your symptoms of depression gotten worse since starting treatment or a medicine for depression?

Have your symptoms of depression not gotten better as expected?

Have your symptoms of depression not gotten better after starting treatment or medicine for depression, but you are not sure about when you should start to feel better?

If you have answered "No" to the above questions, go back to Check Your Symptoms and continue to answer the questions to evaluate your symptoms.

Do you think that your feelings of sadness may be caused by a medicine?Note: If you answered "Yes":Call the health professional who prescribed the medicine to determine whether you should stop taking the medicine or take a different one. An appointment may not be necessary.If you are taking a nonprescription medicine, stop taking it. Call your health professional if you feel you need to continue taking the medicine.

If you have answered "No" to the above questions, go back to Check Your Symptoms and continue to answer the questions to evaluate your symptoms.

You have answered "Yes" to a question that indicates you may need immediate care. Call your health professional now to discuss your symptoms and arrange for your care.

• Symptoms are likely to worsen without medical care.
• If you do not have a health professional, seek emergency care.
• Emergency transportation is not needed. However, if you are not able to travel safely either by driving yourself or having someone else drive you, call an ambulance.

You do not need to answer any of the other questions.

You have answered "Yes" to a question that indicates you need to call your health professional to discuss your symptoms and arrange for care.

• An appointment today is usually needed.
• Symptoms are unlikely to improve without medical care.

Return to the Check Your Symptoms section and answer the questions. You may need to see a health professional sooner if you have other more serious symptoms.

You have answered "Yes" to a question that indicates you may wait to see if your symptoms improve over the next 24 hours (or the specified time period). If symptoms improve, no appointment is needed.

• If symptoms do not improve after 24 hours (or the specified time period), an appointment within the next 24 hours is usually needed.
• If appropriate, try home treatment to relieve your symptoms.
• Check your symptoms in 24 hours, or sooner if there is any change.
• Call your health professional if symptoms get worse.

Return to the Check Your Symptoms section and answer the questions. You may need to see a health professional sooner if you have other more serious symptoms.