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1. Social Factors
2. Physical Factors
3. Thought Patterns
4. Mood Factors

Feel hopeless about the future

Feeling shy and anxious around others

Viewing self in a negative light

Unwilling to reach out to others

Dissatisfied with friendships and family connections

Change in sleeping patterns

Difficulty feeling a positive mood

Guilt and Self-Blame

Withdrawing from gatherings or time with loved ones

Focus on difficulties in the world

Change in eating patterns

Concern about personal relationships

Low mood persistently

Sadness, Anxiety, and Irritability

Lack of motivation

Low self esteem and self confidence

Focus on negative feelings

Increase in fatigue or reduced energy levels

Feeling lonely and isolated