Are you struggling, or just trying to push through?

• Feeling sad, empty, hopeless, irritable, or emotionally numb most days
• No longer enjoying people, hobbies, or activities that usually matter
• Feeling guilty, worthless, helpless, or like you are letting everyone down
• Low energy, slowed thinking, sleep or appetite changes, or difficulty concentrating

Depression is more than a bad day. Thoughts of death, suicide, or self-harm need immediate support through 988 or emergency services.

• Worrying excessively about several parts of life
• Feeling restless, tense, irritable, keyed up, or constantly on edge
• Panic-like surges, avoidance, poor concentration, or physical tension
• Sleep trouble, fatigue, stomach discomfort, or headaches

Anxiety may need attention when it becomes difficult to control, physically exhausting, or begins restricting how you live.

• Frequently losing track of tasks, time, belongings, or appointments
• Procrastinating despite important consequences
• Becoming distracted, restless, or overwhelmed by large tasks
• Similar difficulties across work, home, school, or relationships

ADHD begins in childhood. Sleep loss, anxiety, depression, trauma, substances, and medical conditions can look similar.

• Unwanted memories, nightmares, or strong reactions to reminders
• Avoiding thoughts, conversations, places, or situations
• Feeling detached, numb, easily startled, or always on guard
• Difficulty sleeping, concentrating, trusting, or feeling safe

Stress reactions after frightening events are common. Persistent or disruptive symptoms are worth discussing with a professional.

• Periods of unusually elevated or irritable mood and increased activity
• Needing much less sleep without feeling tired
• Racing thoughts, unusually fast speech, or feeling unusually powerful
• Impulsive or risky decisions that are out of character

Major changes in sleep, energy, judgment, and behavior can occur with mania or hypomania and need professional evaluation.

• Using more often or in larger amounts than intended
• Difficulty reducing use despite wanting to
• Use affecting responsibilities, health, finances, or relationships
• Relying on substances to sleep, cope, socialize, or avoid feelings

Substance-use problems are health conditions, not moral failures. Alcohol or benzodiazepine withdrawal can be medically dangerous.

• Lying awake for a long time before falling asleep
• Waking repeatedly or much earlier than intended
• Sleeping for many hours but still feeling unrefreshed
• Daytime fatigue, irritability, slowed thinking, or sleep-related worry

Sleep problems can stand alone or accompany medical conditions, mood symptoms, trauma, substance use, or medication effects.

• Repeated, unwanted thoughts, images, or urges that cause distress
• Fear of contamination, harm, losing control, or making a mistake
• Checking, washing, counting, arranging, reviewing, or seeking reassurance
• Losing significant time or freedom to the cycle

OCD is worth evaluating when obsessions or rituals consume time, cause distress, or interfere with everyday life.

• Restricting food, binge eating, purging, or exercising compulsively
• Strong fear of weight gain or intense distress about body shape
• Eating in secret, feeling out of control, or avoiding meals with others
• Dizziness, fainting, weakness, menstrual changes, or heart symptoms

Eating disorders can affect people at any body size and can become medically dangerous. Fainting, chest pain, vomiting blood, or severe weakness needs urgent medical care.