  Uncontrollable worry

  Low mood

  Uncomfortable physical sensations such as palpitations, headaches, feeling hot and sweaty, butterflies in your stomach

  Sleeping difficulties

  Feeling restless

  Becoming easily irritable

  Poor concentration or indecisiveness

  Feeling tired and fatigued

  Muscle tension

  Feeling afraid as if something awful might happen

  Palpitations, pounding heart or accelerated heart rate

  Sweating

  Trembling or shaking

  Sensations of shortness of breath or smothering

  Feeling of choking

  Chest pain or discomfort

  Nausea or abdominal discomfort

  Feeling dizzy, unsteady, lightheaded or faint

  Derealization or depersonalization

  Fear of losing control or going crazy

  Fear of dying

  Numbness or tingling

  Chills or hot flushes

  Recurrent unexpected panic attacks

  Persistent concern or worry about additional panic attacks or their consequences and significant behavior changes related to the panic attacks

  A belief that you are truly weak, inadequate, inferior or lacking in some way

  Worries about uncertainty and self-doubt

  Unkind and self-critical thinking

  Low self-worth and a belief that you are not entitled to the good things in this life

  A consistent pattern of underperformance and avoidance of challenges, or perfectionism and relentless hard work due to the fear of failure

  Withdrawing from social contact or avoiding any sort of intimacy, or going all out to be the life and soul of the party, or always putting others' needs before your own

  Lack of self-care or a great deal of attention to how one looks or comes across

  Difficulties falling asleep at your regular time of sleeping

  Disturbed or disrupted sleep in which you wake up many times during the night

  Early morning waking, leaving you with significantly less sleep than required

  Poor quality sleep

  Relationship difficulties

  Communication problems

  Trust issues

  Jealousy

  Arguments and conflict

  Emotional detachment

  Fear of intimacy

  Insecurity in relationships

  Codependency

  Feeling unloved or unappreciated

  Breakup or divorce stress

  Family conflict

  Loss of interest in social activities

  Difficulty maintaining friendships

  Isolation and loneliness

  Marked distress

  Strong feelings of guilt and worthlessness

  Frequent thoughts that you would be better off dead or hurting yourself in some way

  Persistent re-experiencing of trauma through involuntary intrusive memories, traumatic nightmares, flashbacks, physiological reactivity, or prolonged psychological distress

  Persistent avoidance of anything related to the trauma, including thoughts and feelings

  Negative alterations in mood and thoughts that began or worsened after the traumatic event

  Alterations in arousal and reactivity, including hyper-vigilance, irritability, anger, difficulties with concentration, sleep disturbance, and self-destructive or reckless behavior

  Delusional beliefs, such as paranoia or fearing being followed or spied on

  Hallucinations, such as hearing voices

  Thought disorder, experiencing difficulties in conveying meaning or thinking processes through speech

  Loss of motivation

  Reduced range of emotions

  Loss of social skills

  Social withdrawal

  Subtle difficulties with memory

  Difficulty with organization

  Problems interpreting complex information

  Elated affect (emotional state)

  Reduced sleep

  Pain and discomfort

  Fear and uncertainty about the future

  Reduced quality of life

  Obsessions: Recurrent or persistent thoughts, impulses, or images that cause marked anxiety and distress

  Compulsions: Repetitive behaviors (e.g., handwashing, ordering, checking) or mental acts (e.g., praying, counting, repeating words silently) in response to an obsession

  Increased activity

  Racing thoughts and speech

  Persistent fear of social or performance situations

  Fear of acting in a humiliating or embarrassing manner

  Marked anxiety when exposed to the feared situation

  Avoidance of the feared situation or intense distress on enduring the feared situation

  Nihilistic delusions: Believing one’s body is rotting away or that one is in a state of extreme poverty

  Hallucinations (voices) backing up delusions and telling the person to kill himself or herself

  Thought disorder in psychotic depression

  Mood congruent symptoms consistent with feeling very depressed

  Psychotic symptoms in severe depression

  Spending a lot of time worrying about your health

  Being constantly aware of bodily sensations and changes

  Strong thoughts of having a serious illness

  Frequent thoughts of illness that cannot be controlled

  Always being afraid of having an illness

  Not being reassured by medical health professionals

  Doubting your health after hearing news about illness

  Persistent fear that is excessive or unreasonable, cued by the presence or anticipation of a specific object or situation

  Immediate anxiety response to the feared object or situation

  Anxiety out of proportion to the actual threat or danger posed by the situation or object

  Overactivity associated with a lack of inhibition

  Pressure of speech (racing thoughts and rapid speech)

  Flight of ideas (rapid movement from one idea to the next)

  Elated mood manifesting as irritability and anger

  Grandiose beliefs or delusions (believing oneself to be very famous or rich)

  Mood congruent symptoms of mania

  Marked dissatisfaction with facial features or body areas

  Excessive worrying about body image

  Being unable to leave the house without heavy make-up

  Obsessive grooming behaviors

  Constantly checking appearance in mirrors or avoiding them

  Seeking constant reassurance about appearance

  Regularly checking the body

  Skin picking, hair pulling, nail biting, and other compulsive behaviors

  Recurrent pulling out hair or skin picking resulting in lesions

  Muscle weakness or discomfort, including exercise intolerance

  Difficulties with concentration and attention

  Sleep disturbances and unrefreshing sleep

  Physical abnormalities such as sore throat, enlarged glands, joint pains, and headaches

  Mood swings

  Repeated attempts to decrease or stop compulsive behavior

  Significant distress and impairment in daily activities