Symptoms must include ≥ 1 of the following: Marked mood swings (eg, suddenly feeling sad or tearful) Marked irritability or anger or increased interpersonal conflicts Marked depressed mood, feelings of hopelessness, or self-deprecating thoughts Marked anxiety, tension, or an on-edge feeling In addition, ≥ 1 of the following must be present: Decreased interest in usual activities Difficulty concentrating Low energy or fatigue Marked change in appetite, overeating, or specific food cravings Hypersomnia or insomnia Feeling overwhelmed or out of control Physical symptoms such as breast tenderness or swelling, joint or muscle pain, a feeling of being bloated, and weight gain Prolonged grief disorder Prolonged grief is persistent sadness following the loss of a loved one.