Patient: Over the past few months I have experienced a loss of ability to concentrate and focus with mild headaches daily. Constant low mood and feelings of emptiness and numbness, although mood is responsive to positive stimulus – often mood swings from enjoying something to feeling low and disconnected. A fatigue and loss of energy, often sleeping 12 hours or more a day and not really wanting to go out and do things, staying inside and doing minimal effort activities, such as watching TV. Sometimes neglecting personal grooming because it feels like too much effort. Weekly self-harm and thoughts of death occasionally.