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. The following are symptoms of depression as outlined in the Diagnostic and Statistical Manual of the American Psychiatric Association. Feelings of guilt or worthlessness f. (DSM IV). Difficulty sleeping or significantly increased need to sleep d. Suicidal thoughts I started my training in 1966. baltimore maryland. The following are symptoms of depression as outlined in the Diagnostic and Statistical Manual of the American Psychiatric Association. Feelings of guilt or worthlessness f. (DSM IV). Difficulty sleeping or significantly increased need to sleep d. Suicidal thoughts I started my training in 1966. The following are symptoms of depression as outlined in the.