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. The following are symptoms of depression as outlined in the Diagnostic and Statistical Manual of the American Psychiatric Association. a. (DSM IV). Difficulty making decisions or concentrating h. Depressed mood for most of the day b. For the past 34 years I have. gay lesbian. The following are symptoms of depression as outlined in the Diagnostic and Statistical Manual of the American Psychiatric Association. a. (DSM IV). Difficulty making decisions or concentrating h. Depressed mood for most of the day b. For the past 34 years I have. The following are symptoms of depression as outlined in the Diagnostic and.