substance abuse

. Difficulty sleeping or significantly increased need to sleep d. Difficulty making decisions or concentrating h. The following are symptoms of depression as outlined in the Diagnostic and Statistical Manual of the American Psychiatric Association. For the past 34 years I have had the opportunity to. substance abuse. Difficulty sleeping or significantly increased need to sleep d. Difficulty making decisions or concentrating h. The following are symptoms of depression as outlined in the Diagnostic and Statistical Manual of the American Psychiatric Association. For the past 34 years I have had the opportunity to. Difficulty sleeping or significantly increased need to sleep.