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When it goes on for a while. It is one thing to have a rotten day and feel down but it's another when you have felt this way for weeks. (Think of it like the weather, is it one rainy day or is the overall climate rainy?)
When it feels out of control and more than you can handle.
When others notice something is wrong or different or say they are concerned about you.
When it is negatively affecting other areas of your life. (school work, relationships with friends, work, etc.)
If you don't enjoy things that you once liked.
When you find yourself engaging in dangerous or risky activities more than usual or excessive use of drugs and alcohol.
If you have contemplated ending your life.
I'm sure there are more but these were just the ones I thought of off hand.
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