Which symptom involves trouble sleeping or sleeping too much?

Which symptom involves trouble sleeping or sleeping too much?

• A. Fatigue
• B. Guilt
• C. Psychomotor agitation or retardation
• D. Insomnia or hypersomnia

Answer: (D)

Sleep disturbances are a common feature of depressive symptoms. Insomnia or hypersomnia covers both ends of the sleep spectrum: insomnia means trouble falling asleep, staying asleep, or waking too early; hypersomnia means excessive sleep or sleeping too much. This directly matches the description of trouble sleeping or sleeping too much. Fatigue describes low energy, guilt is a cognitive mood symptom, and psychomotor agitation or retardation refers to changes in movement and activity—not sleep patterns. Recognizing insomnia or hypersomnia helps in identifying depressive episodes and guiding management like sleep-focused strategies or evaluating contributing factors.

Sleep disturbances are a common feature of depressive symptoms. Insomnia or hypersomnia covers both ends of the sleep spectrum: insomnia means trouble falling asleep, staying asleep, or waking too early; hypersomnia means excessive sleep or sleeping too much. This directly matches the description of trouble sleeping or sleeping too much. Fatigue describes low energy, guilt is a cognitive mood symptom, and psychomotor agitation or retardation refers to changes in movement and activity—not sleep patterns. Recognizing insomnia or hypersomnia helps in identifying depressive episodes and guiding management like sleep-focused strategies or evaluating contributing factors.