all right so sig ecaps is a mnemonic to remember the dsm-5 criteria for depression or depressive disorder so sig e caps remember the patient needs to have five of the following symptoms within the same two-week period and these must include either a depressed mood or a loss of interest or pleasure also known as anhedonia the possible features are s for sleep disturbances I for interest diminished also known as anhedonia G for guilt and or feelings of worthlessness E for energy decreased so fatigue C stands for concentration problems and a stands for appetite or weight changes which includes significant weight loss without dieting or weight gain P is for psychomotor agitation or retardation which is the slowing down of thoughts and movement and that's not just a subjective slowing down but also something that's noticed by other people finally S is for suicidal thoughts to reach a diagnosis of depression these symptoms must have a significant effect on everyday functioning and must not be the result of substance abuse or medication [Music]