The sadness of a depressed person has the following characteristics:

• It succeeds a state of gloom,
• It permeates the perception of the present, the past and the future,
  
• It engenders an inability to experience pleasure (or anhedonia),
• It can be compared to that of a person who has gone through the bereavement of a loved one: the world seems empty, nothing can have enough interest to alleviate this painful situation, the future bears neither project nor hope ,
  
• Boredom, monotony but also moral pain also characterize this sadness. It is often associated with suicidal thoughts because the future looks hopeless for a depressed person.

Depression: what are the somatic signs?

• Weight loss related to anorexia, loss of taste, feeling of oppression in the throat.
• Sleep disorders: sleepless insomnia, nighttime awakening with nightmares, late night insomnia often associated with more serious suicidal thoughts. Hypersomnia is another form of sleep disorder: the patient finds refuge in a sleep that has lost its restorative value hence the sensation of fatigue upon awakening.
• Libido disorders: decreased sexual appetite, impotence or frigidity.
• Digestive disorders: diarrhea or constipation, anorexia, gastralgia, saburral state of the digestive tract.
• Cardiovascular disorders: palpitations, flushing, hypotension and bradycardia in severe forms.

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