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Assessment of Depression in Advanced Illness. What Symptoms to Look for and How to Assess. Somatic symptoms (e.g., changes in appetite, weight, energy level, libido, or sleeping) are almost invariably present in patients with advanced illness.
A primary care physician or a mental health professional usually can diagnose depression by asking questions about medical history and symptoms. By definition, major depression is diagnosed when a person has many of the symptoms listed above for at least two weeks. Many people with depression do not seek evaluation or treatment because of society's attitudes about depression.