The first signs of depression can be feeling sad, empty, and hopeless more often than not for at least two weeks. Depression can also present itself as diminished pleasure and interest in day to day activities. Depression may also show through sleep difficulties, psychomotor agitation or retardation, fatigue and loss of energy, feelings of worthlessness, difficulty concentrating, and so forth. If this is something you think you may be struggling with, our therapists at Roots Counseling may be able to help.