Which option is not listed as a symptom of Major Depressive Episode?

• A. Insomnia or hypersomnia
• B. Anhedonia
• C. Hallucinations
• D. Weight change

Answer: (C)

Hallucinations are not part of the standard symptom set for a Major Depressive Episode. The typical features include depressed mood or loss of interest (anhedonia), plus changes in sleep (insomnia or hypersomnia) and changes in weight or appetite, along with other possible symptoms like fatigue, slowed or agitated movement, difficulty concentrating, and thoughts of death. The first two options reflect common sleep and anhedonia issues, and weight change is a recognized physical symptom of depression. Hallucinations only appear when there are psychotic features present, which makes the depression a psychotic subtype and changes the diagnostic criteria and treatment, rather than being a routine symptom of a non-psychotic major depressive episode. So the statement that doesn’t fit as a listed symptom is hallucinations.