Cindy is a 27 year old Caucasian female seeking mental health treatment because her mother has noticed her withdrawing from social activities. Cindy indicates that she has felt sad more days than not for the last couple of months. She has lost about 15 pounds and has difficulty sleeping. Cindy no longer enjoys her work and states she feels incompetent on the job. She cites lack of energy and difficulty concentrating as reasons she is not performing well at work. She is not suicidal.

Cindy does not drink or use drugs, takes no medications, has no major medical conditions, and has no previous history of mental health treatment. Neither she nor her mother indicates any major life changes in the last few months that would precipitate the change in Cindy's functioning.

Name two symptoms that you see presenting in this case.