"It means that in addition to your depression, you may also have times where you are irritable, have difficulty focusing, and are unable to sleep," Hannibal said. "It can also mean feelings of elation and god-like self-esteem, but that doesn't seem to be the case for you."

He opened his file folder and took out a list of the symptoms, sliding it over to her. "I would like for you to look this over. I am confident in the diagnosis, but you should be as well."