Table 2. Guidance Regarding Actions Consequent to Symptom Change.

Symptom Changes		Clinical State/Diagnosis		What you can do/consider now		Things you or a family member can do
Decrease in both Sadness and Pessimism		Improvement in depression; Subsyndromal depression		Continue with current interventions. Discuss your long term treatment strategies with your doctor, counselor, loved ones		With sadness and pessimism decreasing, you are moving away from depression. Be sure to maintain a good sleep cycle to sustain your progress. This is also a good time to consider work, hobby, social, recreational, and exercise pursuits
Increase in Sadness and decrease in Pessimism		Inconsistent change in level of depression; Subsyndromal depression		Continue your mood stabilizer(s) Continue, or start a drug for depression, particularly with energy benefits. Consider combining mood stabilizers with each other to reduce side effects		Review your social, vocational, recreational/exercise pursuits. Are they optimal?