"Are you feeling down?"
"Yes."
"Loss of pleasure in daily activities?"
"Yes."
"Difficulty sleeping?"
"Yes."
"Loss of appetite?"
"Yes."
"How much weight have you lost in the last month?"
"About fifteen pounds."
"Do you feel like a bad person?"
"Yes."
"Tell me about it."
"Nothing to tell. I'm just a piece of shit."
"Are you thinking of hurting yourself?"
I waited a moment before answering. "Yes."