A 28-year-old female presents to the clinic reporting that s…

A 28-year-old female presents to the clinic reporting that she has felt “down and empty” for the past six weeks. She describes difficulty enjoying activities she normally likes, poor concentration at work, low energy, and changes in appetite. She denies any recent medical illnesses or major life stressors. On mental status exam, she appears sad, with slowed speech. Which of the following features is most consistent with a depressive disorder?