Michael, a 40-year-old teacher, reports that over the past 3…

Michael, a 40-year-old teacher, reports that over the past 3 weeks he has been feeling “down in the dumps.” He has trouble sleeping, lacks energy, and has gained 6 pounds. He denies suicidal ideation but feels guilty for not being more productive. Michael also notes difficulty concentrating on his lesson plans. Which additional symptom would fulfill the DSM-5 criteria for MDD in this scenario?