This is the power weighted blanket of diagnoses. Getting out of bed feels like moving through concrete and joy feels like a rumor from another life. This code belongs to the industrial-strength flavor of depression, the one that makes brushing your teeth feel like climbing Everest. The hat is not a cure, it is a small rebellion that says "I am still here enough to put on clothes." Some days that is the whole victory, and this embroidery quietly records it.

This diagnosis indicates multiple major depressive episodes where the current one is severe with many symptoms present most of the day nearly every day. It often includes deep sadness loss of interest low energy guilt changes in sleep and appetite and serious impairment in functioning. Severe episodes typically involve pervasive low mood, profound anhedonia and serious functional impairment. In practice that can mean showers feel optional, food tastes like cardboard and time stretches into something unrecognizable. The code is blunt; the hat is a softer note that surviving severe depression is an accomplishment, not a failure.