In the fiel of psychiatry the terms depression or depressed are used in both the ordinary, non-clinical sense and to refer specifically to pathology, especially when the mood of depression has reached a level of severity and/or duration that warrants a clinical diagnosis. The Diagnostic and Statistical Manual of Mental Disorders (DSM) states that a depressed mood is often reported as being: "... depressed, sad, hopeless, discouraged, or 'down in the dumps'." In traditional colloquy, "depressed" is often synonymous with "sad," but both clinical and non-clinical depression can also refer to a conglomeration of more than one feeling. Such a mixture can include (but is not limited to) anger, fear, anxiety, despair, guilt, apathy, and/or grief, in addition to what many people would describe as typical "sadness."