Which of the following is NOT a symptom of a Major Depressive Episode?

The correct answer is that realities of hallucinations is not a symptom of a Major Depressive Episode as defined in the DSM-5. Major Depressive Episode primarily involves a pervasive low mood, loss of interest or pleasure in activities, and a range of other psychological and physical symptoms that may significantly impact an individual's functioning. Common symptoms include significant weight change, feelings of guilt or worthlessness, and thoughts of death or suicidal ideation.

While some individuals with severe depression may experience psychotic features, such as hallucinations, these symptoms are not direct criteria for a Major Depressive Episode unless they occur in the context of a major depressive disorder with psychotic features. Therefore, hallucinations are not a standard symptom associated with Major Depressive Episode, making this option the accurate choice for what is not considered a symptom in typical cases. The other symptoms listed are indeed components of a Major Depressive Episode, reflecting the emotional and physical struggles that are characteristic of this disorder.