A. Physical and mental symptoms of exhaustion with minimum two weeks duration. The symptoms have developed in response to one or more identifiable stressors which have been present for at least 6 months. | |
B. Markedly reduced mental energy, which is manifested by reduced initiative, lack of endurance, or increase of time needed for recovery after mental efforts. | |
C. At least four of the following symptoms have been present most of the day, nearly every day, during the same 2-week period: | |
1. Persistent complaints of impaired memory. | |
2. Markedly reduced capacity to tolerate demands or to work under time pressure. | |
3. Emotional instability or irritability. | |
4. Insomnia or hypersomnia. | |
5. Persistent complaints of physical weakness or fatigue. | |
6. Physical symptoms such as muscular pain, chest pain, palpitations, gastrointestinal problems, vertigo, or increased sensitivity to sounds. | |
D. The symptoms cause clinically significant distress or impairment in social, occupational, or other important areas of functioning. | |
E. The symptoms are not due to the direct physiological effects of a substance (e.g. drug abuse, medication) or a general medical condition (e.g. hypothyroidism, diabetes, infectious disease). | |
F. If criteria for major depressive disorder, dysthymic disorder, or generalized anxiety disorder are met, exhaustion disorder is set as a comorbid condition. |