A | Physical and mental symptoms of exhaustion with minimum 2 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. abuse of a drug, a medication) or a general medical condition (e.g. hypothyroidism, diabetes, infectious disease) | |
F | The stress-related disorder does not meet the criteria for major depressive disorder, dysthymic disorder or generalized anxiety disorder |