Table 1 Diagnostic Criteria for Exhaustion Disorder published by the National Board of Health and Welfare in Sweden

A

Physical and mental symptoms of exhaustion during at least two weeks. 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, manifested by reduced initiative, lack of endurance, or increased 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 and concentration

2

Markedly reduced capacity to tolerate demands or to perform under time pressure

3

Emotional instability or irritability

4

Insomnia or hypersomnia

5

Persistent complaints of physical fatigue and lack of endurance

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 or medication) or a general medical condition (e.g., hypothyroidism, diabetes, infectious disease)

F

If the criteria for major depression, dysthymia, or generalized anxiety disorder are met simultaneously, exhaustion disorder is set only as an additional specification to any such diagnosis