Table 1 Diagnostic criteria for exhaustion disorder, ICD-10-SE code F43.8A

A. Physical and mental symptoms of exhaustion with a minimum of 2 weeks duration. The symptoms have developed in response to one or more identifiable stressors, 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 or concentration

 2. Markedly reduced capacity to tolerate demands or to work under time pressure

 3. Emotionally instability or irritability

 4. Disturbed sleep

 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 occupational, social 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, ED is set as co-morbid condition