Document ID: chunk:federal_register_of_legislation:F2022L00663:clause:1_1:p1
Version: federal_register_of_legislation:F2022L00663
Segment Type: clause
Provision Reference: sch 1 cl 1 (pt 1/3)
Character Range: 9394–13054

1               Definitions
In this instrument:
                                  binge eating disorder means a disorder of mental health meeting the following diagnostic criteria (derived from DSM-5-TR):
         1. Recurrent episodes of binge eating. An episode of binge eating is characterised by both of the following:
                 1. Eating, in a discrete period of time (for example, within any two-hour period), an amount of food that is definitely larger than what most people would eat in a similar period of time under similar circumstances; and
                 2. A sense of lack of control over eating during the episode (for example, a feeling that one cannot stop eating or control what or how much one is eating).
          2. The binge-eating episodes are associated with three (or more) of the following:
                  1. Eating much more rapidly than normal;
                  2. Eating until feeling uncomfortably full;
                  3. Eating large amounts of food when not feeling physically hungry;
                  4. Eating alone because of feeling embarrassed by how much one is eating; or
                  5. Feeling disgusted with oneself, depressed, or very guilty afterward.
          3. Marked distress regarding binge eating is present.
         4. The binge eating occurs, on average, at least once a week for three months.
          5. The binge eating is not associated with the recurrent use of inappropriate compensatory behaviour as in bulimia nervosa and does not occur exclusively during the course of bulimia nervosa or anorexia nervosa.
Note: DSM-5-TR is also defined in the Schedule 1 - Dictionary.
                                  BMI means W/H2 where:
         (a)          W is the person's weight in kilograms; and
         (b)          H is the person's height in metres.
                                  clinically significant disorder of mental health as specified means one of the following conditions, which is of sufficient severity to warrant ongoing management:

         (a)          anxiety disorder;
         (b)          bipolar disorder;
         (c)          depressive disorder;
         (d)          panic disorder;
         (e)          personality disorder;
         (f)           posttraumatic stress disorder;
         (g)          schizophrenia;
         (h)          social phobia; or
         (i)            specific phobia.
         Note 1: Management of the condition may involve regular visits (for example, at least monthly) to a psychiatrist, counsellor or general practitioner.
         Note 2: To warrant ongoing management does not require that any actual management was received or given for the condition.
                                  DSM-5-TR means the American Psychiatric Association: Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition, Text Revision. Washington, DC, American Psychiatric Association, 2022..

                                  equivalent glucocorticoid therapy means a glucocorticoid in the following table, at the doses specified in the table, or a therapeutically equivalent dose of another glucocorticoid:

Glucocorticoid      Minimum average rate (milligrams/day)
betamethasone       0.8
cortisone           25
dexamethasone       0.8
hydrocortisone      20
methylprednisolone  4
prednisolone        5
triamcinolone       4

                                  hypothalamic disorder means a disease or injury that causes structural damage to the hypothalamus.
Note: Examples of conditions that can cause structural damage to the hypothalamus include:
          (i)      central nervous system infections;
          (ii)