Document ID: chunk:federal_register_of_legislation:F2024C00215:reg:7:p3
Version: federal_register_of_legislation:F2024C00215
Segment Type: reg
Provision Reference: reg 7 (pt 3/5)
Character Range: 9383–12703

Low energy or fatigue.
(iv)        Low self-esteem.
(v)          Poor concentration or difficulty making decisions.
(vi)        Feelings of hopelessness.
(c)          During the 2-year period (1 year for children or adolescents) of the disturbance, the individual has never been without the symptoms in Criteria (a) and (b) for more than 2 months at a time.
(d)          Criteria for a major depressive disorder may be continuously present for 2 years.
(e)          There has never been a manic episode or a hypomanic episode.
(f)           The disturbance is not better explained by a persistent schizoaffective disorder, schizophrenia, delusional disorder, or other specified or unspecified schizophrenia spectrum and other psychotic disorder.
(g)          The symptoms are not attributable to the physiological effects of a substance (e.g., a drug of abuse, a medication) or another medical condition (e.g., hypothyroidism).
(h)          The symptoms cause clinically significant distress or impairment in social, occupational, or other important areas of functioning.
(6)          depressive disorder due to another medical condition meets the following criteria (derived from DSM-5-TR):
(a)          A prominent and persistent disturbance in mood that predominates in the clinical picture and is characterized by depressed mood or markedly diminished interest or pleasure in all, or almost all, activities.
(b)          There is evidence from the history, physical examination, or laboratory findings that the disturbance is the direct pathophysiological consequence of another medical condition.
(c)          The disturbance is not better explained by another mental disorder (e.g., adjustment disorder, with depressed mood, in which the stressor is a serious medical condition).
(d)          The disturbance does not occur exclusively during the course of a delirium.
(e)          The disturbance causes clinically significant distress or impairment in social, occupational or other important areas of functioning.
(7)          substance/medication-induced depressive disorder meets the following criteria (derived from DSM-5-TR):
(a)          A prominent and persistent disturbance in mood that predominates in the clinical picture and is characterised by depressed mood or markedly diminished interest or pleasure in all, or almost all, activities.
(b)          There is evidence from the history, physical examination, or laboratory findings of both (i) and (ii):
(i)            The symptoms in Criterion (a) developed during or soon after substance intoxication or withdrawal or after exposure to or withdrawal from a medication.
(ii)         The involved substance/medication is capable of producing the symptoms in Criterion (a).
(c)          The disturbance is not better explained by a depressive disorder that is not substance/medication-induced. Such evidence of an independent depressive disorder could include the following:
(i)            the symptoms preceded the onset of the substance/medication use;
(ii)         the symptoms persist for a substantial period of time (e.g., about 1 month) after the cessation of acute withdrawal or severe intoxication; or
(iii)       there is other evidence suggesting the existence of an independent non-substance/medication-induced depressive disorder (e.g., a