A. One or more physical complaints, eg, fatigue, anorexia, gastrointestinal or urinary complaints. |
B. Either 1 or 2: |
1. After appropriate investigation, the symptoms cannot be fully explained by a known nonpsychiatric medical condition or the direct effects of a substance (eg, a drug of abuse or a medication). |
2. When there is a nonpsychiatric medical condition, the physical complaints or resulting social or occupational impairment is in excess of what would be expected from the history, physical examination, or laboratory findings. |
C. The symptoms cause clinically significant distress or impairment in social, occupational, or other important areas of functioning. |
D. The duration of the disturbance is at least six months. |
E. The disturbance is not better accounted for by another mental disorder (eg, another somatoform disorder, sexual dysfunction, mood disorder, anxiety disorder, sleep disorder, or psychotic disorder). |
F. The symptoms are not intentionally produced or feigned, as in factitious disorder or malingering. |
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