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B.
The disturbance markedly
interferes with work or school or with usual social
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activities
and relationships with others (e.g., avoidance of social activities,
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decreased
productivity and efficiency at work or school).
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C.
The disturbance is not merely an exacerbation of the symptoms of another
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disorder,
such as Major Depressive Disorder, Panic Disorder, Dysthymic Disorder,
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or a
Personality Disorder (although it may be superimposed on any of these
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disorders).
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D.
Criteria A, B, and C must be confirmed by prospective daily ratings during
at
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least
two consecutive symptomatic cycles. (The diagnosis may be made
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provisionally
prior to this confirmation.)
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