Sleep Diagnostic Center Question About Diagnostic Criteria For Major Depressive Episode- Mood-incongruent Delusions Or Hallucinations?

Question about diagnostic criteria for Major Depressive Episode- mood-incongruent delusions or hallucinations? - sleep diagnostic center

In the diagnostic criteria for major depression, according to A. before the list of symptoms.

Note: Use any symptoms, which can be clearly assigned to a general medical condition, or mood, delusions or hallucinations are not synonymous.

Does this mean that the symptoms may be through, mood incongruent hallucinations or means that can be caused by hallucinations at all?

ex.What if a patient begins to think he is a person so bad that if you want to decide whether to do something together, wants one of his friends, hear a "No." (his opinion even if the hallucination think it is) God. Prevents friend and feels very guilty. It seems to mood congruent delusions, but was caused by a hallucination. He begins to worry that he is "harm" to others, she began to sleep more often cause drowsiness and other symptoms of severe depression.