diff --git a/include/mbedtls/config_psa.h b/include/mbedtls/config_psa.h
index 31c5e1d..6af4d19 100644
--- a/include/mbedtls/config_psa.h
+++ b/include/mbedtls/config_psa.h
@@ -65,12 +65,14 @@
  */
 #if defined(MBEDTLS_ECDSA_C)
 #define MBEDTLS_PSA_BUILTIN_ALG_ECDSA
-#endif /* MBEDTLS_ECDSA_C */
 
+// Only add in DETERMINISTIC support if ECDSA is also enabled
 #if defined(MBEDTLS_ECDSA_DETERMINISTIC)
 #define MBEDTLS_PSA_BUILTIN_ALG_DETERMINISTIC_ECDSA
 #endif /* MBEDTLS_ECDSA_DETERMINISTIC */
 
+#endif /* MBEDTLS_ECDSA_C */
+
 #endif /* MBEDTLS_PSA_CRYPTO_CONFIG */
 
 #ifdef __cplusplus