Mental Health Book

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Multi-Axial System

Aka: Multi-Axial System, DSM Multiaxial System, Psychiatric Axis, DSM Axes, Multi-Axial Assessment
  1. Classification: Axis I - Psychiatric illness
    1. Major Depression
    2. Anxiety Disorder
    3. Obsessive Compulsive Disorder
    4. Bipolar Disorder
  2. Classification: Axis II - Chronic Developmental Disorders and Personality Disorders
    1. Autism
    2. Mental Retardation
    3. Personality Disorders
  3. Classification: Axis III - Physical conditions
    1. Conditions contributing to the Axis I and Axis II condition development, continuation or exacerbation
  4. Classification: Axis IV - Psychosocial stressors
    1. Stressors and events that impact the Axis I and Axis II conditions
    2. Rated on a scale of 1 to 6
  5. Classification: Axis V - Global Assessment of Functioning (GAF)
    1. Patient's level of function (score of 0-100)
      1. Score both current and highest level within the past year
    2. Score 91-100
      1. Higher level functioning in broad range of activities with good and control of typical life stressors
    3. Score 81-90
      1. Other than mild psychiatric symptoms for common triggers, good level of functioning
    4. Score 71-80
      1. Mild psychiatric symptoms with triggers and mild impact on functioning
    5. Score 61-70
      1. Mild psychiatric symptoms with impact on functioning, but overall functioning is good and relationships are maintained
    6. Score 51-60
      1. Moderate psychiatric symptoms with moderate impact on functioning
    7. Score 41-50
      1. Serious symptoms and impaired functioning
    8. Score 31-40
      1. Impaired reality and major Impairment
    9. Score 21-30
      1. Delusions, Hallucinations, or serious Impairment
    10. Score 11-20
      1. Danger to self or others
    11. Score 1-10
      1. Persistent danger to self or others

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