Axis I: Clinical Disorders

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Axis I: Clinical Disorders
The Multi-Axial Assessment system
used in Clinical Psychology
Clinical Psychology
The main reference for all psychologist ad psychiatrists
is the fourth edition of the
DIAGNOSTIC STATISTICAL MANUAL (or DSM-IV)
Clinical Evaluations and Diagnosis are organized by what
is commonly referred to as the
MULTI-AXIAL ASSESSMENT
This System is set up in FIVE simple areas known as the
Five Axis in order to efficiently Identify & Record
diagnosis.
 Axis I: Clinical Disorders and Other Clinical
Conditions of Interest
 In this Axis, the Clinical disorder is Identified.
 A series of coded numbers and letters (called V codes)
will accompany the disorder in question that you need
not be concerned with. It is simply an identification
code for Psychologists
 This is the area that is of most interest to you
 Axis II: Personality Disorders & Mental
retardation
 There are 10 disorders that are not classified as clinical

It is not necessary for you to understand the difference
between Axis I & Axis II disorders… Just be aware that there is
a division.
 Axis III: General Medical Conditions
 These are conditions that can be identified by a
Medical Physician Only and Only as they apply to
the psychiatric condition
 Most of the Time, you will see
“V71.09 No Diagnosis on Axis III”
 Axis IV: Psychological & Environmental Problems
 This Axis will identify to you what the Affected Areas of
this persons life, what area of their life is causing the
condition or both.
Problems with Primary Support Groups: e.g. Death of a family member;
Health problems in the family; Divorce/Separation; Neglect; Abuse; Sibling Issues
Problems Related to Social Environment: Death or Loss of Friend;
Inadequate Support Group; Living Alone; Discrimination; Life Cycle Changes; etc.
Education Problems: Illiteracy; Discord with Teachers/classmates; Academia; etc.
Occupational Problems: Unemployment or threat of job loss;
Discord with Boss/Coworkers; Job Change; Difficult Work Schedule/Conditions;
Housing Issues: Homelessness; Discord with Landlord/Neighbors;
Unsafe Neighborhood; Inadequate Housing; etc.
 Axis IV: Psychological & Environmental Problems
 This Axis will identify to you what the Affected Areas of
this persons life, what area of their life is causing the
condition or both.
Economic Issues: Extreme Poverty; Inadequate Finances;
Insufficient Wellfare Support
Problems with Access to Health Care Services: Inadequate Healthcare;
Transportation Issues to facilities; etc.
Problems related to Legal Interactions: Probation/Parole; Incarceration; Litigation;
Crime Victim
NOS: War; exposure to Disasters; Discord with caregivers, physician,
Couselors, social workers, etc.
 Axis V: GAF (Global Assessment of Functioning)
 Relatively Identifies the Severity for the condition
 Given on a scale of 1-100 in increments of 10
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91-100- Superior Functioning (Perfect World: Never Happens)
81-90- Normal
71-80- Nothing to be extremely concerned about
61-70- Having Some Difficulties
51-60- Moderate Difficulties
41-50- Serious Symptoms
31-40- Losing Touch with Reality
21-30- Delusions and Hallucinations Present
11-20- Some Danger of hurting themselves or Others
1-10- Serious Danger of Harm to Self or Others
On the Computer, Review through
these Disorders and take notes to
increase your own understanding:
 Adjustment Disorders
 Dissociative Disorders
 Anxiety Disorders
 Schizophrenia
 Mood Disorders
 Paraphilias, Sexual &
 ADD/ADHD
Gender Identity
Disorders
 Substance Induced
 Delirium, Dementia &
Amnesia

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