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Psychiatric Assessment >> Summary of Axes

imageMultiaxial Assessment

  • Axis I
    • differential diagnosis of DSM-IV clinical disorders
  • Axis II
    • personality disorders, mental retardation
  • Axis III
    • general medical conditions that are potentially relevant to the understanding or management of the mental disorder
  • Axis IV
    • psychosocial and environmental issues
  • Axis V
    • global assessment of functioning (GAF, 0 to 100) incorporating effects of axes I to IV


Formulation
  • a diagram outlining current issues and interrelations between an individual's biological, psychological, and social factors
  • for each category:  predisposing, precipitating, perpetuating, and protecting factors


Approach to Management
  • consider subdividing management into
    • 1) biological (e.g. pharmacotherapy)
    • 2) psychological (e.g. CBT) and
    • 3) social (e.g. support group)


Clinical Pearl
Axis V: Global Assessment of Functioning

91-100- Superior functioning in a wide range of activities
81-90- Absent or minimal symptoms
71-80- If symptoms are present, they are transient and expected reactions to psychosocial stressors
61-70- Some mild symptoms or some difficulty but generally functioning well
51-60- Moderate symptoms or difficulty
41-50- Serious symptoms or difficulty
31-40- Some impairment in reality testing/communication, impairment in several areas
21-30- Behaviour is influenced by delusions/hallucinations or serious impairment in communication/judgment
11-20- Some danger of hurting self or others or occasionally fails to maintain minimal hygiene or gross impairment in communication
1-10- Persistent danger of severely hurting self or others or persistent inability to maintain minimal personal hygiene or serious suicidal act
0- Inadequate information

Links:

Psychiatric Assessment >> History

Psychiatric Assessment >> Mental Status Exam (MSE)

Psychiatric Assessment >> Mental Status Exam (MSE) (continued 2)
Psychiatric Assessment >> Mental Status Exam (MSE) (continued 3)
Psychiatric Assessment >> Summary of Axes Psychiatric Assessment >> Summary of Axes Reviewed by Radiology Madeeasy on April 09, 2011 Rating: 5
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