Transcript DSM-IV-TR in Action Powerpoint

Axis I
Axis II
Axis III
Axis IV
Axis V
DSM-IV-TR: Pervasive Developmental Disorders,
Learning Disorders, Motor Skills Disorders,
Communication Disorders, and Other Conditions that
may be Focus of Clinical Attention
Generally, all clinical syndromes are coded here (e.g.,
Mood Disorders, Schizophrenia, Dementia, Anxiety
Disorders, Substance Disorders, Disruptive Behavior
Disorders, etc.) and all other codes that are not
attributed to a mental disorder but are the focus of
treatment (e.g., V codes).
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Academic Problem: underachievers
Childhood or Adolescent Antisocial Behavior: isolated acts
Adult Antisocial Behavior: e.g., professional thieves, dealers
Borderline Intellectual Functioning: IQ between 71 and 84
Malingering: voluntary mental or exaggerated physical
symptoms, with an obvious recognizable goal
Bereavement
Medication-induced Movement Disorders:
 Neuroleptic Malignant Syndrome and Tardive Dyskinesia
 Acculturation Problem: exposure to living in a new culture
 Aging Associated Cognitive Decline: normal aging causes
stress or impairment
Personality Disorders
Mental Retardation
General Medical Conditions
• Hearing Impairment
• Vision Impairment
• Mixing Medical and Mental
Physical (medical) conditions relevant to the
condition being treated are listed here.
DSM-IV-TR: Psychosocial and Environmental
Problems/Stressors
The stressors can be clarified with specifics:
• problems with primary support
• problems related to social environment
• educational problems
• occupational problems
• housing problems
• economic problems
• problems with access to health care services
• problems related to interaction with the legal system and other
psychosocial problems
Global Assessment of Functioning (GAF)
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GAF is a scale of 100 points
The higher the number the higher the level of functioning
The GAF still covers both symptomology and level of
functioning.
The highest level of functioning is determined and rated.
CGAF and FARS are two assessment measures used with
children to supplement the DSM