the multiaxial format succinctly organizes problems that will be both highly relevant and subject to change in the course of treatment. nonetheless, it is up to the psychiatrist in his or her clinical interactions to maintain curiosity about how the problems on each axis are constituted and relate to the others for this patient—how they developed, what meaning may be attached to the problems and their treatment, and how they may be amenable or resistant to change. in addition, axis i is the location to record “other conditions that may be a focus of clinical attention,” which includes medication side effects and a variety of social and relational problems (box 17-3).
you plan to treat him initially as if he has attention-deficit/hyperactivity disorder (adhd), but are quite concerned about his strong family history of mania and will be watching closely for the possibility of bipolar disorder as a revised or additional diagnosis. while guidance is included in the dsm-iv-tr about the definition of these specifiers for some conditions (e.g., conduct disorder, substance dependence, and manic episode), the psychiatrist may apply them to other disorders using his or her clinical judgment. in addition, personality traits that do not meet full criteria for a personality disorder, but are nonetheless maladaptive, may be listed on axis ii without the use of a diagnostic code, as may defensive patterns.4 the dsm-iv-tr provides examples of specific defensive patterns in appendix b, in the “glossary of specific defense mechanisms and coping styles.” the defensive functioning scale (pp.
mental disorders are diagnosed according to a manual called the diagnostic and statistical manual of mental disorders. the dsm-iv had five axes. there were five different axes. axis i consisted of mental health and substance use disorders (suds); axis ii was reserved for personality disorders and instead, the new non-axial diagnosis combines the former axes 1, axis ii provided information about personality disorders and mental retardation., dsm 5 axis diagnosis example, dsm 5 axis diagnosis example, axis 1 disorders list, dsm-5 axis 1, axis iv diagnosis.
axis i contains clinical disorders, such as anxiety and depression. axis ii contains intellectual disability and personality disorders, such as the dsm-iv utilized a system of five axes to diagnosis mental health disorders of clients. axis iv consisted of psychosocial and environmental this system utilized diagnoses across five dsm axes to look at the different impacts and elements of disorders. the five axes included: 1. the, axis 2 disorders, axis 3 diagnosis.
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