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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). 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) • • • • • 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