Documente Academic
Documente Profesional
Documente Cultură
(Diagnosticul multiaxial)
Axa 1 descrie tulburrile clinice i "alte stri psihice care pot intra n centrul ateniei
clinice". Acestea sunt de obicei probleme care necesit o atenie imediat din partea
unui clinician.
Axa 2 se centreaz pe tulburrile de personalitate i pe evaluarea retardului mintal,
cu ajutorul unei scale specifice. Aceste probleme nu pot solicita asisten imediat,
dar ele pot complica tratamentul i ar trebui luate n considerare de ctre orice
clinician care trateaz un pacient.
Axa 3 eticheteaz orice problem medical general. Acestea sunt importante chiar
i atunci cnd o problem doar pare ca fiind mental sau comportamental, pentru
c, uneori, problemele psihologice sunt produsul secundar al unei boli cum ar fi
diabetul sau bolile de inim.
Axa 4 specific "probleme psihosociale i de mediu", cum ar fi srcia, familiile
disfuncionale, precum i ali factori din mediul pacientului, care ar putea avea un
anumit impact asupra capacitii de funcionare (psihologic, social i profesional)
a persoanei.
Axa 5 este denumit "Scala Evalurii Globale a Funcionrii". Este o evaluare de
ansamblu a capacitii unei persoane de a face fa problemelor vieii normale.
(Funcionarea psihologic, social i profesional este considerat pe un continuum
ipotetic de sntate-maladie mental). Evaluarea merge de la scoruri mici, cum ar fi
10 ("pericol persistent de vtmare grav a sa sau a altora"), pn la 100
("funcionarea superioar ntr-o gam larg de activiti").
With Anxiety
With Depressed Mood
Unspecified.
Anxiety Disorders
Amnestic
Delirium
Dementia
Dissociative Disorders.
Depersonalization Disorder
Dissociative Amnesia
Dissociative Fugue
Eating Disorders.
Anorexia Nervosa
Bulimia Nervosa
Eating Disorder Not Otherwise Specified (NOS)
Factitious Disorders.
Kleptomania
Pathological Gambling
Pyromania
Trichotillomania
Mood Disorders
Bipolar I Disorder
Bipolar II Disorder
Bipolar Disorder Not Otherwise Specified (NOS)
Cyclothymic Disorder
Depressive Disorder Not Otherwise Specified (NOS)
Depression (General Overview)
Dysthymic Disorder
Major Depressive Disorder
Mood Disorder Due to a General Medical Condition
Mood Disorder Not Otherwise Specified (NOS)
Substance-Induced Mood Disorder
Paranoid Type
Disorganized Type
Catatonic Type
Undifferentiated Type
Residual Type
Brief Psychotic Disorder
Delusional Disorder
Psychotic Disorder Due to a General Medical Condition
Schizoeffective Disorder
Schizophreniform Disorder
Exhibitionism
Fetishism
Frotteurism
Pedophilia
Sexual Masochism
Sexual Sadism
Transvestic Fetishism
Voyeurism
Premature Ejaculation
Sleep Disorders.
Breathing-Related Sleep Disorder
Primary Insomnia
Primary Hypersomnia
Narcolepsy
Sleepwalking Disorder
Somatoform Disorders.
Somatization Disorder
Conversion Disorder
Pain Disorder
Substance-Related Disorders.
Axis I: Major Depressive Disorder, Single Episode, Severe Without Psychotic Features
Axis II: Dependent Personality Disorder; Frequent use of denial
Axis III: None
Axis IV: Threat of job loss
Axis V: GAF = 35 (last year)
Here is a list of some more commonly diagnosed Axis II disorders. Click on each
to learn more.
Axis I: Major Depressive Disorder, Single Episode, Severe Without Psychotic Features /
Alcohol Abuse
Axis II: Dependent Personality Disorder Frequent use of denial
Axis III: None
Axis IV: Threat of job loss
Axis V: GAF = 35 (current)
Axis IV Categories
Axis IV problems are grouped into categories as follows;
Educational problems
Occupational problems
Housing problems
Economic problems
Axis V is only one of five axes used in a DSM assessment. Here is an example of a five-axis
diagnosis from Substance Abuse Assessment and Diagnosis: A Comprehensive Guide for
Counselors and Helping Professionals by Gerald A. Juhnke, Routledge, 2002
Axis I: Adjustment Disorder with Depressed Mood, Alcohol Abuse, Cannabis Abuse
Axis II: No Diagnosis of Axis II
Axis III: Hypothyroidism
Axis IV: None
Axis V: GAF = 50 (on admission), GAF = 62 (on discharge)