Multi-Axial System

Aka: Multi-Axial System, DSM Multiaxial System, Psychiatric Axis, DSM Axes, Multi-Axial Assessment

1. Classification
   1. Axis I: Psychiatric illness
      1. Major Depression
      2. Anxiety Disorder
      3. Obsessive Compulsive Disorder
      4. Bipolar Disorder
   2. Axis II: Chronic developmental disorders and Bipolar Disorders
      1. Autism
      2. Mental Retardation
   3. Axis III: Physical conditions
      1. Conditions contributing to the Axis I and Axis II condition development, continuation or exacerbation
   4. Axis IV: Psychosocial stressors
      1. Stressors and events that impact the Axis I and Axis II conditions
   5. Axis V: Global Assessment of Functioning (GAF)
      1. Patient's level of function (score of 0-100)
         1. Score both current and highest level within the past year
      2. Score 91-100
         1. Higher level functioning in broad range of activities with good and control of typical life stressors
      3. Score 81-90
         1. Other than mild psychiatric symptoms for common triggers, good level of functioning
      4. Score 71-80
         1. Mild psychiatric symptoms with triggers and mild impact on functioning
      5. Score 61-70
         1. Mild psychiatric symptoms with impact on functioning, but overall functioning is good and relationships are maintained
      6. Score 51-60
         1. Moderate psychiatric symptoms with moderate impact on functioning
      7. Score 41-50
         1. Serious symptoms and impaired functioning
      8. Score 31-40
         1. Impaired reality and major Impairment
      9. Score 21-30
         1. Delusions, hallucinations, or serious Impairment
      10. Score 11-20
          1. Danger to self or others
      11. Score 1-10
          1. Persistent danger to self or others