Axis IV refers to the classification of psychosocial and environmental problems in the DSM-IV (Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition). It encompasses a range of stressors that may affect an individual’s mental health, including issues related to family, work, housing, social relationships, and economic difficulties. These factors can significantly influence the development, treatment, and prognosis of mental health disorders. While the DSM-5 has since moved away from the multiaxial system, understanding Axis IV remains important for recognizing the broader context of a patient's life.
The DSM-IV-TR utilized 5 axes along which clients are evaluated: Axis I for clinical disorders, Axis II for personality disorders and mental retardation, Axis III for medical conditions, Axis IV for psychosocial and environmental stressors, and Axis V for Global Assessment of Functioning.
In the DSM-IV classification, noncompliance with treatment is not categorized as a standalone disorder; however, it may be considered within Axis III (medical conditions) or Axis V (psychosocial and environmental problems) if it impacts the individual's mental health. Noncompliance can also be associated with Axis I disorders, where the underlying condition may affect the individual's ability to adhere to treatment. Overall, it is viewed as a complex phenomenon that may require consideration of various factors, including the patient's mental state and external circumstances.
The five axes of the DSM-IV (Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition) represent a comprehensive framework for diagnosing mental health disorders. Axis I includes clinical disorders and other conditions that may be a focus of clinical attention; Axis II covers personality disorders and intellectual disabilities; Axis III addresses general medical conditions; Axis IV considers psychosocial and environmental factors affecting the individual; and Axis V provides a Global Assessment of Functioning score to evaluate overall functioning. This multi-axial system aimed to provide a holistic view of the individual's mental health.
Axis I = clinical psychiatric disorders (ex. depression, schizophrenia) Axis II = Personality disorders (ex. bipolar, conduct disorder, borderline) Axis III= General medical conditions (ex. Diabetes, Hypertension, Stroke) Axis IV= Psychosocial and environmental problems (ex. Death of loved one, Divorce, Job-loss, Bankruptcy) Axis V= Global assessment function (ex. scale of 1-100) 1 is low level of function and 100 being superior function. The scale is compiled by a physician.
Axis I
Axis i
ICD 10. It has two different criteria. Clinical criteria are qualitative and picture-fitting. Research criteria are quantitative and menu-driven. DSM-IV has only menu driven criteria. Thus inter-rater reliability for DSM-IV diagnoses are poor due to poor adherence to quantitative criteria in actual practice. ICD 10 encourages selection of one diagnosis, whereas DSM-IV allows selection of as many diagnoses as fit the criteria. Diagnostic categorical differences. In DSM IV, schizophrenic symptoms are required to be present for six months unless florid, whereas in ICD 10 it is only 1 month. IN DSM IV conversion and dissociative disorders are distinguished, not in ICD 10. In DSM IV there are two types of anorexia (binging and non), and two types of bulimia (purging and non), whereas in ICD 10 there is simply anorexia, bulimia, and undefined atypical forms. Axial Systems IN ICD 10 the axial system is as follows: AXIS I: Clinical psychiatric syndromes AXIS II: Specific disorders of development AXIS III: Intellectual level AXIS IV: Associated medical conditions AXIS V: Associated abnormal psychosocial conditions AXIS VI: Global Social Functioning Note that in ICD 10, AXIS I includes pschiatric disorders, personality disorders, and mental retardation, but not disability. In ICD 10, Axis II is similar to DSM IV Axis V, Global Assessment of Function... (I don't think it could be any more confusing than this!) In DSM IV, the axial system is like this: AXIS 1: Clinical psychiatric disorders AXIS II: Personality disorders, mental retardation, maladaptive personality.behavior AXIS III: General medical disorders. AXIS IV: PSychosocial/envrionmental stressors. AXIS V: Global Assessment of Function. Note that in DSM-IV, autism is AXIS 1, substance abuse is AXIS 1, OCD is AXIS I but OCPD is AXIS II.
There are five.
DSM-IV AXIS I 307-46 - 2009 was released on: USA: 4 November 2009
According tod DSM-IV-TR it typically falls under Axis I
Psychological stressors.
What does Axis I, Axis II, Axis III, Axis IV and Axis V when used with a mental diagnoses? Could you please give more information. Was AXIS diagnosed in an adolescent or due to alcohol or drug abuse? Thank you