DSM-IV-TR Axes Flashcards
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Questions and Answers

What does Axis I assess?

  • General medical conditions
  • Personality disorders
  • Psychosocial/environmental problems
  • Clinical syndromes that may be the focus of clinical attention (correct)
  • Which of the following disorders falls under Axis II?

  • Histrionic personality disorder (correct)
  • Major mood disorder
  • Post-traumatic stress disorder
  • Substance-use disorder
  • What are some examples of Axis III conditions?

    Cirrhosis, overdose, cocaine use

    What type of problems does Axis IV address?

    <p>Psychosocial/environmental problems</p> Signup and view all the answers

    What is the purpose of Axis V?

    <p>To assess global functioning</p> Signup and view all the answers

    Name one disorder that is categorized under Axis I.

    <p>Substance-use disorder</p> Signup and view all the answers

    Disorders of relatively short duration (under 6 months) are described as ______.

    <p>acute</p> Signup and view all the answers

    Long-standing or permanent disorders are described as ______.

    <p>chronic</p> Signup and view all the answers

    Unstable disorder patterns that come and go are known as ______.

    <p>episodic/recurrent</p> Signup and view all the answers

    Match the personality testing approaches with their descriptions:

    <p>Projective Tests = Rorschach or TAT: unstructured stimuli that reveal hidden motives Objective Tests = MMPI-2 personality inventories: structured testing</p> Signup and view all the answers

    Study Notes

    DSM-IV-TR Axes Overview

    • Five axes used to provide a comprehensive diagnosis and treatment framework.

    Axis I

    • Assesses current clinical status, including clinical syndromes like schizophrenia, generalized anxiety disorder (GAD), major depressive disorder (MDD), and substance dependence.
    • Multiple diagnoses permitted and encouraged, reflecting complex health challenges.

    Axis II

    • Focuses on personality disorders and mental retardation, related to longstanding personality traits.
    • Includes disorders such as histrionic, paranoid, and antisocial personality disorders.
    • More than one diagnosis is permissible to capture the complexity of an individual's condition.

    Axis III

    • Provides information on general medical conditions relevant to the individual’s mental health, e.g., cirrhosis, overdose, or cocaine use.
    • Like other axes, allows for multiple diagnoses to better understand overall patient health.

    Axis IV

    • Examines psychosocial and environmental stressors that may contribute to the disorder.
    • Checklist approach categorizes problems—family, economic, occupational, legal—such as issues with primary support groups.
    • Focuses on stressors experienced within the past year.

    Axis V

    • Global Assessment of Functioning (GAF) scale measures how well an individual copes at the present time, ranging from 1 to 100.
    • Describes symptom severity:
      • 60-70 indicates mild symptoms (mild insomnia, social difficulties).
      • 50-60 indicates moderate symptoms (occasional panic attacks).
      • 40-50 indicates serious symptoms (suicidal ideation).
      • 30-40 shows impaired reality testing (illogical speech).
      • 20-30 suggests significant influence of delusions/hallucinations.
      • 10-20 indicates danger to self or others and poor hygiene.
      • 1-10 reflects severe danger and inability to function.

    Axis I Disorders Examples

    • Includes a variety of conditions: substance-use disorders, Alzheimer's dementia, anxiety disorders, eating disorders, psychosexual/gender-identity disorders, major mood disorders, schizophrenia, ADHD, PTSD.

    Axis II Disorders Examples

    • Primarily consists of personality disorders and mental retardation, along with specific learning disabilities.

    Acute Disorders

    • Refers to conditions of relatively short duration, typically under six months.

    Chronic Disorders

    • Represents long-standing or permanent disorders such as Alzheimer's and certain types of schizophrenia.

    Episodic/Recurrent Disorders

    • Describes unstable patterns of disorders that fluctuate, such as bipolar disorder.

    Personality Testing Approaches

    • Projective Tests: Include tools like Rorschach or Thematic Apperception Test (TAT), where subjects project their meanings onto unstructured stimuli.
    • Objective Tests: Utilize standardized personality inventories such as the MMPI-2 to assess personality traits quantitatively.

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    Description

    This quiz covers the five axes of the DSM-IV-TR, providing definitions and examples for each axis. It is designed to help you understand the classification and assessment of mental health conditions as outlined in the DSM. Ideal for psychology students and professionals seeking to enhance their knowledge of psychiatric diagnoses.

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