Multi-Axial Assessment ans: I. Clinical Disorders
II. Personality Disorders/Mental Retardation
III. Medical Conditions
IV. Psyco-social/Environmental Conditions
V. GAF
Mood Disorders ans: Dysthymic Disorder
Major Depressive Disorder
Bipolar Disorder
Dysthymic Disorder ans: Long lasting MDD symptoms
2 or more lasting 2 or more years
* Children 1 year
Major Depressive Disorder ans: 4 symptoms
2 straight weeks
within 6 months
Difficulty in functioning (work, home,play)
Bipolar Disorder ans: Manic Episodes and Depression:
Symptoms: euphoria, racing thoughts, excessive talk, need for less sleep, hallucinations (psychotic
features)
Psychotic Disorders ans: Schizophrenia
Schizoaffective Disorder
Schizophreniform
Schizophrenia ans: Impairment of peceptions or expression of reality.
Symptoms: Bizarre speech & appearance, Dellusions (Thoughts), Hallucinations
(Senses/Perceptions),Disorganized speech, Catatonic behavior, Flat affect, Paranoia, Lost interest in
Hygiene
Schizophreniform Disorder ans: Symptoms present longer than 1 month, Not to exceed 6 month period
Schizoaffective Disorder ans: 2 or more symptoms present for majority of 1 month period
Personality Disorders ans: Histrionic PD,
Narcissistic PD,
Borderline,
Obsessive Compulsive PD,
Antisocial PD
Schizotypal PD ans: Few to no intimate relationships,
Extreme anxiety in social situations,
, Magical thinking
Schizoid PD ans: Robotic,
Avoid social situations
Histrionic PD ans: 6 months or more,
High functioning,
Being overly dramatic or emotional,
Need to be center of attention
Borderline PD ans: Swing wildly from love to hate,
Try to avoid real or imagined abandonment,
Impulsiveness with money, sex, substance abuse, shoplifting, binge eating,
*Manipulate boundaries
*DBT Margaret Linehan
Narcissistic PD ans: Inflated sense of self-importance and extreme preoccupation with one's self,
Lacks empathy
Antisocial PD ans: Age 6-12= ODD
Age 12-18=Conduct Disorder
Age 18+= APD
Lacks remorse,
reckless disregard for safety,
aggressive, physical fights or assaults, faailure to conform to social norms
Obsessive Compulsive PD ans: "Micro-Managers"
Chronic preoccupation with rules, orderliness, and control
Anxiety Disorders ans: PTSD
GAD
ADHD
ADD
OCD
Acute Stress Disorder
PTSD ans: Symptoms usually occure within 1 month of trauma, and last 1 month in duration
Acute Stress Disorder ans: Symptoms manifest immediately after traumatic event
GAD ans: patern of constant worry over many different activities,
Difficulty controlling worry,
Excess worry and anxiety out of proportion most of the time
ADHD ans: Inattentiveness, Hyperactivity, Impulse Control
Present for 6 months, and seen in 2 or more settings
Symptoms should be present before age 7