The DSM-IV diagnoses are made on a multiaxial system in which each axis refers to a different domain of information. This system aids in making a comprehensive assessment, organizing complex clinical information, and communicating between professionals. Axis I disorders comprise the clinical syndromes of mental disorders. Conditions listed on Axis II are the personality disorders and developmental disorders, including mental retardation, which may underlie the more florid Axis I syndrome. Axis III notes general medical conditions. Axes IV and V record psychosocial stressors and adaptive functioning. It is generally unnecessary for the emergency physician to make a complete multiaxial diagnosis, but knowledge of this system may facilitate an understanding of medical records and psychiatric consultants' notes. For instance, a patient with previous medical records containing DSM-IV diagnoses of Axis I: alcohol intoxication; Axis II: antisocial personality disorder; and Axis III: scalp laceration, should be recognized as likely to display features of the Axis II personality disorder, although the patient's chief complaint may be a new problem.
Was this article helpful?
This guide will help millions of people understand this condition so that they can take control of their lives and make informed decisions. The ebook covers information on a vast number of different types of neuropathy. In addition, it will be a useful resource for their families, caregivers, and health care providers.