DSM 5: Elimination of the “5 Axes” Model

 • Axis I - Primary mental health disorder that needs immediate attention (ex. Schizophrenia exacerbation, major depressive episode)

 • Axis II - Personality disorders and developmental disorders

 • Axis Ill - Medical and neurological conditions that may influence current and past psychiatric health

 • Axis IV - Major psychosocial stressors faced by the individual that may contribute to psychiatric problems

 • Axis V - A global assessment of functioning scored from 0-100



-> Biopsychosocial Formulation



 • Biological contributors/risk factors - Ex. Genetic loading, medical conditions, pharmacotherapy/drug use

 • Psychological contributors/risk factors - Ex. Coping strategies, personality traits, attachment style, trauma, loss, therapy

 • Social contributors/risk factors - Ex. Interpersonal problems, living situation, finances, support system



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