What Is The Difference Between An Axis 1 And Axis 2 Mental Disorder?

by | Last updated on January 24, 2024

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Axis I consisted of mental health and substance use disorders (SUDs); Axis II

was reserved for personality disorders and mental retardation

; Axis III was used for coding general medical conditions; Axis IV was to note psychosocial and environmental problems (e.g., housing, employment); and Axis V was an assessment of …

What is an Axis 1 disorder?

Axis I disorders tend to be the most commonly found in the public. They include

anxiety disorders

, such as panic disorder, social anxiety disorder, and post-traumatic stress disorder. Other examples of Axis I disorders are as follows: Dissociative disorders. Eating disorders (anorexia nervosa, bulimia nervosa, etc.)

What are the 5 axes of DSM?

  • What Are the Five Axes in a Multiaxial Diagnosis?
  • Axis I: Clinical Disorders.
  • Axis II: Personality Disorders or Mental Retardation.
  • Axis III: Medical or Physical Conditions.
  • Axis IV: Contributing Environmental or Psychosocial Factors.
  • Axis V: Global Assessment of Functioning.

What axis are personality disorders?

The revised 3rd edition of the Diagnostic and Statistical Manual of Mental Disorders (American Psychiatric Association, 1987) distinguishes between Axis I and

Axis II

disorders: Axis II includes personality (and developmental) disorders, and all others are on Axis I.

Does DSM-5 have Axis II?


Axes I, II and III have been eliminated in the

DSM-5 (APA, 2013). Clinicians can simply list any disorders or conditions previously coded on these three Axes together and in order of clinical priority or focus (APA, 2013).

Is ADHD Axis 1 or 2?

In the DSM-IV multidimensional diagnostic system, ADHD is classified as

an axis I disorder

, but the description of this long-lasting trait is conceptually close to the axis II personality disorders used in adult psychiatry.

Is alcohol use disorder an Axis 1?

Alcoholism was removed from the list of personality disorders and classified as an

Axis I disorder

in DSM-III (American Psychiatric Association, 1980).

Why did DSM get rid of Axis?

The fifth DSM axis had long been

criticized for lack of reliability and consistency

amongst clinicians. It was because of that lack of reliability as well as poor clinical utility that the APA chose to remove this measure from the DSM-5.

What is Axis IV in mental health?

Axis IV:

Psychosocial and Environmental Problems

(DSM-IV-TR, p. 31) “Axis IV is for reporting psychosocial and environmental problems that may affect the diagnosis, treatment, and prognosis of mental disorders (Axes I and II).

What is Axis V in mental health?

Axis V was

a rating scale called the Global Assessment of Functioning

; the GAF went from 0 to 100 and provided a way to summarize in a single number just how well the person was functioning overall.

What are Axis 3 disorders?

Axis I consisted of mental health and substance use disorders (SUDs); Axis II was reserved for personality disorders and mental retardation; Axis III

was used for coding general medical conditions

; Axis IV was to note psychosocial and environmental problems (e.g., housing, employment); and Axis V was an assessment of …

What is Cluster B personality?

Cluster B personality disorders are characterized

by dramatic, overly emotional or unpredictable thinking or behavior

. They include antisocial personality disorder, borderline personality disorder, histrionic personality disorder and narcissistic personality disorder.

Is OCD an Axis 1 disorder?

Obsessive Compulsive Disorder (abbreviated OCD) and Obsessive Compulsive Personality Disorder (abbreviated OCPD) are related but not identical diagnoses.

OCD is considered an “Axis I” diagnosis

while OCPD is an “Axis II” diagnosis.

What is Axis II diagnosis?

Psychiatry A dimension used with DSM-IV, which includes personality disorders:

paranoid

, schizoid, schizotypal, antisocial, borderline, histrionic, narcissistic, dependent, obsessive-compulsive, personality “NOS” and mental retardation.

What is Diagnosis Deferred on Axis II?

In complicated or ambiguous cases, the diagnosis of

a personality disorder not otherwise specified

is appropriate, indicating that traits need to be clarified. Deferred. This notation frequently is seen under axis II, and often is carried through the medical record for months or years.

What are two defining features of all personality disorders?

  • Rigid, extreme and distorted thinking patterns (thoughts)
  • Problematic emotional response patterns (feelings)
  • Impulse control problems (behavior)
  • Significant interpersonal problems (behavior)
James Park
Author
James Park
Dr. James Park is a medical doctor and health expert with a focus on disease prevention and wellness. He has written several publications on nutrition and fitness, and has been featured in various health magazines. Dr. Park's evidence-based approach to health will help you make informed decisions about your well-being.