CLASSIFICATION OF PSYCHIATRIC

DISORDERS
DSM IV TR VS. ICD 10
MULTI-AXIAL EVALUATION

Dr. Arleen Grace Castillo Rosal

Lecturer

Objectives in Systems Classification for psychiatric

diagnosis :
1.to distinguish one psychiatric diagnosis from another,
so that clinicians can offer the most effective treatment.
2.to provide a common language among health care
professionals.
3.
to explore the still unknown causes of many
mental disorders.

Diagnostic and Statistical Manual of Mental

Disorders (DSM)
1. is a multiaxial system that evaluates patients along
several variables and contains five axes.
2. was designed to correspond to the 10th revision of
ICD (ICD-10), developed in 1992.
3. is a categorical classification system
4. Diagnostic and Statistical Manual of Mental
Disorder IV Text Revision (DSM IV- TR)

DSM IV- TR organizes each psychiatric diagnosis into

five dimensions (axes) relating to different aspects of
disorder or disability:
AXIS I :Clinical disorders, including major mental disorders, and learning disorders

a. AXIS I :Clinicaldisorders,includingmajormentaldisorders,
andlearningdisorders
DSM-IV-TRAxisI:ClinicalDisordersandOtherDisorders
ThatMayBeaFocusofClinicalAttention

DSM-IV-TR Axis I: Clinical Disorders and Other Disorders

That May Be a Focus of Clinical Attention
Disorders usually first diagnosed in infancy, childhood, or adolescence
(excluding mental retardation)
Delirium, dementia, and amnestic and other cognitive disorders
Mental disorders due to a general medical condition not elsewhere classified
Substance-related disorders
Schizophrenia and other psychotic disorders
Mood disorders
Anxiety disorders
Somatoform disorders
Factitious disorders
Dissociative disorders
Sexual and gender identity disorders
Eating disorders
Sleep disorders
Impulse-control disorders not elsewhere classified
Adjustment disorders
Other conditions that may be a focus of clinical attention

b.
AXIS II: Personality disorders and intellectual
disabilities (although developmental disorders, such as
Autism, were coded on Axis II in the previous edition, these
disorders are now included on Axis I)
DSM-IV-TR Axis II: Personality Disorders and Mental
Retardation
Paranoid personality disorder
Schizoid personality disorder
Schizotypal personality disorder
Antisocial personality disorder
Borderline personality disorder
Histrionic personality disorder
Narcissistic personality disorder
Avoidant personality disorder
Dependent personality disorder
Obsessive-compulsive personality disorder
Personality disorder not otherwise specified
Mental retardation

c.

AXIS III: Acute medical conditions and physical

disorders
DSM-IV-TR Axis III: General Medical Conditions
Infectiousandparasiticdiseases
Neoplasms
Endocrine,nutritional,andmetabolicdiseasesandimmunitydisorders
Diseasesofthebloodandblood-formingorgans
Diseasesofthenervoussystemandsenseorgans
Diseasesofthecirculatorysystem
Diseasesoftherespiratorysystem
Diseasesofthedigestivesystem
Diseasesofthegenitourinarysystem
Complicationsofpregnancy,childbirth,andthepuerperium
Diseasesoftheskinandsubcutaneoustissue
Diseasesofthemusculoskeletalsystemandconnectivetissue
Congenitalanomalies
Certainconditionsoriginatingintheperinatalperiod
Symptoms,signs,andill-definedconditions
Injuryandpoisoning

d.

AXIS IV: Psychosocial and Environmental

Problems
DSM-IV-TR Axis IV: Psychosocial and Environmental
Problems
Problemswithprimarysupportgroup
Problemsrelatedtothesocialenvironment
Educationalproblems
Occupationalproblems
Housingproblems
Economicproblems
Problemswithaccesstohealthcareservices
Problemsrelatedtointeractionwiththelegalsystem/crime
Otherpsychosocialandenvironmentalproblems

e. AXIS V. Global Assessment of Functioning or

Childrens Global Assessment Scale

systematically describes each disorder in terms of

its associated features:
specific age-, culture
gender-related features
prevalence, incidence, and risk;
course; complications; predisposing factors;
familial pattern; and differential diagnosis.

The International Classification of Diseases (ICD) is an international

standard diagnostic classification for a wide variety of health
conditions.
F0: Organic, including symptomatic, mental disorders
F1: Mental and behavioural disorders due to use of psychoactive substances
F2: Schizophrenia, schizotypal and delusional disorders
F3: Mood [affective] disorders
F4: Neurotic, stress-related and somatoform disorders
F5: Behavioural syndromes associated with physiological disturbances and physical factors
F6: Disorders of personality and behaviour in adult persons
F7: Mental retardation
F8: Disorders of psychological development
F9: Behavioural and emotional disorders with onset usually occurring in childhood and
adolescence
In addition, a group of "unspecified mental disorders".

Thank you