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DSM-5 has discarded the multiaxial system of diagnosis (formerly Axis I, Axis II, Axis III), listing all disorders in Section II. It has replaced Axis IV with significant psychosocial and contextual features and dropped Axis V (Global Assessment of Functioning, known as GAF).
Axis V: Global Assessment of Functioning (Psychological, social and job-related functions are evaluated on a continuum between mental health and extreme mental disorder) The axis classification system was removed in the DSM-5 and is now mostly of historical significance. [14] The main categories of disorder in the DSM are:
It is notable that DSM-5 uses Arabic rather than Roman numerals. Beginning with DSM-5, the APA planned to use decimals to identify incremental updates (e.g., DSM-5.1, DSM-5.2) [b] and whole numbers for new editions (e.g., DSM-5, DSM-6), [89] similar to the scheme used for software versioning.
Personality disorder not otherwise specified (PD-NOS) is a subclinical [a] diagnostic classification for some DSM-IV Axis II personality disorders not listed in DSM-IV. [1] The DSM-5 does not have a direct equivalent to PD-NOS. However, the DSM-5 other specified personality disorder and unspecified personality disorder are substantially ...
The first SCID (for DSM-III-R) was released in 1989 [citation needed], SCID-IV (for DSM-IV) was published in 1994 and the current version, SCID-5 (for DSM-5), is available since 2013. [2] It is administered by a clinician or trained mental health professional who is familiar with the DSM classification and diagnostic criteria.
The DSM-5 lists personality disorders in the same way as other mental disorders, rather than on a separate 'axis', as previously. [18] DSM-5 lists ten specific personality disorders: paranoid, schizoid, schizotypal, antisocial, borderline, histrionic, narcissistic, avoidant, dependent and obsessive–compulsive personality disorder
This list also includes updates featured in the text revision of the DSM-IV, the DSM-IV-TR, released in July 2000. [2] Similar to the DSM-III-R, the DSM-IV-TR was created to bridge the gap between the DSM-IV and the next major release, then named DSM-V (eventually titled DSM-5). [3] The DSM-IV-TR contains expanded descriptions of disorders.
DSM-5 removed the multiaxial system, including Axis V disability and functioning; and the DSM-5 Task Force recommended the GAF be replaced by the WHO Disability Assessment Schedule (WHODAS 2.0) in an effort to increase the reliability of scores.