multiaxial assessment

8/13/2019 Multiaxial Assessment

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MULTIAXIAL ASSESSMENT

Axis I- Schizophrenia Undifferentiated

This type of schizophrenia is manifested by pronounced delusions, hallucinations,

and disorganized thought processes and behavior, but criteria for other types of

schizophrenia are not met (Antai-Otong, 2003).

Axis II

Schizotypal Personality Disorder

Schizotypal personality disorder, or simply schizotypal disorder, is a personality disorder

that is characterized by a need for social isolation, odd behavior and thinking, and often

unconventional beliefs. These people tend to turn inward rather than interact with others, and

experience extreme anxiety in social situations. People with schizotypal personality disorder

often have trouble engaging with others and appear emotionally distant. They find their social

isolation painful, and eventually develop distorted perceptions about how interpersonal

relationships form. (Psychiatric Nursing: contemporary practice. Mary Ann Boyd. 2007)

Individuals with schizotypal personality disorder have odd thoughts, affects, perceptions,

and beliefs.

Diagnostic criteria fort 301.22 Schizotypal Personality Disorder

A. A pervasive pattern of social and interpersonal deficits marked by acute

discomfort with, and reduced capacity for, close relationships as well as by

cognitive or perceptual distortions and eccentricities of behavior, by beginning by

early adulthood and present in a variety of contexts, as indicated by five or more of

the following:

1. Ideas of reference (excluding delusions of reference)


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2. odd beliefs or magical thinking that influences behavior and is

inconsistent with subcultural norms (e.g., superstitiousness, belief

in clairvoyance, telepathy, or sixth sense in children and

adolescents, bizarre fantasies or preoccupations)

3. unusual perceptual experiences, including bodily illusions 4. odd thinking and speech (e.g., vague, circumstantial,

metaphorical, overelaborate, or stereotyped)

5. suspiciousness or paranoid ideation

6. inappropriate or constricted affect

7. behavior or appearance that is odd, eccentric or peculiar 8. lack of close friends or confidants other than first-degree

relatives

9. excessive social anxiety that does not diminish with familiarity

and tends to be associated with paranoid fears rather than

negative judgments about self

B. Does not occur exclusively during the course of Schizophrenia, a Mood Disorder

with Psychotic Features, another Psychotic Disorder, or a Pervasive Developmental

Disorder

Note: If criteria are met prior to the onset of Schizophrenia, add Premorbid, e.g.,

Schizotypal Personality Disorder (Premorbid)

510

100


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=50%

Axis III- Axis 3 is not applicable to the client.

Axis IV- inability to go back to school, unemployment

Johnny was unable to finish his schooling. He was a 3rd

-year undergraduate at the

Mountain View College with a course of Theology. The reason for stopping school was

due to the onset of his illness. As a result of the patients mental illness, he has not landed

a permanent job and is currently unemployed. The patients educational attainment also

made him unable to land a job. The patient is currently living with his family and

depends on them for his basic needs.

Axis V- Global Assessment of Functioning

a) Initial Assessment (60/ 51)Moderate symptoms or moderate difficulty in social, occupational, or

school functioning. According to the patient, he finds it hard to sleep at night.

Usually he cannot sleep from 1am up to 3am. Circumstantial speech is also noted

since he provides an excessive amount of irrelevant detail before finally arriving

at the answer. According to Johnny, his family members are considered to be his

only friends. Also, he is quite, timid and is withdrawn to people around him like

his neighbors.

b) Final Assessment (60/ 51)Moderate symptoms or moderate difficulty in social, occupational, or school

functioning. During the final assessment, circumstantiality in his speech is noted. He


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was also quite aloof to the group, when the interview and assessment was being

conducted.

multiaxial assessment

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