ptsd Progress Notes

[ranger11bv]

I got a copy of my mental health progress reports from June 4th. Here are the results:

Provisional Diagnosis:

Axis 1; BiPolar D/O, depressed w/out psychosis PTSD, chronic

Axis 2: Deferred

Axis 3; knee pain, past hernia repair

Axis 4; social support, financial issues, possible eviction Monday

Axis 5; 45

******************************************************************************

Whats this all mean???

[*Bergie*]

I got a copy of my mental health progress reports from June 4th. Here are the results:

Provisional Diagnosis:

Axis 1; BiPolar D/O, depressed w/out psychosis PTSD, chronic

Axis 2: Deferred

Axis 3; knee pain, past hernia repair

Axis 4; social support, financial issues, possible eviction Monday

Axis 5; 45

******************************************************************************

Whats this all mean???

Hope this helps,

Bergie

Multi-axial systemThe DSM-IV organizes each psychiatric diagnosis into five levels (axes) relating to different aspects of disorder or disability:

• Axis I: Clinical disorders, including major mental disorders, and learning disorders
• Axis II: Personality disorders and mental retardation (although developmental disorders, such as Autism, were coded on Axis II in the previous edition, these disorders are now included on Axis I)
• Axis III: Acute medical conditions and physical disorders
• Axis IV: Psychosocial and environmental factors contributing to the disorder
• Axis V: Global Assessment of Functioning or Children's Global Assessment Scale for children and teens under the age of 18

[ranger11bv]

Hope this helps,

Bergie

Multi-axial systemThe DSM-IV organizes each psychiatric diagnosis into five levels (axes) relating to different aspects of disorder or disability:

• Axis I: Clinical disorders, including major mental disorders, and learning disorders
• Axis II: Personality disorders and mental retardation (although developmental disorders, such as Autism, were coded on Axis II in the previous edition, these disorders are now included on Axis I)
• Axis III: Acute medical conditions and physical disorders
• Axis IV: Psychosocial and environmental factors contributing to the disorder
• Axis V: Global Assessment of Functioning or Children's Global Assessment Scale for children and teens under the age of 18
  

I found this:

• Global Assessment of Functioning Scale.
  
  Scale Consider psychological, social, and occupational functioning on a
  hypothetical continuum of mental health-illness.
  
  Do not include impairment in functioning due to physical or environmental limitations.
  
  You do not need to know the numbers but rather what the GAF measures and is used for Code ( Note. Use intermediate codes when appropriate, e.g., 45, 68, 72.)
  91-100
  Superior functioning in a wide range of activities, life's problems never seem to get out of hand, is sought out by others because of his or her many positive qualities. No symptoms
  81-90 Absent or minimal symptoms ( e.g., mild anxiety before an exam ), good functioning in all areas, interested and involved in a wide range of activities, socially effective, generally satisfied with life, no more than everyday problems or concerns ( e.g., an occasional argument with family members )
  71-80 If symptoms are present, they are transient and expectable reactions to psychosocial. stressors ( e.g., difficulty concentrating after family argument ); no more than slight impairment in social occupational, or school functioning ( e.g., temporarily falling behind in schoolwork ).
  61-70 Some mild symptoms ( e.g., depressed mood and mild insomnia ) OR some difficulty in social occupational, or school functioning ( e.g., occasional truancy or theft within the household ), but generally functioning pretty well, has some meaningful interpersonal relationships.
  51-60 Moderate symptoms ( e.g., flat affect and circumstantial speech, occasional panic attacks ) OR moderate difficulty in social, occupational, or school functioning ( e.g., few friends, conflicts with peers or co-workers ).
  

41-50 Severe symptoms ( e.g., suicidal ideation, severe obsessional rituals, frequent shoplifting ) OR any serious impairment in social, occupational or school functioning ( e,g., no friends, unable to keep a job ).
31-40 Some impairment in reality testing or communication ( e.g., speech is at times illogical, obscure, or irrelevant ) OR major impairment in several areas, such as work or school, family relations, judgment, thinking, or mood ( e.g., depressed man avoids friends, neglects family, and is unable to work; child frequently beats up younger children, is defiant at home, and is failing at school ).
21-30 Behavior is considerably influenced by delusions or hallucinations OR serious impairment in communication or judgment ( e.g., sometimes incoherent, acts grossly inappropriately, suicidal preoccupation ) OR inability to function in almost all areas ( e.g., stays in bed all day, no job, home, or friends ).
11-20 Some danger of hurting self or others ( e .g., suicidal attempts without clear expectation of death; frequently violent; manic excitement ) OR occasionally fails to maintain minimal personal hygiene ( e.g., smears feces ) OR gross impairment in communication ( e.g., largely incoherent or mute ).
1-10 Persistent danger of severely hurting self or others ( e.g., recurrent violence ) OR persistent inability to maintain minimal personal hygiene OR serious suicidal act with clear expectation of death.0 Inadequate information.

[carlie]

The GAF score is only one of the factors used in adjudicating percentage of current disability level.

[Pete53]

I have a question. If you are facing eviction have you asked for help in keeping your home or do you have a place to go. The VA will give you some help but you have to ask them.

Good Luck

[ranger11bv]

Pete, taken care of for now, THNX!!

Carlie, I understand that, but what Im asking is this: what DOES the diagnosis mean?? What can/should do with it??

[john999]

DX means you have major MH issues. If you can't work file for IU. Have you had a C&P exam?