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Wednesday, September 25, 2002

Axis IV

Axis IV:
Psychosocial and Environmental Stressors is for reporting psychosocial and environmental problems that may affect the diagnosis, treatment, and prognosis of mental disorders. A psychosocial or environment problem may be a negative life event, an environmental difficulty or deficiency, a familial or other interpersonal stress, an inadequacy of social support of personal resources, or other problem relating to the context in which a person's difficulties have developed. Positive stressors, such as a job promotion, should be listed only if they constitute or lead to a problem, as when a person has difficulty adapting to the new situation. Psychosocial and Environmental Stressors fall into nine categories:

Primary Support Group

Problems Related to the Social Environment

Educational Problems

Occupational Problems

Housing Problems

Economic Problems

Problems with Access to Health Care Services

Problems Related to Interaction with the Legal System/Crime

Other Psychosocial and Environmental Problems