The symptoms cause clinically significant distress or

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specific plan, or  a suicide attempt or a specific plan for committing suicide.  The symptoms cause clinically significant distress or impairment in social,  occupational, or other important areas of functioning. 
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DSM-IV-TR Phenotypic Diagnosis (Cont’d):  DSM-IV-TR Phenotypic Diagnosis (Cont’d):  e.g.,  e.g.,  Major Depression, Single Episode Major Depression, Single Episode Exclusion Criteria: The persons' symptoms do not indicate a mixed episode.  The person's symptoms are not due to the direct physiological effects of a substance  (e.g., a drug of abuse, a medication), or a general medical condition (e.g.,  hypothyroidism).  The symptoms are not better accounted for by Bereavement, i.e., after the loss of a  loved one, they continue for more than two months, or they include great difficulty in  functioning, frequent thoughts of worthlessness, thoughts of suicide, psychotic  symptoms, or psychomotor retardation.  DSM-IV Multiaxial Diagnosis DSM-IV Multiaxial Diagnosis Axis I -  Major Mental Disorders & V-Codes Axis II -  Personality Disorders & Mental  Retardation Axis III -  General Medical Conditions Axis IV  -  Psychosocial / Environmental Problems Axis V -  Global Assessment of Functioning Axis I V-Codes Axis I V-Codes V15.81 Noncompliance With Treatment V61.1 Partner Relational Problem /      Physical / Sexual Abuse of a Adult V61.20 Parent-Child Relational Problem V61.21 Child Neglect /      Physical / Sexual Abuse of a Child V61.8 Sibling Relational Problem V61.9 Relational Problem Related to a Mental Disorder                                           or General Medical Condition V62.2 Occupational Problem V62.3 Academic Problem V62.4 Acculturation Problem V62.81 Relational Problems
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V62.82 Bereavement V62.89 Borderline Intellectual Functioning /  Phase of Life Problem / Religious or Spiritual Problem V65.2 Malingering V71.01 Adult Antisocial Behavior V71.02 Child or Adolescent Antisocial Behavior V71.09 No Diagnosis on Axis II /      No Diagnosis or Condition on Axis I Global Assessment of Functioning (GAF) Scale Global Assessment of Functioning (GAF) Scale 100 – 91   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 90- 81     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).
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