Cynthia has gone in for a psychiatric assessment. She tells the clinician that lately she has been feeling completely hopeless and dejected, and she no longer enjoys doing any of the things she used to look forward to. The clinician would use

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Symptoms of depression, such as feeling hopeless and losing interest in enjoyable activities, would be recorded on either Axis I or Axis II of the DSM-IV, depending on whether it is considered a primary disorder or a comorbid disorder. Axis IV includes psychosocial and environmental factors that may contribute to the development or worsening of the disorder, and Axis V rates the individual's overall level of functioning. Axis III is used to record any relevant medical conditions or physical disorders. There is no Axis X in the DSM-IV.

Cynthia Has Gone in for a Psychiatric Assessment