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Psychiatric AXIS I formatting - Sam

Posted: May 31, 2013

Greetings, I recently got a gig for Psychiatric clinic and I am a little confused as to the accepted formatting for DSM diagnoses under AXIS I... Here is what I have been doing, and it's different from examples I've seen online... I'm thinking I learned my current style from either CareerStep or working for Nuance; however, I'm not sure... My clinic doesn't really have any concrete formatting guidelines, but I want to be using best practices nonetheless.

DIAGNOSIS:

AXIS I

1. Major depressive disorder: NOS, recurrent.

2. ADHD: Combined type.

3. Rule out- Anxiety disorder: NOS.

AXIS II: Blah Blah Blah.

Examples I've seen online are like this-

"AXIS I: Major depressive disorder, NOS, recurrent.", using commas instead of a colon. This seems gramatically incorrect to me. A colon seems proper as "NOS" and "recurrent" further describe "Major depressive disorder".

Anyone who is actively working as a Psych MT who could give me a hand would be greatly appreciated.

Thanks!

-Sam

Axis I - sm

[ In Reply To ..]
commas are ok for each diagnosis under Axis I if ok with your client, I have had doctors who wanted them numbered as you first showed.

Here is what I would put if numbered not requested:
AXIS I: Major depressive disorder, not otherwise specified, recurrent; attention deficit hyperactivity disorder, combined type; rule out anxiety disorder, not otherwise specified.

My account wants abbreviations spelled out and doesn't care about numbering under Axis I. HTH.

Been a psych MT for a long time... - ZvilleMT

[ In Reply To ..]
and it seems every doc or clinic likes their Axes differently, but I've always used a comma in between things like major depressive disorder, NOS, recurrent rather than a colon. I've also always been told not to use abbreviations in the Axes, so NOS is always typed out fully, as well as diagnoses like ADHD. This is also for Axis III for medical diagnoses like COPD.

What I've done when I've gotten a new account is ask for a copy of a report, just to see how they've had it done - that eliminates any questions or problems you might run into.

Hope this helps :)

AXIS I: or Axis I: - Obi Wan

[ In Reply To ..]
It can vary depending on the client. If the client has no formatting preference. it is acceptable to use the format below with a colon after the Roman numeral and commas.

AXIS I: Blah, blahâ�¦
AXIS II: Blah, blahâ�¦
AXIS III: Blah, blahâ�¦
AXIS IV: Blah, blahâ�¦
AXIS V: Blah, blah

I cannot recall ever seeing it transcribed without a colon after the Roman numeral, even when using the numbering format.

AXIS I: Blah, blah, blah.
AXIS II:
1. Blah, blah.
2. Blah, blah.

I have also seen it transcribed with the AXIS in mixed case, but I only transcribe it that way if it is a client preference.

Axis I: Blah, blah, blah.
Axis II: Blah, blah.

I hope this helps.

I do it like Obi Wan. I also use heading - DIAGNOSES (plural) nm

[ In Reply To ..]
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