MULTIAXIAL ASSESSMENT Axis I- Schizophrenia Undifferentiated This type of schizophrenia is manifested by pronounced delusions, hallucinations, and disorganized thought

processes and behavior, but criteria for other types of schizophrenia are not met (Antai-Otong, 2003). Axis II Schizotypal Personality Disorder Schizotypal personality disorder, or simply schizotypal disorder, is a personality disorder that is characterized by a need for social isolation, odd behavior and thinking, and often unconventional beliefs. These people tend to turn inward rather than interact with others, and experience extreme anxiety in social situations. People with schizotypal personality disorder often have trouble engaging with others and appear emotionally distant. They find their social isolation painful, and eventually develop distorted perceptions about how interpersonal relationships form. (Psychiatric Nursing: contemporary practice. Mary Ann Boyd. 2007) Individuals with schizotypal personality disorder have odd thoughts, affects, perceptions, and beliefs. Diagnostic criteria fort 301.22 Schizotypal Personality Disorder A. A pervasive pattern of social and interpersonal deficits marked by acute discomfort with, and reduced capacity for, close relationships as well as by cognitive or perceptual distortions and eccentricities of behavior, by beginning by early adulthood and present in a variety of contexts, as indicated by five or more of the following: 1. Ideas of reference (excluding delusions of reference)

2. odd beliefs or magical thinking that influences behavior and is inconsistent with subcultural norms (e.g., superstitiousness, belief in clairvoyance, telepathy, or sixth sense in children and adolescents, bizarre fantasies or preoccupations) 3. unusual perceptual experiences, including bodily illusions 4. odd thinking and speech (e.g., vague, circumstantial, metaphorical, overelaborate, or stereotyped) 5. suspiciousness or paranoid ideation 6. inappropriate or constricted affect 7. behavior or appearance that is odd, eccentric or peculiar 8. lack of close friends or confidants other than first-degree relatives 9. excessive social anxiety that does not diminish with familiarity and tends to be associated with paranoid fears rather than negative judgments about self

B. Does not occur exclusively during the course of Schizophrenia, a Mood Disorder with Psychotic Features, another Psychotic Disorder, or a Pervasive Developmental Disorder

Note: If criteria are met prior to the onset of Schizophrenia, add Premorbid, e.g., Schizotypal Personality Disorder (Premorbid) 510 100

=50%

Axis III- Axis 3 is not applicable to the client. Axis IV- inability to go back to school, unemployment Johnny was unable to finish his schooling. He was a 3rd -year undergraduate at the Mountain View College with a course of Theology. The reason for stopping school was due to the onset of his illness. As a result of the patients mental illness, he has not landed a permanent job and is currently unemployed. The patients educational attainment also made him unable to land a job. The patient is currently living with his family and depends on them for his basic needs. Axis V- Global Assessment of Functioning a) Initial Assessment (60/ 51) Moderate symptoms or moderate difficulty in social, occupational, or school functioning. According to the patient, he finds it hard to sleep at night. Usually he cannot sleep from 1am up to 3am. Circumstantial speech is also noted since he provides an excessive amount of irrelevant detail before finally arriving at the answer. According to Johnny, his family members are considered to be his only friends. Also, he is quite, timid and is withdrawn to people around him like his neighbors. b) Final Assessment (60/ 51) Moderate symptoms or moderate difficulty in social, occupational, or school functioning. During the final assessment, circumstantiality in his speech is noted. He

was also quite aloof to the group, when the interview and assessment was being conducted.