A therapist might make a complete DSM multiaxial diagnosis for a client using the following attributes. Match them with the appropriate DSM-IV Axis:

1. Alcoholism
2. Dependent personality disorder
3. Diabetes
4. Death of spouse; unemployment
5. GAF = 60 (moderate symptoms - occasional panic attacks or moderate difficulty in social, occupational, or school functioning)

A. Axis I
B. Axis II
C. Axis III
D. Axis IV
E. Axis V

In the DSM-IV multiaxial system, each axis represents a different aspect of the client's condition. Axis I focuses on clinical disorders, and in this case, alcoholism falls under this category. Axis II addresses personality disorders, and the diagnosis of dependent personality disorder is categorized here.

Axis III pertains to general medical conditions, so diabetes is placed on this axis. Axis IV involves psychosocial and environmental stressors, and the death of a spouse and unemployment are relevant stressors in this context. Finally, Axis V provides the Global Assessment of Functioning (GAF) score, which is a numerical rating indicating the client's overall level of functioning. In this case, a GAF score of 60 corresponds to moderate symptoms and occasional difficulty in functioning.

It's important for a therapist to consider these different axes to provide a comprehensive diagnosis that encompasses various aspects of the client's mental health and life circumstances. The DSM-IV multiaxial system allows for a more holistic understanding of the client's condition, considering not only the specific disorders but also the broader context and contributing factors.

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