Answer :
Final answer:
A multi-axial diagnosis for Gregory Baker may indicate schizophrenia on Axis I due to his symptoms, such as delusions and odd behaviors, while other axes would not have diagnoses due to lack of evidence (Axis II and III) or would reflect environmental stressors (Axis IV) and impaired functioning (Axis V).
Explanation:
Creating a multi-axial diagnosis for Gregory Baker involves analyzing his symptoms and behaviors to align them with the appropriate criteria from the DSM diagnostic system. Each axis corresponds to different aspects of the individual's condition and circumstances.
AXIS I: Schizophrenia:
On Axis I, which includes clinical disorders, Mr. Baker's symptoms suggest a diagnosis of schizophrenia. The evidence for this includes his odd behavior, delusions (believing he is 'the Joker' and engaged to Anne), auditory hallucinations (mumbling quietly to himself), negative symptoms (isolation, lack of communication, apathy), and disorganized behaviors (standing on the roof waving his arms).
AXIS II: No diagnosis:
Axis II encompasses personality disorders and intellectual disabilities. While Mr. Baker exhibits symptoms of a psychotic disorder on Axis I, there is no clear evidence in the case study pointing to a personality disorder or intellectual disability on Axis II.
AXIS III: No diagnosis:
Axis III lists relevant medical conditions. Since the case study does not provide clear medical issues other than a negative toxicology screen, no Axis III condition is diagnosed.
AXIS IV: Psychosocial and Environmental Problems:
Axis IV captures the psychosocial and environmental stressors impacting the individual, such as university suspension, lack of support from peers, and family concerns about his behavior.
AXIS V: Global Assessment of Functioning:
The Global Assessment of Functioning (GAF) score on Axis V reflects the individual's overall level of functioning. Based on Mr. Baker's poor insight, judgment, and significant impact on social and occupational functioning, he would likely have a lower GAF score indicating serious impairment.