Zachary, a 35-year-old diabetic, has sought treatment for depression because he recently lost his job and is currently using alcohol to help him sleep and calm his nerves. What categories of the DSM will Zachary’s clinician most likely take into account when determining a diagnosis?

In the DSM’s former five-axis system, the clinician would consider all five categories. Depression and alcohol use are Axis I disorders; Axis II covers personality disorders or intellectual disability; and diabetes is a medical condition recorded on Axis III. Losing his job is a psychosocial stressor for Axis IV, while Axis V records overall functioning. Therefore, the best answer is A, Axes I, II, III, IV, and V.

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