(1) 91—100
Superior functioning in a wide
range of activities, life’s problems never seem to get out of hand, is sought out by others because of his or her many
positive qualities. No symptoms. 81—90 Absent or minimal symptoms (e.g., mild anxiety before an exam), good functioning in all areas,
interested and involved in a wide range of activities, socially effective, generally satisfied with life, no more than everyday
problems or concerns (e.g., an occasional argument with family members). 71—80
If symptoms are present, they are transient and expectable reactions to psychosocial stressors (e.g., difficulty concentrating
after family argument). No more than slight impairment in social, occupational, or school functioning (e.g.,
temporarily falling behind in school).
(2) 61—70 Some mild symptoms
(e.g., depressed mood and mild insomnia) OR some difficulty in social, occupational, or school functioning
(e.g., occasional truancy, or theft within the household), but generally functioning pretty well, has some meaning interpersonal
relationships. (3) 51—60 Moderate symptoms
(e.g., flat affect and circumstantial speech, occasional panic attacks) OR moderate difficulty in social, occupational, or
school functioning (e.g., few friends, conflicts with peers or co-workers).
(4) 41—50
Serious symptoms (e.g., suicidal ideation, severe obsessional rituals, frequent shoplifting) OR any serious impairment
in social, occupational, or school functioning (e.g., no friends, unable to keep a job). 31—40 Some impairment in reality testing or communication (e.g., speech is at time
illogical, obscure, or irrelevant) OR major impairment in several areas, such as work or school, family relations, judgment,
thinking, or mood (e.g., depressed man avoids friends, neglects family, and is unable to work; child frequently beats up younger
children, is defiant at home, and is failing in school).
(5) 21—30
Behavior is considerably influenced by delusions or hallucinations OR serious impairment in communication or judgment
(e.g., sometime incoherent, acts grossly inappropriately, suicidal preoccupation) OR inability to function in almost all areas
(e.g., stays in bed all day: no job, home or friends). 11—20 Some danger
of hurting self or others (e.g., suicide attempts without clear expectation of death; frequently violent; manic excitement)
OR occasionally fails to maintain minimal personal hygiene (e.g., smears feces) OR gross impairment in communication (e.g.,
largely incoherent or mute).
1—10 Persistent danger of severely hurting self or others (e.g., recurrent
violence) OR persistent inability to maintain minimal personal hygiene OR serious suicidal act with clear expectation of death. 0 Inadequate information.
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