Keywords: DSM-5, multiaxial system, diagnostic skills, mental disorders Additionally, ways in which counselors can sustain their current diagnostic skills while developing updated practices that align with the new streamlined system will be discussed. In this article, the removal of the multiaxial system in the DSM-5 is discussed, and counselor practice suggestions related to each of the five Axes are provided. The removal of the multiaxial system has implications for counselors’ diagnostic practices. ![]() ![]() With the advent of the DSM-5 in 2013, the American Psychiatric Association eliminated the longstanding multiaxial system for mental disorders.
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