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Archive
Getting Through Your Independent Medical Examination | Print |
Written by Linda Nee   
Article Index
Getting Through Your Independent Medical Examination
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100
|
91

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.

90
|
|
81 

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).

80
|
|
71 

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 schoolwork).

70
|
 | 
61

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 meaningful interpersonal relationships.

60
|
|
51 

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).

50
|
|
41 

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).

40
|
|
|
31 

Some impairment in reality testing or communication (e.g., speech is at times 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 at school).

30
|
|
21

Behavior is considerably influenced by delusions or hallucinations OR serious impairment, in communication or judgment (e.g., sometimes 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)

20

|
11 

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).

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.

 

Here is additional information to help you understand the Axis Diagnosis Ratings

 

Axis I               Clinical Diagnosis                     

Axis II              Personality Characteristics

Axis III             Physiological-Any organic problems that may be present

Axis IV                        Social-Loss of a loved one, sexual abuse, divorce, career changes

Axis V              Global Assessment of Functioning (GAF) 

 

            GAF ratings of 50 and below are considered to be impairing by the insurance company. The insurance companies will treat psychological tests the same as neuropsyche tests in that the results can be interpreted. In general, a claimant will be asked to submit to a neuropsyche test first, and then the results are forwarded to a forensic psychiatrist or psychologist for interpretation.

EXERTIONAL STANDARDS USED BY THE US DEPARTMENT OF LABOR

SEDENTARY   

Exerting up to 10 pounds of force occasionally and/or negligible amount of force frequently to lift, carry, push, pull, or otherwise move objects, including the human body. Sedentary work involves sitting most of the time, but may involve walking or standing for brief periods of time. Jobs are sedentary if walking and standing are required only occasionally and all other sedentary criteria are met.

LIGHT

 

Exerting up to 20 pounds of force occasionally, and/or up to 10 pounds of force frequently, and/or a negligible amount of force constantly to move objects. Even though the weight lifted may be only a negligible amount, a job should be treated as Light Work if:

  1. It requires walking or standing to a significant degree;
  2. It requires sitting most of the time, but entails pushing and/or pulling of arm or leg controls; and/or
  3. When the job requires working at a production rate pace entailing the constant pushing and/or pulling of materials even though the weight of those materials is negligible. 

MEDIUM

Exerting 20 to 50 pounds of force occasionally, and/or 10 to 25 pounds of force frequently, and/or greater than negligible up to 10 pounds of force constantly to move objects. (Exerting force means lifting.)

HEAVY

Exerting 50 to 100 pounds of force occasionally, and/or 25 to 50 pounds of force frequently, and/or 10 to 20 pounds of force constantly to move objects.

VERY HEAVY

Exerting in excess of 100 pounds of force occasionally, and/or in excess of 50 pounds of force frequently, and/or in excess of 20 pounds of force constantly to move objects.

"Occasionally" means activity or condition exists up to 1/3 of the time in an 8 hour day (2.57 hours in an 8 hour day)

"Frequently" means activity or condition exists from 1/3 to 2/3 of the time in an 8 hour day. (5.33 hours in an 8 hour day)

"Constantly" means activity or condition exists more than 2/3 of time in an 8 hour day. (More than 5.33 hours in an 8 hour day)

 


 
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