UA-63899747-1 Global Assessment of Functioning (GAF) – Nzinga Harrison, MD
Reconciling With a Spouse Receiving Treatment
March 22, 2011
Multi-Axial Diagnosis
March 30, 2011

The Global Assessment of Functioning, also known as the GAF is also 100-point scale that Psychiatrists and mental health clinicians use to score overall psychological, social and occupational functioning.  It is designed to be used in individuals who over 18 years old and does not include difficulties a person is having due to physical or environmental problems.

An individual’s GAF score is found on Axis V (five) of the multi-axial diagnosis.   See the chart below for an idea of what different ranges of GAF represent.


91-100 Superior functioning in a wide rage of activities, life's problems never seem to get out of hand, is sought out by others because of his or her many qualities. No symptoms.
90-81 Absent or minimal symptoms, good functioning in all areas, interested and involved in a wide range or activities, socially effective, generally satisfied with life, no more than everyday problems or concerns.
80-71 If symptoms are present they are transient and expectable reactions to psychosocial stresses; no more than slight impairment in social, occupational, or school functioning
70-61 Some mild symptoms OR some difficulty in social, occupational, or school functioning, but generally functioning pretty well, has some meaningful interpersonal relationships.
60-51 Moderate symptoms OR any moderate difficulty in social, occupational, or school functioning.
50-41 Serious symptoms OR any serious impairment in social, occupational, or school functioning.
40-31 Some impairment in reality testing or communication OR major impairment in several areas, such as work or school, family relations, judgment, thinking, or mood.
30-21 Behavior is considered influenced by delusions or hallucinations OR serious impairment in communications or judgment OR inability to function in all areas.
20-11 Some danger or hurting self or others OR occasionally fails to maintain minimal personal hygiene OR gross impairment in communication.
10-1 Persistent danger of severely hurting self or others OR persistent inability to maintain minimum personal hygiene OR serious suicidal act with clear expectation of death.


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