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Gaf Of 45 To 55
Posted 03 November 2008 - 01:00 PM
Posted 03 November 2008 - 01:16 PM
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 qualities. No symptoms.
81-90 Absent or minimal symptoms, 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.
71-80 If symptoms are present they are transient and expectable reactions to psychosocial stresses; no more than slight impairment in social, occupational, or school functioning.
61-70 Some mild symptoms OR some difficulty in social, occupational, or school functioning, but generally functioning pretty well, has some meaningful interpersonal relationships.
51-60 Moderate symptoms OR any moderate difficulty in social, occupational, or school functioning.
41-50 Serious symptoms OR any serious impairment in social, occupational, or school functioning.
31-40 Some impairment in reality testing or communication OR major impairment in several areas, such as work or school, family relations, judgment, thinking, or mood.
21-30 Behavior is considerably influenced by delusions or hallucinations OR serious impairment in communications or judgment OR inability to function in all areas.
11-20 Some danger of hurting self or others OR occasionally fails to maintain minimal personal hygiene OR gross impairment in communication.
1-10 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.
0 Not enough information available to provide GAF.
I am reviewing my medical records from v.a. hosp and there are several insitances of a gaf either at 45 or 55, anyone know what this will relate to as what the rater would do being there is two different scores.
Posted 03 November 2008 - 02:21 PM
Let's say you had a flashback and had a fight with the significant other. You go to your room and what have you. You to get up in the middle of the night still feeling like crap. You go to the VA ER. Because let's say your not talking to people, you were having flash backs, nightmares, you started drinking, depressed, etc...having bad thoughts....GAF SCORE POSSIBLE 30.
After the ER, a good night's sleep after talking to the shrink, getting your med's properly dosed up....you love your girlfriend again, as you walk through the VA you find 100.00 bill on the ground nobody claims it.....your feeling great....the ER Pysch gives you a GAF Score of 100.
Here is my question to you...are you cured? No. Global Assessment of Functioning is subjective to the time, place and evaluation of the person who is evaluating how you feel. So two people in the same room at the same time seeing the same exact patient at the same exact time can come up with a different GAF score. Also according to the Diagnostic Criteria from DSM-IV-TR from the American Psychiatric Association indicates that GAF scores must consider pyschological, social and occupatioal functioning on a HYPOTHETICAL continuum of mental health-illness. It also says that they can not include your functioning due to phyiscal limitations...or disabilities....
So how much weight does a GAF score if it is "Hypothetical". If the scores range in 9pt increments how do they discriminate on scores from one being a 41 and a 46 where is the determining factor?
Posted 03 November 2008 - 02:32 PM
My advice is to not worry to much about GAF's they are hard to change unless you overwhelm with solid medical evidence and treatment.
The type of meds and strength given you by the VA is more relevant in my opinion
Posted 03 November 2008 - 03:09 PM
Posted 03 November 2008 - 07:54 PM
Posted 04 November 2008 - 05:52 AM
Posted 04 November 2008 - 11:01 PM
Gaf is critical in analyzing your case. it is a large part of the determination and should be looked on as such by anyone filing a psych sc case. the lower your gaf the better off you are for determination. but your case has to be well documented support the GAF score. my GAF has been the same for years, because i don't play well with people...and occasionally ran with scissors.
e='mcso111' date='Nov 4 2008, 06:52 AM' post='112464']
Thanks everyone for your input, so what i am taking from this is that the gaf alone doesnt hold a lot of weight but the gaf mixed with other factors is what they will rate on. again thanks for everyone's input
Posted 04 November 2008 - 11:10 PM
Don't worry about having two GAF's for look inside the medical records jacket of a mental patient will reveal many, many different GAF scores. It changes from day to day and sometimes even during an appointment.
Posted 05 November 2008 - 05:52 AM