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The five axes of the DSM-IV classification system were: clinical disorders (I), personality disorders/intellectual disability (II), general medical disorders (III), psychosocial and environmental factors (IV), and the global assessment of functioning (IV).
The Axes were categorized as such: Axis I: Mental Health and Substance Use Disorders. Axis II: Personality Disorders and Mental ation (now Intellectual Development Disorder) Axis III: General Medical Conditions. Axis IV: Psychosocial and Environmental Problems. Axis V: Global Assessment of Functioning (GAF)
The concept of multiaxial evaluation, that an individual is evaluated in terms of several different domains of information that are assumed to be of high clinical value, was introduced in the United States in the mid-1970s.
The fifth DSM axis had long been criticized for lack of reliability and consistency amongst clinicians. It was because of that lack of reliability as well as poor clinical utility that the APA chose to remove this measure from the DSM-5.
Up to and including the DSM-IV-TR, the multiaxial system was used to help clinicians fully evaluate the biological, environmental, and psychological factors that can play a role in a mental health condition.
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The DSM-III introduced a multiaxial or multidimensional approach for diagnosing mental disorders. The multiaxial approach was intended to help clinicians and psychiatrists make comprehensive evaluations of a clients level of functioning because mental illnesses often impact many different life areas.

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