Which axis in the DSM-IV multi-axial system would fall under psychosocial stressors such as physical abuse by parents?

• A. Alcohol dependence
• B. Physical abuse by parents
• C. Diabetes
• D. Schizophrenia

Answer: (B)

The main idea is that DSM-IV’s multi-axial system reserves Axis IV for psychosocial and environmental problems that affect functioning and care. Physical abuse by parents is a psychosocial stressor, not a clinical mental disorder or a medical condition. It can influence prognosis, treatment planning, safety, and supports, so it belongs on Axis IV. Other options reflect actual diagnoses or medical issues (an alcohol use disorder and schizophrenia on Axis I, a medical condition like diabetes on Axis III), which is why they don’t fit as psychosocial stressors.