 the problem is, in psychiatric diagnosis, Axis IV is a  general summary of psychosocial stressors (e.g., health problems,  money problems, family problems, etc.) and is rated as None, Mild,  Moderate, or Severe. Dissociative Disorder is an Axis I diagnosis  (clinically treatable diagnoses fall under Axis I; personality  disorders and mental retardation fall under Axis II; medical  disorders fall under Axis III; psychosocial stressors under Axis IV;  the patients Global Assessment of Function score (GAF: 0 to 100)  falls under Axis V). This is a basic writing/research mistake.