Psychiatric Issues in the Management of Patients With HIV Infection

Approximately 1 million persons are now infected with human immunodeficiency virus (HIV) in the United States. Evidence exists that psychiatric disorders are common in patients with HIV and that these patients may not receive optimal care because their psychiatric disorders are a barrier to medical...

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Veröffentlicht in:JAMA : the journal of the American Medical Association 2001-12, Vol.286 (22), p.2857-2864
Hauptverfasser: Treisman, Glenn J, Angelino, Andrew F, Hutton, Heidi E
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container_title JAMA : the journal of the American Medical Association
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creator Treisman, Glenn J
Angelino, Andrew F
Hutton, Heidi E
description Approximately 1 million persons are now infected with human immunodeficiency virus (HIV) in the United States. Evidence exists that psychiatric disorders are common in patients with HIV and that these patients may not receive optimal care because their psychiatric disorders are a barrier to medical care, communication with clinicians, and adherence to medical recommendations. We describe herein a complex case seen at The Johns Hopkins Hospital with several psychiatric conditions that are common in our HIV clinic population. We describe the collaborative treatment of the patient by a multidisciplinary team including both medical and mental health practitioners. We briefly describe a coherent diagnostic and treatment approach to patients in HIV clinics and the supporting rationale from the literature. We discuss the need for comprehensive evaluation, a multidisciplinary treatment team, and therapeutic optimism.
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subjects Adult
Adult and adolescent clinical studies
Antidepressive Agents - therapeutic use
Attention Deficit Disorder with Hyperactivity - complications
Biological and medical sciences
Depressive Disorder, Major - complications
Depressive Disorder, Major - drug therapy
Desipramine - therapeutic use
Endocarditis, Bacterial - complications
Endocarditis, Bacterial - therapy
Female
HIV
HIV Infections - complications
HIV Infections - psychology
HIV Infections - therapy
Human immunodeficiency virus
Human viral diseases
Humans
Infectious diseases
Medical sciences
Mental Competency
Mental disorders
Mood Disorders - complications
Organic mental disorders. Neuropsychology
Patients
Personality Disorders - complications
Psychiatry
Psychology. Psychoanalysis. Psychiatry
Psychopathology. Psychiatry
Psychotherapy
Substance-Related Disorders - complications
Substance-Related Disorders - rehabilitation
Viral diseases
Viral diseases of the lymphoid tissue and the blood. Aids
title Psychiatric Issues in the Management of Patients With HIV Infection
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