Management of psychiatric disorders in patients infected with human immunodefidency virus

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Abstract

Psychiatric disorders increase the risk of acquiring human immunodeficiency virus (HIV) and increase morbidity from HIV-related illness by impeding treatment. The response to highly active antiretroviral therapies is impaired by poor patient adherence, a substantial component of which is related to mental illness and substance use disorders. The recognition of psychiatric disorders in most HIV clinics is an issue of utmost importance. We outline diagnostic and treatment issues for major depression, bipolar disorder, personality disorder, substance use disorders, and demoralization as seen in patients with HIV. Our experience at the Johns Hopkins Moore (HIV) Clinic has led us to conclude that treatment of these disorders greatly improves patient adherence to treatment and outcomes of HIV infection.

Original languageEnglish (US)
Pages (from-to)847-856
Number of pages10
JournalClinical Infectious Diseases
Volume33
Issue number6
DOIs
StatePublished - Sep 15 2001

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ASJC Scopus subject areas

  • Microbiology (medical)
  • Infectious Diseases

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