Psychiatric Aspects of HIV/AIDS

Description

The book moves effortlessly from basic science and clinical research, through the epidemiology of HIV (incidence and risk factors for mental disease), to a compilation of practical tools to measure, monitor, and treat the psychiatric aspects of HIV and AIDS. The specifics of HIV science, the epidemiology of HIV infection in the United States, and the psychiatric disorders, predispositions, and diseases associated with various stages of HIV in different populations are clearly outlined. The populations discussed, including women, children, homosexual men, the homeless, and prisoners, are specific to the United States, but the information the chapters contain is applicable in many parts of the world. Of practical use to psychiatrists and others in HIV care will be the section on coexisting conditions, including the stress-distress spectrum and adjustment disorders, anxiety disorders, mood disorders, psychotic disorders, sleep disorders, and the difficult areas of cognitive and substance-abuse disorders. Accurate and accessible information on psychotropic drug interactions with antiretroviral medications, and on detailed management of coexisting psychiatric conditions in medically ill patients, will provide a valuable reference in many settings. Diagnostic tools, including psychiatric assessment, psychological and neuropsychological testing, and the use of electrophysiology and brain mapping, are also covered. All readers will appreciate the excellent reviews of the literature on the epidemiology of coexisting psychiatric conditions, postulated pathophysiological processes, and the available data on evidence for diagnosis and treatment.

A concise, thoughtful, and well-written synthesis. This is an accessible and coherent compilation covering a broad spectrum of topics with concise chapters. The "background" section which addresses the epidemiology and transmission of HIV/AIDS, will be especially helpful to mental health clinicians in the trenches who may not have a current public health or scientific perspective on the illness. I found the chapter on neuropsychological testing to be particularly useful. Readers who are interested in relevant topics beyond the traditional medical and psychiatric perspectives of HIV/AIDS will likely find the sections on "Special Populations," "Special Issues," and "Policy Issues" the most innovative and thought-provoking parts of the book. It is these sections that bridge the gaps that the authors are most concerned with-between clinicians on the one hand, and policy makers, researchers, allied professional groups, and those concerned with the myriad effects of HIV/AIDS on the other. This book laudably reaches its goal of providing a broad framework on which to add the psychological, social, spiritual, psychiatric, and neurobehavioral aspects of the disease to the standard biologic ones.

This comprehensive text focuses on psychiatric issues associated with HIV/AIDS and provides clinicians with a basic understanding of epidemiology, virology, transmission, and medical treatments inclusive of occupational exposures. Psychosocial, spiritual, and sociocultural aspects of HIV/AIDS are covered, describing implications of HIV/AIDS across minority groups. The treatment section allows clinicians to organize an effective psychiatric treatment plan for all mental disorders associated with HIV/AIDS. Issues of adherence, prevention, and public well-being are emphasized throughout. The management of medical problems such as delirium, dementia, and pain management in special HIV/AIDS patients with co-morbid substance abuse as well as end of life care is also included.

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