When the AIDS pandemic emerged in 1981, the diagnosis of
AIDS was considered terminal. Over the four decades since then, advances in
medicine have transformed HIV/AIDS into chronic and manageable—if still
severe— condition. Despite this success, the annual incidence of HIV remains
high, with 1.3 million new HIV infections worldwide and more than 30,000 in
the United States.
The chapters in this illuminating and concise new
manual suggest that this continued high incidence is driven at least in part
a lack of a biopsychosocial approach to HIV prevention and care. The authors
suggest that destigmatizing mental illness and integrating psychiatric
aspects into multispecialty medical treatment, research, and public health
policy are essential for the next level of meaningful progress in both
prevention of HIV transmission and in the care of persons infected with and
affected by HIV.
Drawing on the expertise of over 20 contributors,
this book is organized into four key sections that examine
•
Psychiatric screening, risk assessment, consultation, and evaluation in HIV
care, including discussions of HIV testing, prevention, and stigma •
Psychiatric illnesses associated with HIV infection, such as depressive,
anxiety, substance-related and addictive, and neurocognitive disorders •
The clinical management of psychiatric comorbidities in HIV-positive
individuals, with attention to interactions between antiretrovirals and
psychotropics, palliative and end-of-life care, and ethical considerations
in HIV psychiatry
• The challenges of providing HIV care against the
backdrop of the COVID-19 pandemic and in resource-limited settings
Offering quick-reference tables and take-home points that distill key
information, this clinically focused manual is an essential resource for
infectious disease specialists, internists, pediatricians, psychiatrists,
psychologists, nurses, and social workers who care for patients across the
lifespan.