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Handbook of AIDS Psychiatry (Hardcover)
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Handbook of AIDS Psychiatry (Hardcover)
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The Handbook of AIDS Psychiatry is a practical guide for AIDS
psychiatrists and other mental health professionals as well as for
other clinicians who work with persons with HIV and AIDS and a
companion book to the Comprehensive Textbook of AIDS Psychiatry
(Cohen and Gorman, 2008). The Handbook provides insights into the
dynamics of adherence to risk reduction and medical care in persons
with HIV and AIDS as well as strategies to improve adherence using
a biopsychosocial approach.
Psychiatric disorders can accelerate the spread of the virus by
creating barriers to risk reduction. Risky sexual behaviors and
sharing of needles in intravenous drug users account for the
majority of new cases each year. Delirium, dementia, depression,
substance dependence, PTSD, and other psychiatric disorders
complicate the course and add considerably to the pain and
suffering of persons with AIDS. HIV infection and AIDS also are
risk factors for suicide, and the rate of suicide has been shown to
be higher in persons with AIDS. Psychiatric care can help prevent
HIV transmission through recognition and treatment of
substance-related disorders, dementia, and mood disorders such as
mania. Comprehensive, coordinated care by a multidisciplinary AIDS
team, including AIDS psychiatrists, can provide a biopsychosocial
approach that is supportive to patients, families, and clinicians.
Psychiatric interventions are valuable in every phase of infection,
from identification of risk behaviors to anticipation about HIV
testing; from exposure and initial infection to confirmation with a
positive HIV antibody test; from entry into systems of care to
managing complex antiretroviral regimen; from healthy seropositive
to onset of first AIDS-related illness; from late stage AIDS to
end-stage AIDS and death.
There is no comprehensive handbook of AIDS psychiatry to guide
clinicians in providing much needed care. The Handbook of AIDS
Psychiatry is a practical pocket guide that provides protocols for
the recognition and treatment of the psychiatric disorders most
prevalent in persons with AIDS and most relevant for primary
physicians, infectious disease specialists, and other caregivers
because of their impact on health, adherence, behavior, and quality
of life.
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