HIV/AIDS PSYCHIATRY A Review of Syndromes and Treatment

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- PROTEASE INHIBITORS GENERALLY INHIBIT METABOLISM OF PSYCHOTROPIC MEDS, ESPECIALLY BUPROPRION, BENZODIAZEPINES AND CLOZAPINE - MONITOR DOSES, SIDE-EFFECTS, CLINICAL RESPONSE - RITONAVIR (NORVIR)) AND RITONAVIR / LOPINAVIR (KALETRA) REQUIRES MOST MONITORING - EFAVIRENZ (SUSTIVA) HAS UP TO 34% CNS PENETRATION –- FREQUENT CNS / PSYCHIATRIC MANIFESTATIONS –- CAN HAVE ACUTE ONSET OF MOOD SHIFT, AGITATION, SUICIDALITY
Challenges • What am I treating? • What does the patient report as a problem? • What do other people report as a problem? • Adherence to ARV RX • Substances • Drug interactions • Delirium • Vague symptoms • What is the problem?
Page 1 and 2: HIV/AIDS PSYCHIATRY A Review of Syn
Page 3 and 4: •HUMAN RETROVIRUS IDENTIFIED IN 1
Page 5 and 6: •PSYCHIATRIC MOOD DISORDERS BIPOL
Page 7 and 8: • USUALLY LASTS FOR YEARS • BAL
Page 9 and 10: Biology HIV creates chronic, progre
Page 11 and 12: ANTIVIRAL THERAPY TARGETS DURING TH
Page 13 and 14: • NUCLEOSIDE REVERSE TRANSCRIPTAS
Page 18 and 19: - ADJUSTMENT DISORDERS - ANXIETY DI
Page 20 and 21: - VERY COMMON - ELEVATED PREVALENCE
Page 22 and 23: - IMPROVE QUALITY OF LIFE - FACILIT
Page 24 and 25: - THINK GERIATRIC BRAIN •START LO
Page 26 and 27: Depression Rx • SRI’s • SSNRI
Page 28 and 29: BIPOLAR DISORDERS • PRE-EXISTING
Page 30 and 31: PSYCHOTIC DISORDERS • PRE-EXISTIN
Page 32 and 33: COGNITIVE DISORDERS • COMMON COMP
Page 34 and 35: COGNITIVE DISORDERS • NEURO-PSYCH
Page 36 and 37: SLEEP DISORDERS • VERY COMMON - c
Page 38 and 39: OTHER INTERVENTIONS • PSYCHOTHERA
Page 40: SUMMARY • PSYCHIATRIC DISORDERS A

HIV/AIDS PSYCHIATRY A Review of Syndromes and Treatment

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