Psychiatric Aspects of HIV Spectrum Disease by Dr. Karl Goodwin, M.D., Ph.D. - Cedars-Sinai Medical Center and UCLA - Psychiatry

Description

This journal article provides a comprehensive overview of the psychiatric care required for patients across the HIV disease spectrum, authored by Dr. Karl Goodwin, a professor and director of clinical research at Cedars-Sinai Medical Center and UCLA. It outlines the psychiatrist's critical role in identifying high-risk behaviors, offering HIV antibody testing, and providing follow-up counseling. The document details the specific presentation and management of psychiatric disorders in this population, including adjustment, anxiety, and depressive spectrum disorders that frequently arise around serostatus notification and initial symptoms. It extensively covers HIV-associated neurocognitive disorders like mild neurocognitive disorder and HIV-associated dementia, emphasizing the need for thorough differential diagnosis to rule out opportunistic infections and medication toxicities. The article also addresses psychosis in HIV, discussing its various etiologies and the careful selection of antipsychotic medications. Aimed at practicing psychiatrists, the resource synthesizes clinical guidelines and evidence to support the diagnosis and tailored treatment of these conditions, integrating considerations for psychopharmacotherapy, drug interactions, and the neuroinflammatory aspects of HIV. It serves as essential university-level material for mental health professionals and medical students specializing in psychosomatic medicine or consultation-liaison psychiatry. Download this in-depth review to enhance your clinical approach to neuropsychiatric complications in HIV.