| Titre : | Psychiatric issues in the management of patients with HIV infection. (2001) |
| Auteurs : | Glenn-J TREISMAN ; Andrew-F ANGELINO ; Heidi-E HUTTON ; Department of Psychiatry and Behavioral Sciences The Johns Hopkins Hospital. Baltimore. MD. USA |
| Type de document : | Article |
| Dans : | JAMA - Journal of the american medical association (vol. 286, n° 22, 2001) |
| Pagination : | 2857-2864 |
| Langues: | Anglais |
| Mots-clés : | Sida ; Virose ; Infection ; VIH ; Rétrovirus ; Virus ; Complication ; Psychopathologie ; Symptôme psychique ; Symptôme ; Diagnostic ; Psychiatrie ; Thérapeutique ; Thérapeutique médicamenteuse ; Chimiothérapie ; Etude cas ; Adulte ; Homme ; Femme ; Etats Unis ; Amérique ; Immunopathologie ; Amérique du Nord |
| Résumé : | [BDSP. Notice produite par INIST-CNRS 76oR0xqw. Diffusion soumise à autorisation]. Approximately 1 million persons are now infected with human immunodeficiency virus (HIV) in the United States. Evidence exists that psychiatric disorders are common in patients with HIV and that these patients may not receive optimal care because their psychiatric disorders are a barrier to medical care, communication with clinicians, and adherence to medical recommen-dations. We describe herein a complex case seen at The Johns Hopkins Hospital with several psychiatric conditions that are common in our HIV clinic population. We describe the collaborative treatment of the patient by a multidisciplinary team including both medical and mental health practitioners. We briefly describe a coherent diagnostic and treatment approach to patients in HIV clinics and the supporting rationale from the literature. We discuss the need for comprehensive evaluation, a multidisciplinary treatment team, and therapeutic optimism. |
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