Handbook of AIDS Psychiatry

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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 guid

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Editorial Reviews

Doody's Review Service
Reviewer: Debra L. Ciasulli, MD (Rush University Medical Center)
Description: This book advocates a holistic treatment approach to patients with HIV/AIDS who are also suffering with either a previously diagnosed psychiatric illness, or a psychiatric illness as a consequence of HIV/AIDS.
Purpose: The purpose is to educate clinicians whose primary focus is psychiatric care in an effort to decrease transmission, suffering, morbidity, and mortality among patients with HIV/AIDS and to improve treatment adherence. The book poses that the best way to accomplish this is to integrate the psychiatric, medical, and social needs of patients with HIV/AIDS.
Audience: Practicing clinicians are the intended audience, including psychiatrists, internists, and social workers.
Features: The book begins with chapters focusing on the early history of HIV/AIDS, including the stigma associated with the diagnosis and the concept of AIDism, and then transitions into discussing the more current approach (biopsychosocial) to patients with HIV/AIDS. The book also addresses common problems faced by clinicians, in terms of integration of care and issues with compliance. The book concludes with a discussion of end-of-life care and common medicolegal issues encountered in this patient population. At the end of each chapter is a helpful list of references.
Assessment: I found the book to be useful, but it is a little bit long-winded and perhaps too simplistic. I was also a bit surprised to find some typos.
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Product Details

  • ISBN-13: 9780195372571
  • Publisher: Oxford University Press, USA
  • Publication date: 5/12/2010
  • Pages: 400
  • Product dimensions: 6.30 (w) x 9.30 (h) x 1.40 (d)

Meet the Author

Mary Ann Cohen, M.D., F.A.C.P., F.A.P.M, Clinical Professor of Psychiatry, Mount Sinai School of Medicine; Voluntary Attending Psychiatrist; Former Director AIDS Psychiatry, Mount Sinai Medical Center, New York, New York

Harold W. Goforth, M.D., F.A.P.M., Assistant Professor of Psychiatry and Behavioral Sciences, Duke University Medical Center, Durham, North Carolina; Co-director, Consultation Psychiatry Service and Attending Physician, GRECC—Division of Palliative Medicine; Durham Veterans Affairs Medical Center. Durham, North Carolina

Joseph Z. Lux, M.D., Attending Psychiatrist, Division of Consultation-Liaison Psychiaty, Bellevue Hospital Center, New York, New York

Sharon M. Batista, M.D., Chief Resident, Department of Psychiatry, Mount Sinai School of Medicine, Mount Sinai Hospital, New York, New York

Sami Khalife, M.D., Attending Psychiatrist, Intensive Psychiatric Service, Manhattan Psychiatric Center, New York, New York

Kelly L. Cozza, M.D., F.A.P.M., Associate Professor of Psychiatry, Uniformed Services University, Bethesda, Maryland; Consultant, Department of Psychiatry, Walter Reed Army Medical Center, Washington, D.C.

Jocelyn Soffer, M.D., Child and Adolescent Psychiatry Resident, Department of Child and Adolescent Psychiatry, New York University; Clinical Instructor, New York University Child Study Center, New York, New York

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Table of Contents


1. Settings and Models of AIDS Psychiatric Care

Mary Ann Cohen, Harold W. Goforth, Sami Khalife

2. Comprehensive AIDS Psychiatric Assessment - A Biopsychosocial Approach

Mary Ann Cohen, Sharon M. Batista, Joseph Z. Lux

3. HIV through the Life Cycle

Mary Ann Cohen, Sharon M. Batista, Jocelyn Soffer

4. Stigma of HIV and AIDS - Psychiatric Aspects

Sami Khalife, Jocelyn Soffer, Mary Ann Cohen

5. Strategies for Primary and Secondary Prevention

Sami Khalife, Mary Ann Cohen, Harold W. Goforth

6. Diagnosis of Psychiatric Disorders

Sharon M. Batista, Harold W. Goforth, Mary Ann Cohen

7. Psychopharmacologic Treatment of Psychiatric Disorders

Kelly L. Cozza, Harold W. Goforth, Sharon M. Batista

8. Psychotherapeutic Treatment of Psychiatric Disorders

Jocelyn Soffer, Mary Ann Cohen

9. Symptoms Associated with HIV and AIDS

Harold W. Goforth, Mary Ann Cohen

10. HIV, AIDS, and Medical Comorbid Illnesses

Joseph Z. Lux, Harold W. Goforth

11. Biopsychosocial Approach to Treatment

Mary Ann Cohen, Harold W. Goforth

12. AIDS Palliative Psychiatry

Mary Ann Cohen, Joseph Z. Lux, Harold W. Goforth, Sami Khalife

13. Ethical Aspects of AIDS Psychiatry

Mary Ann Cohen, Sharon M. Batista

14. Resources for Persons with AIDS and their Caregivers

Sharon M. Batista, Kelly L. Cozza

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