Abstract

no abstract available

Highlights

  • The term ‘common mental disorders’ is an overarching term for conditions that affect a significant number of people in the community

  • There is good evidence from international research that the prevalence of depression and anxiety in people living with HIV or AIDS is higher than the prevalence of these disorders in HIV-negative controls.[6]

  • Because the presentation of depression and anxiety can be unclear and because many people do not volunteer information about substance use disorder, it is critical that people who are infected with HIV should be screened for these disorders

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Summary

Low mood or depression

Substance abuse This commonly coexists with depression, and may be a presenting feature. She is HIV positive and has severe weight loss She looks depressed and is very tearful, complaining of fatigue and poor sleep and appetite. BOX 2 Mr M is a 29-year-old man who was recently diagnosed HIV positive when he presented to health services with a severe upper respiratory tract infection. BOX 3 Ms B is a 24-year-old woman who was diagnosed HIV positive during antenatal screening She had PMTCT and her baby was delivered safely 2 weeks ago. She is living with the father of the child, who is aware of her status and has tested HIV positive. What could be going on here? What are the risks in this situation? How would you manage her?

SCREENING FOR COMMON MENTAL DISORDERS IN HIV PRIMARY CARE SERVICES
PREVENTION OF COMMON MENTAL DISORDERS IN HIV PRIMARY CARE SERVICES
MANAGEMENT OF COMMON MENTAL DISORDERS
Identify and treat any underlying or associated general medical condition
Assess cognitive impairment
Assess for suicidality
Treat depressive or anxiety disorders with medication when necessary
Findings
OF CASE SCENARIOS
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