Then and now … HIV consultation psychiatry update

Harold W Goforth1, Matthew Bader, Francisco Fernandez

  • 1Cleveland Clinic Foundation, Neurological Institute, Neurological Center for Pain, Department of Psychiatry & Psychology, Cleveland, Ohio, USA.

Insights

Human immunodeficiency virus (HIV) is now a chronic condition, but co-infections and addiction remain significant challenges. This chapter reviews updated treatments for addiction and HIV/hepatitis C virus prophylaxis.

Area of Science:

  • Medical Science
  • Psychiatry
  • Infectious Diseases

Background:

  • Human immunodeficiency virus (HIV) infection has transitioned to a chronic disease management model over the past 20 years.
  • Despite advancements, individuals with HIV face ongoing challenges, including managing co-morbid illnesses and preventing disease transmission.
  • Addiction remains a significant issue, substantially contributing to morbidity and mortality in the HIV-positive population.

Purpose of the Study:

  • To present recent advancements in the treatment of addictions in individuals with HIV.
  • To offer an overview of current medical updates concerning prophylaxis for HIV and hepatitis C virus (HCV) exposure.
  • To explore the relevance of these medical updates for consultant psychiatrists.

Main Methods:

  • Literature review of recent studies on addiction treatment in HIV-positive individuals.
  • Review of current clinical guidelines and research on HIV and HCV exposure prophylaxis.
  • Synthesis of information to highlight the role of consultant psychiatrists in managing these complex cases.

Main Results:

  • Emerging therapeutic strategies show promise for managing co-occurring addiction and HIV.
  • Updated prophylaxis protocols for HIV and HCV exposure offer improved prevention measures.
  • Consultant psychiatrists play a crucial role in the multidisciplinary care of HIV patients with addiction and co-infection concerns.

Conclusions:

  • Effective management of HIV requires addressing co-morbidities like addiction and implementing robust prophylaxis strategies.
  • Continuous updates in treatment protocols and psychiatric consultation are essential for improving outcomes in HIV care.
  • Integrating addiction treatment and infectious disease management is vital for the long-term health of individuals living with HIV.

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