Consultation-liaison psychiatry and HIV-related disorders

F. Fernandez, V. F. Holmes, J. K. Levy, P. Ruiz

Research output: Contribution to journalReview article

22 Scopus citations

Abstract

Acquired immune deficiency syndrome (AIDS) and related disorders are increasingly and unsettlingly prevalent. The authors describe neuropsychiatric, psychosocial, and ethical-legal problems associated with HIV infection that are commonly encountered in a consultation-liaison psychiatry setting. Because of HIV's potential for undermining cognitive function, they recommend a systematic neurobehavioral assessment for the differential diagnosis of emotional disturbance, including a test battery that also identifies neurotoxic effects of pharmacological agents. Among significant psychosocial and ethical-legal problems are patients' reactions to AIDS, their fears of social abandonment, staff burnout, antibody testing, confidentiality, and the use of life-support measures. The consultation-liaison psychiatrist's awareness of the complexities of HIV-related neuropsychiatric symptoms and psychosocial issues can be of enormous benefit to medical caregivers and to the patients themselves.

Original languageEnglish (US)
Pages (from-to)146-153
Number of pages8
JournalHospital and Community Psychiatry
Volume40
Issue number2
DOIs
StatePublished - 1989

ASJC Scopus subject areas

  • Psychiatry and Mental health

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