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The Psychiatry of AIDS: A Guide to Diagnosis and Treatment

Tudor Wing HIV and Sexual Health Service, The Hillingdon Hospital, Uxbridge, Middlesex

Glenn J. Treisman & Andrew F. Angelino (eds) Baltimore: Johns Hopkins University Press, 2004, £14.50 pb, 240 pp. ISBN: 0-8018-8006-8

This book aims to focus on clients with HIV whose conditions are complicated by mental health problems. It begins with a detailed history of HIV/AIDS, highlighting the impact of highly active anti-retroviral treatment (HAART) on improving survival rates. It then looks at adherence, which is frequently compromised by complicated medical regimens, side-effects, risk-taking behaviours and mental health problems. Although the book is intended for HIV/AIDS professionals, it would be equally suitable for those outside the field, given the broad discussions of the main clinical issues, practical advice and recommendations.

The book offers a detailed description of behavioural observations during psychometric assessments, particularly those associated with AIDS-related dementia, together with suggestions for assessment questions and recommendations for cognitive tests, specific treatment plans and relapse prevention strategies. These discussions are supported by case studies, which reflect the multidimensional treatment approach often necessary for those with HIV whose conditions may be associated with depression, anxiety disorders, sexual difficulties, psychosis, personality disorder, addictions or neuropathology, and the professional and medical dilemmas involved with this group.

The authors emphasise the importance of developing a systemic understanding of cognitive functioning, social and recreational activities and environmental influences, which might affect a patient’s condition. However, they fail to consider the benefits of multidisciplinary working in this regard. For example, most if not all UK-based HIV services employ nurse specialists and health advisors who provide expertise and advice about adherence; clinical psychologists also frequently treat clients presenting with mental health problems and nonadherence. It is noteworthy that the book focuses on the American healthcare system, so one wonders whether the omission with regards to multidisciplinary teamwork reflects a difference in service provision between the USA and the UK. Nevertheless, this book is useful as an overview of the issues that challenge clinicians working in HIV and is written in a thoughtful and readable style, which would appeal to a wide readership.

This Article Full Text (PDF) Submit an eLetter Alert me when this article is cited Alert me when eLetters are posted Alert me if a correction is posted Services Email this article to a friend Similar articles in this journal Alert me to new issues of the journal Download to citation manager Citing Articles Citing Articles via Google Scholar Google Scholar Articles by Kalsy, S. Search for Related Content PubMed Articles by Kalsy, S.