title: Mental health problems in people living with HIV: changes in the last two decades: the London experience 1990-2014.
abstract: Mental health problems continue to be a significant comorbidity for people with HIV infection, even in the era of effective antiretroviral therapy. Here, we report on the changes in the mental health diagnoses based on clinical case reports amongst people with HIV referred to a specialist psychological medicine department over a 24-year period, which include the relative increase in depressive and anxiety disorders, often of a chronic nature, together with a decline in acute mental health syndromes, mania, and organic brain disorders. In addition, new challenges, like the presence of HIV and Hepatitis C co-infection, and the new problems created by recreational drugs, confirm the need for mental health services to be closely involved with the general medical services. A substantial proportion of people with HIV referred to specialist services suffer complex difficulties, which often require the collaboration of both psychiatrists and psychologists to deal effectively with their difficulties.
authors.affiliation: a Psychological Medicine , South Kensington and Chelsea Mental Health Centre , London , UK.
authors.forename: Catherine
authors.initials: C
authors.lastname: Adams
authors.affiliation: a Psychological Medicine , South Kensington and Chelsea Mental Health Centre , London , UK.
authors.forename: Shilpa
authors.initials: S
authors.lastname: Zacharia
authors.affiliation: a Psychological Medicine , South Kensington and Chelsea Mental Health Centre , London , UK.
authors.forename: Lisa
authors.initials: L
authors.lastname: Masters
authors.affiliation: a Psychological Medicine , South Kensington and Chelsea Mental Health Centre , London , UK.
authors.forename: Caroline
authors.initials: C
authors.lastname: Coffey
authors.affiliation: a Psychological Medicine , South Kensington and Chelsea Mental Health Centre , London , UK.
authors.forename: Pepe
authors.initials: P
authors.lastname: Catalan
mesh_terms: D000328:Adult; D001008:Anxiety Disorders / Q000453:epidemiology* / Q000523:psychology; D001714:Bipolar Disorder / Q000453:epidemiology* / Q000523:psychology; D060085:Coinfection; D015897:Comorbidity; D003866:Depressive Disorder / Q000453:epidemiology* / Q000523:psychology; D005260:Female; D015658:HIV Infections / Q000150:complications / Q000523:psychology*; D006526:Hepatitis C / Q000453:epidemiology; D006801:Humans; D008131:London / Q000453:epidemiology; D008297:Male; D001523:Mental Disorders / Q000453:epidemiology / Q000523:psychology; D008603:Mental Health; D008605:Mental Health Services; D008875:Middle Aged; D012017:Referral and Consultation / Q000706:statistics & numerical data*; D020018:Sexual Dysfunctions, Psychological / Q000453:epidemiology; D019966:Substance-Related Disorders / Q000453:epidemiology / Q000523:psychology
keywords: HIV; Hepatitis C; Psychiatry; psychology; recreational drugs