G.P. Institute / Hospital of Alternative Therapies & Research Centre,
Hyderabad-20, INDIA.
* Mental Health Clinicians have had a major role in the health care
system in the efforts to cope with
HIV related disorders.
* Neuropsychiatric complications occur in at least 50% of patients
* Psychiatric syndroms associated with AIDS patients needs treatment
with drugs and Psychotherapy.
* Mental health professionals and mental health organisations have used
their influence to educate people about
societal effects of HIV related disorders and need
to change in behaviors that are generally held to be private,
such as sexual and substance using behaviours.
PSYCHIATRIC SYNDROMES
1. Dementra
* A poor prognostic sign
* 50%-75% of Patients with dementia die within six
months
2. Delirium
3. Anxiety Disorders
* Generalized Anxiety disorders
* Post-trumatic stress disorders(PSTD)
* Obessive compulsive diorders(OCD)
4. Adjustment Disorders
* Occur in 5-20% of patients
* More in military recruits and prison inmates
5. Depressive Disorders
* 4%-40% of HIV infected patients suffer from
depression
6. Substance - Abuse
7. Suicide
* RISK FACTORS
* Having friends who died of AIDS
* Recent notification of HIV Seropositive
* Inadequae social / Financial support
* Relapses
8. Mania
PRE-TEST COUNCELING
1. Discuss meaning of positive result; clarify distortions
2. Discuss meaning of Negative rsult
3. Be available to discuss the patient's fear and concerns
4. Discuss why the test in necessary
5. Explore patient's reactions to positive result-intercence in a
potentially catastrophic reaction.
6. Explore past reactions to serve stresses.
7. Explore high risk behaviors.
8. Allow the patient to ask questions
POST-TEST COUNSELING
1. Interpretaion of Test result; clarify distortions.
2. Recommendation for prevention of transmission
3. Recommendation on the follow up of sexual partnersand needle contacts
4. If test result is positive - Recommendation against donating Blood,
Sperum or organs
5. Appropriate psychological support
COMMON-THEMES
* Shock Diagnosis
* Fear of Death
* Social consequences
* Grief over potential losses
-----------------------------------------------------------------------
Depressionn - Hopelesness - Angor - Frustraion - Guilt - Obsessive Themes
-----------------------------------------------------------------------
TREATMENT OF PSYCHIATRIC SYNDROMES
1. Drugs
: ANTIPSYCHOTICS
ANTI DEPRESSANTS
ANXIOLYTICS
2. Psychotherapy
:
Individual psychotherapy
Short term
Supportive psychotherapy
Cognitive Behavior Therapy(CBT)
3. Public Education Compaigns : Safe
sex guidelines
Educate about HIV substance abouse
4. Involvement of Signification
others
: FAMILY
Lover
Friends
Number of patients seen at G.P. Institute / Hospital of Alternative Therapies &
Research centre, Hyderabad
Year2000
Year2001(Upto October)
Total No.of patients : 214
Total No.of patients
:
118
Anxiety Disorders :
45.79% Anxiety Disorders
: 40.67%
Depression
: 28.97% Depression
: 23.72%
Mania
: 0.93% Mania
: NIL
Schizophrenia
:
0.46% Schizophrenia
: 3.38%
Dementia
: NIL
Dementia
: NIL
Nil psychiatric
:
23.83% Nil psychiatric
: 32.70%
TREATMENT
All the patients are treated for HIV/AIDS by the following:
Ayurvedic drugs, manufactured by G.P. Pharmaceuticals, Hyderabad(A.P)
AVALMIC-I KAPHAYOG
AVALMIC-II MEDHAMRUTHA
Simultaneously the patients, who are suffering from psychiatric disorders, are treated by
Antipsychotics, Antidepressants, Anxiolyics, Counseling, Psychotherapy, Family therapy
given for all patients.
Patients improved with the above treatment and results are encouraging. There are no side
effects during the combined treatment (both Allopatheic and Ayurvedic)
|