Treatment Needs of People with HIV

4 years ago
46

Dr. Dawn-Elise Snipes is a Licensed Professional Counselor and Qualified Clinical Supervisor. She received her PhD in Mental Health Counseling from the University of Florida in 2002. In addition to being a practicing clinician, she has provided training to counselors, social workers, nurses and case managers internationally since 2006 through AllCEUs.com #HIV #HIVcounseling #HIVAwareness
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Objectives
- Explore the Physical, Affective, Cognitive, Environmental and Relational needs of people living with HIV
Physical
- Energy/Fatigue
- Symptoms
- Battling the virus
- Stress
- Medication side effects
- Interventions
- Changes in routines
- Acupuncture
- Nutrition
- Sleep (Sleep hygiene)
- Autoimmune issues

- Balance and coordination
- Environmental modifications
- Stability assistance
- Physical therapy
- Medication interactions
- Gastric upset
- Cardiovascular issues

Physical
- Sexual dysfunction impacting pituitary and gonadal hormone levels related to CD4 count
- Hypothyroid
- Hypertension
- Causes of hypertension in people with HIV include chronic inflammation, immune reconstitution, lipodystrophy and stress
- Pain
- Chronic pain in HIV can be caused by infections, cancers, gut problems, or peripheral neuropathy.
- Medication side effects including muscle pain, headache, stomach cramps or kidney stones
- Addiction—Chemical or process

Affective (Individual and family)
- General
- Some HIV medications may cause symptoms of mood disorders and disrupt sleep
- HIV medications can interact with psychotropics that induce or inhibit the enzyme cytochrome P450
- Anger
- About diagnosis
- At others

Affective (Individual and family)
- Anxiety
- Health anxiety (self and others)
- Abandonment fears
- Death anxiety
- Generalized anxiety
- Depression & Grief: Physical, Cognitive, Interpersonal, Financial losses
- Guilt / Shame: About getting or having the disease
- Happiness / Radical Acceptance
Cognitive
- General Needs: HIV Education
- HIV Associated Neurocognitive Disorders (HAND) impacts ~30% of people with HIV

Video by Dr. Dawn Elise Snipes on integrative behavioral health approaches including counseling techniques and skills for improving mental health and reducing mental illness.

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