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HIV Psychiatry Update
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HIV Psychiatry Update
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Learning goals:
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Rates of Psychiatric Disorders among PWH/A
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Target treatment to the causative factors
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Depression in HIV
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Rob's Mantra: Assume Crystal Meth
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Medication Side Effects: ARV's
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Efavirenz (Sustiva)
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Major Depression: Mind and Body
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Major Depression = SIG: E CAPS
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What's your first choice antidepressant in a HAART-naïve patient?
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The AIDS Psychiatrists say....
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What's the first choice for a patient on ritonavir-boosted PI based HAART?
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Spinning the wheel for rational antidepressant drug selection
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Aren't they really all the same??
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Relevant Comorbidities in Antidepressant Selection
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Contraindicated Psychiatric Drugs in Setting of ARV's
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Caution: Serotonin syndrome
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Warning
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If limited or no response?
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Target treatment to the causative factors
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Meds: when at first you don't succeed - switch?
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Meds: when at first you don't succeed - augment?
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If limited or no response?
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Bipolar Disorder
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Bipolar: Making the diagnosis
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Bipolar: Making the Diagnosis
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Treatment of bipolar depression
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What's the worst that could happen?
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Anxiety Disorders
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Pharmacologic Treatment of Anxiety Disorders
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When to seek consultation/refer?
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Efficacy of Psychotherapy
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Thank you!
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We request that all users complete the brief posttest and evaluation to provide feedback to course planners and presenters. Those requesting CME credit are required to complete all components to receive credit. Begin with the posttest.