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HIV Psychiatry Update
Slide Presentation
October 28, 2009
Robert Daroff, Jr., MD

Click on slide thumbnails to view full-sized image.

Slide 1.
HIV Psychiatry Update
Slide 1.
Learning goals:
Slide 2.
Rates of Psychiatric Disorders among PWH/A
Slide 3.
Target treatment to the causative factors
Slide 4.
Depression in HIV
Slide 5.
Slide 6
Slide 6.
Rob's Mantra: Assume Crystal Meth
Slide 7.
Medication Side Effects: ARV's
Slide 8.
Efavirenz (Sustiva)
Slide 9.
Slide 10
Slide 10.
Major Depression: Mind and Body
Slide 11.
Major Depression = SIG: E CAPS
Slide 12.
What's your first choice antidepressant in a HAART-naïve patient?
Slide 13.
The AIDS Psychiatrists say....
Slide 14.
What's the first choice for a patient on ritonavir-boosted PI based HAART?
Slide 15.
Spinning the wheel for rational antidepressant drug selection
Slide 16.
Aren't they really all the same??
Slide 17.
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Slide 20
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Slide 21
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Slide 22
Slide 22.
Relevant Comorbidities in Antidepressant Selection
Slide 23.
Contraindicated Psychiatric Drugs in Setting of ARV's
Slide 24.
Caution: Serotonin syndrome
Slide 25.
Warning
Slide 26.
Slide 27
Slide 27.
If limited or no response?
Slide 28.
Target treatment to the causative factors
Slide 29.
Meds: when at first you don't succeed - switch?
Slide 30.
Meds: when at first you don't succeed - augment?
Slide 31.
If limited or no response?
Slide 32.
Bipolar Disorder
Slide 33.
Bipolar: Making the diagnosis
Slide 34.
Bipolar: Making the Diagnosis
Slide 35.
Treatment of bipolar depression
Slide 36.
Slide 37
Slide 37.
What's the worst that could happen?
Slide 38.
Slide 39
Slide 39.
Anxiety Disorders
Slide 40.
Pharmacologic Treatment of Anxiety Disorders
Slide 41.
When to seek consultation/refer?
Slide 42.
Efficacy of Psychotherapy
Slide 43.
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Slide 46
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Thank you!
Slide 47.

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.

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