P1: GDP/GVG/GUR P2: GVG/GFQ QC:
Psychiatric Quarterly [psaq] ph071-psaq-346685 November 7, 2001 8:32 Style ﬁle version Nov. 19th, 1999
Psychiatric Quarterly, Vol. 73, No. 1, Spring 2002 (
CHALLENGES IN THE MANAGEMENT
OF THE HIV PATIENT IN THE THIRD
DECADE OF AIDS
Maria L.A. Tiamson, M.D.
The epidemic of AIDS has been increasingly recognized as a major health and
socioeconomic problem, not only in the United States or Africa, but also the
rest of the world. The face of the epidemic has changed. The role that mental
health providers play has also signiﬁcantly grown as the epidemic continues
on. Prior to the introduction of Highly Active Anti-Retroviral Therapy (HAART)
and other advances in HIV care, the patients faced issues that related to death
and dying. These advances brought with them renewed hope and resurrected
lives. The patients fought with issues related to living new lives with HIV no
longer an imminent death threat. In the third decade of AIDS, the struggles of
the post-HAART era continue but bring with it more challenges. Mental health
providers need to familiarize themselves with these issues so that they can
better help HIV patients cope with this devastating disease.
KEY WORDS: HIV/AIDS; pre-HAART issues; post-HAART issues; role of mental health
Maria L.A. Tiamson is Assistant Professor, Psychiatry, New York Medical College, and
Director, Psychiatric Services, AIDS Care Center, Westchester Medical Center.
Address correspondence to Maria L.A. Tiamson, New York Medical College, Valhalla,
2002 Human Sciences Press, Inc.