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Psychotic Disorders and Serious Mental Illness 

Psychotic Disorders and Serious Mental Illness
Chapter:
Psychotic Disorders and Serious Mental Illness
Author(s):

Alexander Thompson

, Daniel Williams

, Oliver Freudenreich

, Andrew Angelino

, and Glenn Treisman

DOI:
10.1093/med/9780199392742.003.0019
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date: 13 July 2020

The major public health problem that is HIV/AIDS in persons with a serious mental illness is aptly described a “syndemic.” Having HIV/AIDS puts one at much greater risk for developing a serious mental illness. Conversely, having a serious mental illness, such as schizophrenia, bipolar disorder, major depressive disorder, substance use disorder, is associated with many factors that place one at greater risk for contracting and transmitting HIV. And, in both cases of serious mental illness and HIV/AIDS, each disorder creates many new challenges in the management of the other disorder. This chapter addresses these challenges, which center around being able to participate actively and adhere to medication regimens needed to manage both medical and psychiatric conditions. Fortunately, specialized models of care like comprehensive, integrated clinics and nurse care managers are ways to provide effective, satisfying, and cost-effective care to this most vulnerable population.

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