A 40-year-old HIV-positive gay man presents to your clinic with complaints of persistent sadness, fatigue, and loss of interest in activities he used to enjoy. He reports feeling hopeless and has difficulty sleeping.
- Assessment:
- Physical: Weight: 150 lbs, Height: 5’10”, BP: 120/80, HR: 80 bpm.
- Mental Health: Scores 20 on the PHQ-9 (indicating severe depression). Reports no suicidal ideation.
- Medications: Tenofovir/emtricitabine/efavirenz (TDF/FTC/EFV) for HIV.
- Social History: Smokes 1/2 pack of cigarettes per day.
Questions:
- What are the potential contributing factors to depression in this patient?
- What are the appropriate treatment options for depression in this patient?
- How can you address the potential impact of stigma and discrimination on his mental health?
- What are the screening recommendations for mental health conditions in people living with HIV?
For peer response answer this:
- How would you address potential barriers to accessing mental health care for this patient, such as stigma, cost, and transportation?
A 40-year-old HIV-positive gay man presents to your clinic with complaints of persistent sadness, fatigue, and loss of interest in activities he used to enjoy. He reports feeling hopeless and has difficulty sleeping.
- Assessment:
- Physical: Weight: 150 lbs, Height: 5’10”, BP: 120/80, HR: 80 bpm.
- Mental Health: Scores 20 on the PHQ-9 (indicating severe depression). Reports no suicidal ideation.
- Medications: Tenofovir/emtricitabine/efavirenz (TDF/FTC/EFV) for HIV.
- Social History: Smokes 1/2 pack of cigarettes per day.
Questions:
- What are the potential contributing factors to depression in this patient?
- What are the appropriate treatment options for depression in this patient?
- How can you address the potential impact of stigma and discrimination on his mental health?
- What are the screening recommendations for mental health conditions in people living with HIV?
For peer response answer this:
- How would you address potential barriers to accessing mental health care for this patient, such as stigma, cost, and transportation?