Persistent Sadness and Loss of Interest in Activities

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:

  1. What are the potential contributing factors to depression in this patient?
  2. What are the appropriate treatment options for depression in this patient?
  3. How can you address the potential impact of stigma and discrimination on his mental health?
  4. 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?

Discuss the importance of incorporating cultural sensitivity and awareness of LGBTQ+ specific issues into the assessment and treatment of mental health conditions in this population.

Submission Instructions:

  • Your initial post should be at least 500 words, formatted, and cited in current APA style with support from at least 2 academic sources.
  • You should respond to at least two of your peers by extending, refuting/correcting, or adding additional nuance to their posts.
  • All replies must be constructive and use literature where possible.
  • Please post your initial response by 11:59 PM ET Thursday, and comment on the posts of two classmates by 11:59 PM ET Sunday.
  • Late work policies, expectations regarding proper citations, acceptable means of responding to peer feedback, and other expectations are at the discretion of the instructor.
  • You can expect feedback from the instructor within 48 to 72 hours from the Sunday due date.

persistent sadness and loss of interest in activities

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:

  1. What are the potential contributing factors to depression in this patient?
  2. What are the appropriate treatment options for depression in this patient?
  3. How can you address the potential impact of stigma and discrimination on his mental health?
  4. 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?

Discuss the importance of incorporating cultural sensitivity and awareness of LGBTQ+ specific issues into the assessment and treatment of mental health conditions in this population.

Submission Instructions:

  • Your initial post should be at least 500 words, formatted, and cited in current APA style with support from at least 2 academic sources.
  • You should respond to at least two of your peers by extending, refuting/correcting, or adding additional nuance to their posts.
  • All replies must be constructive and use literature where possible.
  • Please post your initial response by 11:59 PM ET Thursday, and comment on the posts of two classmates by 11:59 PM ET Sunday.
  • Late work policies, expectations regarding proper citations, acceptable means of responding to peer feedback, and other expectations are at the discretion of the instructor.
  • You can expect feedback from the instructor within 48 to 72 hours from the Sunday due date.
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