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HIV/AIDS as a Chronic Disease: The Role of Psychiatrists Across Cultures

Activity Type:

  • On Demand

Release Date: 2/1/2019

Expiration Date: 2/1/2022

  • AMA PRA Category 1: 1.5
  • Participation: 1.5



Since the advent of effective combination antiretroviral treatment, the course of HIV/AIDS has changed dramatically. HIV infection is now a chronic and treatable illness and patients are encouraged to live a normal life with few restrictions. This impressive change has brought new challenges for patients and their health care teams, especially for psychiatrists and other mental health professionals. Throughout the world, people with HIV infection and AIDS have higher rates of depression, anxiety, stress, alcohol and drug use, pain, sexual problems and cognitive disorders than the general population. Besides psychiatric symptoms, HIV-infected individuals have to cope with complex psychological and social issues such as stigma, occupational problems, social exclusion, disclosure issues, and sexual/marital relationship difficulties. Psychiatrists and other mental health professionals are therefore essential members of HIV/AIDS health care teams.
Aging is another challenge that HIV-infected people will face. HIV seems to exacerbate age-associated cognitive decline. Many middle-aged HIV-infected people are experiencing cognitive decline similar that to that found among much older adults. Similarly, children and adolescents living with HIV infection are another difficult population to be treat. Clinicians have to make a great effort to keep them adherent to their treatment, especially in the long term. Disclosure of infection, sexuality, parental loss or rejection, and other social issues are also important. Trends in HIV/AIDS prevalence demonstrate the disproportionate burden of HIV infection among racial minorities, especially among youth.
Diagnosing and treating psychiatric disorders among HIV-infected people increases antiretroviral therapy adherence, diminishes the likelihood of virologic failure, and decreases morbidity and mortality.
The topics that will be discussed in this module are: global approaches to HIV/AIDS related mental health problems across countries, sexuality across cultures among people living with HIV, alcohol and drug use and its impact on the HIV care continuum, cognitive disorders among HIV/AIDS-infected individuals, and the special needs of HIV-infected adolescents.


  • General Member - $15.00
  • Resident-Fellow Member - $7.50
  • Medical Student Member - $15.00
  • Non-Member - $30.00

Learning Objectives

  • Discern psychiatric care options for the HIV/AIDS population across cultures.
  • Apply knowledge and skills to the health care team for patients with HIV/AIDS.
  • Recognize the age-associated cognitive decline that is exacerbated by HIV/AIDS.

Target Audience

Psychiatrists, Residents/Fellows

Estimated Time to Complete

Estimated Duration: 90 minutes
Begin Date: February 1, 2019
End Date: February 1, 2022

How to Earn Credit

Participants who wish to earn AMA PRA Category 1 Credit ™ or a certificate of participation may do so by completing all sections of the course including the evaluation. A multiple choice quiz is provided based on the content. A passing score of 100% must be achieved. Retakes are available for the test. After evaluating the program, course participants will be provided with an opportunity to claim hours of participation and print an official CME certificate (physicians) or certificate of participation (non-physicians) showing the completion date and hours earned. 

Continuing Education Credit

The American Psychiatric Association (APA) is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians. 

The APA designates this enduring CME activity for a maximum of 1.5 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Faculty and Planner Disclosures


  • Andre Malbergier, M.D., Director of GREA, University of São Paulo. Reports no financial relationships with commercial interests.
  • Jordi Blanch, M.D., Ph.D., Consultant in Psychiatry, Hospital Clinic de Barcelona. Disclosure: Speakers Bureau - Ferrer International, Gilead Sciences, Janssen, Janssen-Cilag, Merck & Co
  • Adriana Carvalhal, M.D., Associate Professor, University of Toronto. Reports no financial relationships with commercial interests.

Program Planners

  • Tristan Gorrindo, M.D., Director of Education, American Psychiatric Association. Reports no financial relationships with commercial interests.
  • Ally Brown, Senior Program Manager, American Psychiatric Association. Reports no financial relationships with commercial interests.

Accessibility for Participants with Disabilities

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Hardware/Software Requirements

This internet-based CME activity is best experienced using Internet Explorer 8+, Mozilla Firefox 3+, Safari 4+. This Web site requires that JavaScript and session cookies be enabled. Certain activities may require additional software to view multimedia, presentation, or printable versions of the content. These activities will be marked as such and will provide links to the required software. That software may be: Adobe Flash, Adobe Acrobat, Microsoft PowerPoint, and Windows Media Player.

Optimal System Configuration:

  • Flash Player: Adobe Flash Player 10.3+ 
  • Browser: Firefox (latest version), Internet Explorer 8.0+, Safari 7.0+, Microsoft Edge (latest version) or Google Chrome (latest version)
  • Operating System: Windows XP+ or Mac OS X 10.4+ 
  • Internet Connection: 1 Mbps or higher

Minimum Requirements:

  • Windows PC: 500-MHz Pentium II; Windows XP or higher; 128 MB RAM; Video Card at least 64MB of video memory; Macromedia Flash Player 10.3 or higher; Sound Card at least 16-bit; audio playback with speakers for programs with video content
  • Macintosh:Mac OS X 10.4+ or higher with latest updates installed; 1.83MHz Intel Core Duo or faster; RAM: 128MB or more; Video Card: at least 64MB of video memory; Sound Card: at least 16-bit; audio playback with speakers for programs with video content

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