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蜜桃直播淏eing diagnosed with HIV can be devastating for some people. They need time to adjust to how they蜜桃直播檙e going to live with the virus from that point on,蜜桃直播� says David, a clinical nurse specialist in mental health and HIV at the Kobler Clinic at Chelsea and Westminster Hospital.

蜜桃直播淭here has been progress, but there蜜桃直播檚 a need for more education about HIV because of the ongoing stigma towards those living with it. They can feel isolated and lonely; many develop anxiety and depression following a diagnosis. It can have a huge impact on their self-esteem and confidence, which in some cases leads to unemployment and financial problems.蜜桃直播�

David蜜桃直播檚 role is to make sure people diagnosed with HIV are supported with their mental health and continue to take their antiretroviral medication. Not doing so can put them at risk of becoming physically unwell, leading to increased hospital appointments and possible admission.

David is one of just two nurses across London who specialise in supporting the mental health of people living with HIV. Increasingly, he gets referrals for people over 50, partly because people are living longer with the virus.

蜜桃直播淪ince the clinic opened in 1988, the management of patients with HIV has changed. Rather than managing a peaceful death, we manage how people live with HIV. Getting old can be a frightening and lonely experience and if you蜜桃直播檙e living with HIV, it can present even greater challenges.蜜桃直播�

Depression is twice as common among people who have HIV and David often sees people with associated problems such as drug or alcohol addiction. Symptoms of post-traumatic stress disorder (PTSD) related to a diagnosis of HIV are also common. This can lead to depression, anxiety and insomnia.

David holds outpatient clinics, receiving referrals from the community HIV team and also from the specialist inpatient ward at the hospital where he works. He makes sure people have access to a counsellor or psychiatrist if needed but is also on hand to offer brief intervention therapy.

蜜桃直播淟ots of what I do is listening,蜜桃直播� he says. 蜜桃直播淪ometimes that蜜桃直播檚 all that蜜桃直播檚 needed; a listening and sympathetic approach to people蜜桃直播檚 problems. I also act as an advocate to help people get financial support and provide a bridge between the general hospital and mental health services. It蜜桃直播檚 my job to make sure our patients receive good mental health care while living with HIV.蜜桃直播�

Cost savings

David蜜桃直播檚 role is vital in saving the NHS avoidable costs in the treatment of HIV-related illness caused by people stopping their medication when experiencing a mental health crisis.

蜜桃直播淵ou might think, 蜜桃直播榳hy would anyone not want to take their medication?蜜桃直播�, but for people struggling with a mental illness, they may stop taking medication due to depression or suicidal thoughts. Taking a tablet every day for the rest of your life is a challenge for most people, but with a mental health problem, this challenge is increased hugely,蜜桃直播� says David.

蜜桃直播淚 regularly keep in contact with patients who are more vulnerable and offer follow-ups alongside their normal mental health care. It蜜桃直播檚 so important we monitor and maintain that level of adherence to medication.蜜桃直播�

If people with HIV take their medication correctly, the virus can become undetectable, so it can蜜桃直播檛 be transmitted. It蜜桃直播檚 vital to maintain undetectable levels of HIV in the fight against transmission.