There are many different treatments for depression and the correct treatment should be carefully chosen by a trained professional based on the circumstances of the person who has HIV or Aids and his or her family. The psychiatrist, psychologist, or clinical social worker should be in close communication with the HIV and Aids health care provider.
Medication
While prescription anti-depressants are generally well tolerated and safe for most people with HIV and Aids, there are possible interactions among some of the medications and causing side effects that require careful monitoring.
Some people with HIV attempt to treat their depression with herbal remedies. However, the use of any kind of herbal supplement should be discussed with the health care provider before they are taken. For instance, scientists recently discovered that St. John’s Wort, a herbal remedy sold over-the-counter and promoted as a treatment for mild depression, can have harmful interactions with other medications, including those prescribed for HIV. In particular, St. John’s Wort reduces blood levels of the protease inhibitor indinavir and probably other protease inhibitor medications as well. If taken together, the combination could allow the Aids virus to rebound, possibly in a medication-resistant form.
People with HIV and Aids who develop depression, as well as people in treatment for depression who subsequently contract HIV, should inform their health care providers of any medications they are taking.
Psychotherapy
Support groups facilitated by professionals and “talk” therapy can help to relieve depression. Resolving tensions or resentments, dealing with fears, addressing depression and diagnosing and managing mental illness all help to improve the person’s psychological health. This includes finding space and time to reflect on life and the person’s mental and emotional health.
Our Employee Wellbeing Programme (EAP) is available 24 hours if you want to discuss treatment for depression.