Academy of Psychosomatic Medicine
Get to know the
HIV/AIDS Psychiatry SIG...
• Special Section:
Results of the 2008 HIV Psychiatry Treatment Consensus Survey
• Listserv discussion, November 2010:
Efavirenz and h/o depression
Welcome to the APM HIV/AIDS Psychiatry SIG, formerly known as the Organization of AIDS Psychiatry (OAP). Now in its 10th year, the group was founded in 2003 by Mary Ann Cohen, MD, FAPM to support mental health clinicians who provide care for persons with HIV and AIDS. In 2011, Kelly L. Cozza, MD, FAPM accepted Dr. Cohen's invitation to serve as co-chair of the SIG.
We welcome psychiatrists and other mental health professionals who are working in the field of AIDS psychiatry to join our SIG. We especially welcome clinicians in underserved areas to take advantage of the special assistance available in the form of PowerPoint presentations, literature references, and email notifications.
The ongoing form of communication among SIG members is our listserv, but we meet in person each year at the APM annual meeting in November. At the 2013 Annual Meeting in Tucson, we celebrated our 10th anniversary. The next meeting of the APM HIV/AIDS Psychiatry SIG will be at the 2014 APM Annual Meeting in Fort Lauderdale, Florida (November 12–15, 2014). The exact date and time of the HIN/AIDS Psychiatry meeting will be announced to listserv members and will be posted on the Web in APM's Annual Meeting section when available.
New AIDS Psychiatry Section of the WPA. In February 2012, Pedro Ruiz, MD, president of the World Psychiatric Association and founding member of the APM AP SIG, informed us that the executive council of the WPA accepted the proposal that AIDS Psychiatry become a Section of the organization. The proposal was a result of his own dedication and work in HIV psychiatry and the efforts of SIG member Dr. Maria Ferrara, psychiatry resident at the University of Modena & Reggio Emilia in Italy, and Dr. Mary Ann Cohen. We believe that the new AIDS Psychiatry Section will help us to disseminate more information to underserved areas of the world where we have been unable to reach until now.
Since becoming a Section of the WPA, members of the SIG have been attending the WPA Section Chairs Meetings and presenting on a regular basis throughout the world. Members Cesar Alfonso, Kenn Ashley, Jordi Blanch, Maria Ferrara, and other members have represented our section. Kenn Ashley, Jordi Blanch, Mary Ann Cohen, and Maria Ferrara will submit a presentation for the WPA Madrid Congress in 2014. As of December 2013, a link to this webpage will appear on the WPA webpage.
2013 Visiting Professorship Award. In November 2012, one of four APM Visiting Professorship awards was presented to SIG member Saba Syed, UCLA-Olive View. It was implemented in March 2013 by Visiting Professor Mary Ann Cohen for both HIV Psychiatry and Bioethics.
2011 Annual Meeting Award. Founding AIDS Psychiatry SIG member William Breitbart was awarded the Academy's highest honor, the Eleanor and Thomas P. Hackett Memorial Award, for his outstanding work in psycho-oncology as well as in HIV/AIDS and end-of-life care.
2010 Annual Meeting Awards. We are proud that 3 out of the 4 Dorfman Journal Paper Awards were presented at the 2010 Annual Meeting for articles on AIDS psychiatry by our SIG members: Harold Goforth (Best Review Article), Oliver Freudenreich (Honorable Mention, Best Case Review Article), and William Breitbart (Best Original Research Article).
Until 2003, there was no organization of psychiatrists and other mental health professionals that was dedicated to the field of AIDS psychiatry. Nevertheless, many mental health clinicians devoted their professional lives to providing care for persons with HIV and AIDS. There was a need for a national and international organization to provide networking and support for, as well as a forum for, the exchange of ideas and collaborative research — an organization to share knowledge, to present work, and to collaborate in education and research. To address these issues, our group was established in 2003 with 32 members.
AIDS psychiatry is a paradigm of psychosomatic medicine, and in November 2004, the Academy of Psychosomatic Medicine agreed to establish a new, special interest group of AIDS psychiatry. The APM Executive Council, Executive Director, and administrative staff graciously welcomed us as the Organization of AIDS Psychiatry and provided us with a forum to meet and present our work at the APM annual meetings.
In November 2005, the SIG met for the first time and presented a symposium on AIDS psychiatry at the APM annual meeting in New Mexico. We've met at the APM annual meeting again each year since then and presented a symposium at the meeting every year except 2006.
In May 2008, we met and presented a symposium at the APA annual meeting in collaboration with the APA Office of HIV Psychiatry. That same month we also presented a symposium at the annual meeting of the American Academy of Psychoanalysis and Dynamic Psychiatry. That same year, thanks to administrative support and resources from the Academy, the SIG had a Web page (this page!) and a listserv and began to collaborate to develop a consensus base of current AIDS psychiatry practice.
Thanks to the Academy, the SIG has grown from 32 members in 2003 to more than 320 U.S. and international members in 2013. Our name change in the fall of 2009 to the APM AIDS Psychiatry SIG, and now the APM HIV/AIDS Psychiatry SIG, recognizes the important role of the Academy in the growth and development of our SIG as well as our potential role in the APM. We encourage all of our members to join the APM.
The overall goals of the APM AIDS Psychiatry SIG are to:
In addition to continuing to survey SIG members about HIV treatment practices, two task forces are at work for 2014 activities. The first task force, to propose scientific sessions at APM's 2014 Annual Meeting, will:
A research task force, appointed at the 2010 SIG meeting, is led by Kelly Cozza with members Andrew Angelino, Sharon Batista, Philip Bialer, Mary Ann Cohen, Oliver Freudenreich, Harold Goforth, John Grimaldi, Suad Kapetanovic, Chris Kogut, and Karen Johnson. This task force will:
As funds in the Foundation of the Academy of Psychosomatic Medicine grow, we anticipate scholarships and travel awards will become available for trainees and others. Since summer 2010, Dr. Mary Ann Cohen has donated two honoraria totaling $4000 toward this end, and we encourage others to contribute to the Foundation for this purpose.
To join the APM AIDS Psychiatry SIG, please send an e-mail indicating your field of interest, your full name and organization, and your telephone number to the chair of the AIDS Psychiatry SIG, Mary Ann Cohen, MD, FAPM, at macohen at nyc dot rr dot com.
We encourage all of our SIG members to also become a member of the Academy of Psychosomatic Medicine. For an AIDS psychiatrist or other mental health clinician, the Academy is an important resource since AIDS psychiatry is characterized by multimorbid severe and complex medical illnesses. The APM is a remarkable organization that meets once a year and no matter how beautiful the location, the meetings are so packed with outstanding faculty and inspiring courses, symposia, and workshops that the location pales by comparison and the meetings are too good to miss! It is an organization that serves as an inspiration, a chance for networking, and a place to learn. Membership has many other advantages including a subscription to the Academy's journal, Psychosomatics. To join the APM, please see How to Join APM.
Several members of our organization have agreed to make their PowerPoint presentations available on a variety of subjects for members and non-members who are new to the field of AIDS psychiatry and would like to develop presentations for the education of clinicians in academic or other settings. We welcome requests from underserved areas where there are no psychiatrists or other mental health professionals and where HIV clinicians need help in providing psychological support to persons with HIV or AIDS and their families. Please send your request to Chair, Mary Ann Cohen, MD, FAPM <macohen at nyc dot rr dot com> and describe the situation about which you would like assistance.
PDFs of the slides from the AIDS Psychiatry symposia at the 2009 and 2010 APM Annual Meetings are available to APM members in the Members' Corner. In addition, the following presentations are available:
A Biopsychosocial Approach to AIDS: The 27th Year
Presented May 8, 2008 by Mary Ann Cohen, MD at the APA Annual Meeting
AIDS Psychiatric Disability Criteria: A Biopsychosocial Approach
Presented September 10, 2008 by Mary Ann Cohen, MD to Social Security Administration
Approach to Pain in Persons with AIDS: Dilemmas in Palliative Care
Presented November 3, 2010 by Mary Ann Cohen, MD to McMaster University
"Trauma, PTSD, and HIV: Psychodynamic and Educational Approaches to Adherence in a Community Medical Setting"
Symposium presented May 7, 2012, in collaboration with the AAPDP, at the APA Annual Meeting by Sharon M. Batista, MD; Mary Ann Cohen, MD; Phil Meyer, LCSW; and Maria Tiamson-Kassab, MD
Part 1 (slides 1-67) Part 2 (slides 68-131)
Psychodynamics of Trauma, PTSD,
and Non-Adherence to Medical
Care in Persons with HIV and AIDS
Presented May 7, 2012 by Mary Ann Cohen, MD at the APA Annual Meeting
Update in HIV and AIDS Psychiatry
Presented May 8, 2012 by Mary Ann Cohen, MD at the APA Annual Meeting
HIV through the Life Cycle: Aging
of HIV Population
Presented May 8, 2012 by Adriana Carvalhal, MD at the APA Annual Meeting
Presented May 8, 2012 by Jordi Blanch, MD at the APA Annual Meeting
If you wish the PowerPoint version of the slides from the presentations above to adapt for your own use, please contact Dr. Mary Ann Cohen at macohen at nyc dot rr dot com.
Oliver Freudenreich and Mary Ann Cohen
Dedicated to the memory of Robert Malow, PhD, ABPP, former director of the AIDS Prevention Program in the Stempel School of Public Health, Florida International University. From 1997 until one month before his untimely death in March 2013, Dr. Malow maintained an HIV/AIDS listserv that had become one of the most critical sources of information to the HIV treatment and research fields.
HIV/AIDS Psychiatry SIG members Oliver Freudenreich and Maria Ferrara developed the HIV Psychiatry Bibliography that formed the nidus of "Quarterly Online Literature Updates in HIV Psychiatry" with support from other SIG members. The bibliography is available on the APM website here as well as in the WPA Fall 2013 Newsletter. The bibliography was developed in conjunction with the APM Research and Evidence-Based Practice Committee in order to give psychosomatic medicine psychiatrists a quick look at important, recent publications.
The New York State Department of Health AIDS Institute, in collaboration with Johns Hopkins University, has been developing guidelines for HIV medical and mental health care for many years. These guidelines have been updated, and we have been asked to make them available to our members. The guidelines are available online at www.hivguidelines.org — use the drop-down menu under "Clinical Guidelines". The guidelines include those relevant to AIDS psychiatry.
The American Psychiatric Association's HIV website at www.psych.org/aids provides information and links to APA-sponsored education programs, training curricula, clinical resources, policy information, and patient education materials for psychiatrists and other medical and mental health professionals.
We have received an invitation for you to submit information about your current HIV and AIDS research projects and publications to a database being developed by NSPiSA. Dr. Mary Ann Cohen will be submitting some of the research we have done as a group, and we encourage you to do so as well.
The aim of the NSPiSA database is to allow policy makers, stakeholders and other researchers to stay abreast of current and ongoing research and thus facilitate dialogue between the research community and the South African National Aids Council (SANAC) and its constituent committees and task teams. Please see www.nspisa.com for complete details.
Members of the AIDS Psychiatry SIG have published thousands of articles, chapters, and books prior to joining our group. Since joining, many have published hundreds more, including three textbooks of AIDS psychiatry, all of which are available through the publisher (linked below for each book), Amazon, and Barnes and Noble:
Prince JD, Walkup J, Akincigil A, Amin S, Crystal S: Serious mental illness and risk of new HIV/AIDS diagnoses: an analysis of Medicaid beneficiaries in eight states. Psychiatr Serv 2012; 63(10):1032-8.
The Mind Exchange Working Group: Assessment, diagnosis, and treatment of HIV-associated neurocognitive disorder: a consensus report of the mind exchange program. Clin Infect Dis 2013; 56(7):1004-17.
Blackstone K, Moore DJ, Franklin DR, Clifford DB, Collier AC, Marra CM, et al: Defining neurocognitive impairment in HIV: deficit scores versus clinical ratings. Clin Neuropsychol 2012; 26(6):894-908.
Badiee J, Riggs PK, Rooney AS, Vaida F, Grant I, Atkinson JH, et al: Approaches to identifying appropriate medication adherence assessments for HIV infected individuals with comorbid bipolar disorder. AIDS Patient Care STDS 2012; 26(7):388-394.
Cohen MA, Forstein M: A biopsychosocial approach to HIV/AIDS education for psychiatry residents. Acad Psychiatry 2012; 36(6):479-86.
Freudenreich O, Basgoz N, Fernandez-Robles C, Larvie M, Misdraji J: Case 5-2012— A 39-Year-Old Man with a Recent Diagnosis of HIV Infection and Acute Psychosis. N Engl J Med 2012; 366(7):648-657.
Samuels E, Khalife S, Alfonso CA, Alvarez R, Cohen MA: Early childhood trauma, posttraumatic stress disorder, and non-adherence in persons with AIDS: a psychodynamic perspective. J Am Acad Psychoanal Dyn Psychiatry 2011; 39(4):633-650. [SIG member Erin Samuels was a psychiatry resident at NYU when she and her co-authors published this article.]
Freudenreich O, Goforth HW, Cozza KL, Mimiaga MJ, Safren SA, Bachmann G, Cohen MA: Psychiatric treatment of persons with HIV/AIDS: an HIV-psychiatry consensus survey of current practices. Psychosomatics 2010; 51(6):480-488.
The AP SIG special section, Results of the 2008 HIV Psychiatry Treatment Consensus Survey, is the precursor to publication of this article. The article was a result of the first collaborative research effort by our SIG.
Handbook of AIDS Psychiatry
Mary Ann Cohen, Harold Goforth, Joseph Lux, Sharon Batista, Sami Khalife, Kelly Cozza and Jocelyn Soffer
Oxford University Press, New York, 2010
All the authors are members of both the APM and the AIDS Psychiatry SIG. On February 16, 2011, SIG member Michael Blumenfield, MD posted his review of the book and his online interview of the lead author on www.PsychiatryTalk.com.
The Handbook of AIDS Psychiatry is the companion to the Comprehensive Textbook of AIDS Psychiatry published in 2008 (next item).
Comprehensive Textbook of AIDS Psychiatry
Edited by Mary Ann Cohen and Jack M. Gorman
Oxford University Press, New York, 2008
The editors are members of the SIG, and Cohen and 30 contributors are members of both the SIG and the APM. This book was favorably reviewed by Reuters (2008), three stars by Doody’s Book Review Service (February 2008), New England Journal of Medicine (March 27, 2008), Journal of the American Academy of Psychoanalysis and Dynamic Psychiatry (June 2008), Journal of the American Medical Association (August 6, 2008), and the American Journal of Psychiatry (November 2008).
Psychiatric Aspects of HIV/AIDS
Edited by Francisco Fernandez and Pedro Ruiz
Lippincott Williams & Wilkins, Philadelphia, PA, 2006
The editors and many contributors are members of the SIG.
APM ANNUAL MEETING — NOVEMBER 2013
Note: There may be a slight delay in page display when clicking any of the links to the three 2013 symposia below.
November 16, 2013
"International Approaches to HIV Psychiatric Care in the Ambulatory Setting" (an HIV/AIDS Psychiatry SIG-sponsored symposium)
Chair: James A. Bourgeois, OD, MD
Discussant: Mary Ann Cohen, MD, FAPM
- The Evolving Role of Psychiatry in Models of HIV-collaborative Care — John Grimaldi, MD
- Integrating HIV in Primary Care and Community Organizations — Adriana Carvalhal, MD, MSc, PhD
- Public Mental Healthcare System for HIV-infected Patients in Western Europe — Jordi Blanch, MD, PhD
- UCSF-360 Positive Health Clinic: Embedded Psychosomatic Psychiatrist — James Bourgeois, OD, MD
November 15, 2013
"Collusions of Silence and Bioethical Dilemmas Unique to HIV Psychiatry" (a collaborative HIV Psychiatry, Bioethics, and Child Psychiatry SIG-sponsored symposium)
Chair: Mary Ann Cohen, MD, FAPM
Discussants: Maryland Pao, MD, FAPM, NIMH/NIH; Suad Kapetanovic MD, NIMH/NIH
November 14, 2013
"HIV Through the Life Cycle" (symposium co-sponsored by the HIV/AIDS Psychiatry SIG and the Child Psychiatry SIG)
- Introduction — Andrew F. Angelino
- HIV in Children and Adolescents — Maryland Pao
- Women's Issues and Reproduction in HIV-Infected Individuals — Suad Kapetanovic
- HIV in the Elderly:Assessing Neurocognitive Issues — Durga Roy
- Cases/Discussion — Andrew F. Angelino
MARCH 7-8, 2013 — APM Visiting Professorship
Saba Syed, MD, UCLA-Olive View, hosted Visiting Professor Mary Ann Cohen, MD, FAPM for HIV Psychiatry and Bioethics issues.
NOVEMBER 15, 2012
APM Annual Meeting
"Screening, Assessment, and Treatment of Depression and HIV-Associated Neurocognitive Disorders (HAND): A Discussion of the Evidence" (co-sponsored by the APM HIV/AIDS SIG)
Presentations by Andrew Angelino, MD; Mary Ann Cohen, MD, FAPM; Sharon Batista, MD; John Grimaldi, MD; Adriana Carvalhal, MD; Glenn Treisman, MD
JUNE 14, 2012
Yale University School of Medicine
"Neurocognitive Impairment in HIV Infection: A Practical Approach"
- Neurocognitive Impairment in HIV — Serena Spudich, MD
- Neuropsychological Testing for Neurocognitive Impairment— Kevin Robertson, PhD
- A Biopsychosocial Approach to HIV-Associated Neurocognitive Disorders — Mary Ann Cohen, MD
- A Case Discussion – Psychiatric Aspects — Mary Ann Cohen, MD
May 7, 2012
"Trauma, PTSD, and HIV: Psychodynamic and Educational Approaches to Adherence in a Community Medical Setting" — APA/AAPDP Collaborative Symposium [Abstract]
Chair & Discussant: Cesar A. Alfonso, MD
- Development of a Trauma and PTSD Curriculum to Meet the Needs of HIV Clinicians and their Patients — Sharon M. Batista, MD
- Psychodynamics of Trauma, PTSD, and Non-Adherence to Medical Care in Persons with HIV and AIDS — Mary Ann Cohen, MD
- Our Patients With Trauma Are Nonadherent to Medical Care: An Innovative Approach to Education in an AIDS Clinic — Maria Tiamson-Kassab, MD
- Results and Outcomes of a Trauma, PTSD, and HIV Training Program — Phil Meyer, LCSW
May 8, 2012
"Update in HIV and AIDS Psychiatry"
Chair & Discussant: Mary Ann Cohen, MD
- Update in HIV and AIDS Psychiatry — Mary Ann Cohen, MD
- HIV Through the Life Cycle: Childhood, Adolescence, and Reproductive Health — Suad Kapetanovic, MD
- HIV through the Life Cycle: Aging of HIV Population — Adriana Carvalhal, MD
- Psychiatric Disorders — Jordi Blanch, MD
- Multimorbid Medical Illness: Non-HIV and HIV-related — Joseph Lux, MD and Kelly Cozza, MD
- Prevention and Future Directions — Maria Tiamson-Kassab, MD
"AIDS Psychiatry Update for the C-L Psychiatrist"
Please see the course description in the 2011 Annual Meeting section of the APM website.
"Innovative Approaches to Clinical Care, Research, and Prevention in AIDS Psychiatry" [Abstract]
Chair: Mary Ann Cohen, MD, Mount Sinai School of Medicine
Discussant: John Grimaldi, MD, Harvard Medical School
- Clinical Experiences in Caring for Persons with AIDS on Efavirenz — Jordi Blanch, MD, PhD, Hospital Clinic De Barcelona
- Update on Neuropsychiatric Side Effects of Efavirenz: Report from the AP SIG Research Task Force — Kelly L. Cozza, MD, Uniformed Services University; Andrew Angelino, MD, Johns Hopkins University Medical School
- HIV-Associated CNS Vulnerability in the Antiretroviral Era — Suad Kapetanovic, MD, National Institute of Mental Health
- The Inclusion of SMI on the HIV Indicator Disease List of the HIV in Europe Group — Maria Ferrara, MD and Silvia Ferrari, MD, University of Modena & Reggio Emilia
- Supervised Injection Sites and Other Preventive Measures in AIDS Psychiatry —
Adriana Carvalhal, MD, McMaster University School of Medicine
"Educating Clinicians about HIV-Associated Dementia "
Chair: Mary Ann Cohen, MD
Discussant: Philip A. Bialer, MD
Presentations (PDFs of slides are available in the Members' Corner):
- Risk Factors for HIV-Associated Neurocognitive Disorders (HAND) — Jordi Blanch, MD, PhD
- Early Recognition of HIV-Associated Dementia: Differential Diagnosis — Adriana Carvalhal, MD, MSc, PhD
- Early Recognition of HAND: Complexities of Assessment & Screening — Stephen J. Ferrando, MD, FAPM
- Developing Screening Tools for HAND and Assessing Current Practices — Andrew Angelino, MD and John Grimaldi, MD
"Quality of Care in AIDS Psychiatry"
Chair: Mary Ann Cohen, MD
Discussant: Philip A. Bialer, MD
Presentations (PDFs of slides are available in the Members' Corner):
- Safe and Cost-Effective Care in HIV Psychiatry—Karen M. Johnson, MD
- Organization of AIDS Psychiatry (OAP) Consensus Survey of HIV Psychiatric Treatments —Oliver Freudenreich, MD
- Salvaging Quality of Care during the Transitions from Childhood to Adulthood in HIV Psychiatry—Lori Wiener, PhD and Maryland Pao, MD
- Preventing Bad Outcomes in HIV Psychiatry—Mary Ann Cohen, MD
"AIDS Psychiatry Across the Life Cycle"
Moderator: Mary Ann Cohen, MD
Discussant: Jon A. Levenson, MD
- Transitioning from Childhood to Adulthood in HIV Care—Lori Wiener, PhD
- Long-Term Non-Progressors with HIV—Philip Bialer, MD
- Co-infection with HIV and HCV—Aly Rifai, MD
- Geriatric AIDS Psychiatry: A Hidden Epidemic—Mary Ann Cohen, MD
"AIDS Psychiatry in 2008"
This symposium launched a presentation collaboration between the APA Office of HIV Psychiatry and the Organization of AIDS Psychiatry.
Chairs: Mary Ann Cohen, MD and Marshall Forstein, MD
- A Biopsychosocial Approach to AIDS: The 27th Year—Mary Ann Cohen, MD
- HIV-Associated Sleep Disorders: A Comprehensive Approach—Harold Goforth, MD
- HIV-Associated Neurocognitive Disorders: An Update—Stephen Ferrando, MD
- Update on HIV Treatment in Severely Mentally Ill—Francine Cournos, MD
- Psychotherapeutic Aspects of Lipodystrophy in Persons with AIDS—
Marshall Forstein, MD
- Methamphetamine and HIV Treatment—Antoine Douaihy, MD
"A Biopsychosocial Approach to AIDS Psychiatry: An Update"
Chair: Mary Ann Cohen, MD
Discussant: Cesar A. Alfonso, MD
- A Biopsychosocial Approach to AIDS—Mary Ann Cohen, MD
- Psychodynamics of HIV Stigma—Sami Khalife, MD
- Creating a Facilitating Environment for Family-Centered Advance Care Planning for Teens with HIV/AIDS—Maureen Lyon, PhD
- Psychodynamics of Sexual Risk-Taking in Gay Men—Jeffrey Akman, MD
- A Medical Update on AIDS—Joseph Lux, MD
November 17, 2007
APM Annual Meeting
Amelia Island, FL
"AIDS Psychiatry: Past, Present, and Future"
Moderator & Discussant: Mary Ann Cohen, MD
- The History of AIDS Psychiatry: A Biopsychosocial Approach—Mary Ann Cohen, MD
- AIDS Stigma—Sami Khalife, MD
- A Medical Update on AIDS—Joe Z. Lux, MD
- Primary Areas for Current and Future Research in AIDS Psychiatry—Stephen J. Ferrando, MD and Maryland Pao, MD
"AIDS: Survival and Adherence — A Paradigm for Psychosomatic Medicine"
Chairperson: Mary Ann Cohen, MD
Co-Chairperson: Rosalind G. Hoffman, MD
Discussant: Jeffrey J. Weiss, PhD
- Adherence to Care in Persons with HIV and AIDS—David Bangsberg, MD, MPH
- Survival and Adherence in Persons with AIDS and Mental Illness—Glenn Treisman, MD, PhD
- AIDS as a Paradigm for Psychosomatic Medicine and
Introduction to the Organization of AIDS Psychiatry—Mary Ann Cohen, MD, FAPM
© Academy of Psychosomatic Medicine