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12.4

Mental health and psychosocial support

Clinical HIV Guidelines, 5th Edition, 2022. Chapter 12, Management of non-communicable diseases.

Clinical description

  • One quarter of patients starting ART have some degree of depression.
  • Depression affects ART adherence and retention.
  • Mild and moderate depression can effectively be managed with counselling and support

interventions; severe depression usually requires medication.

  • Screen all PLHIV with poor adherence and retention challenges for depression.
  • D T G may cause insomnia, headache and other neuropsychiatric side effects.

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