The Body: The Complete HIV/AIDS Resource
Follow Us Follow Us on Facebook Follow Us on Twitter Download Our App 
Professionals >> Visit The Body PROThe Body en Espanol
Ask the Experts About

Mental Health and HIVMental Health and HIV
Rollover images to visit our other forums!
Recent AnswersAsk a Question
  • Email Email
  • Glossary Glossary

Mental Anguish

Oct 2, 2003

Hi, When initially diagnosed + I had a CD4 count of 275 and VL of 23,000. After 2 years of Kaletra/Combivir I am at 356 and Undetected. Is this good? My mental anxiety is thru the roof. 20mg of Paxil a day isn't working. Dr. not willing to increase. Should I switch meds or doctors?

Response from Dr. Horwath

Medically you're doing great. An undetectable viral load is exactly what you want. And a CD4 T-cell count >350 protects you from the risk of most opportunistic infections.

Your high level of anxiety, however, needs to be evaluated. A good evaluation would include checking for other medical problems. For example, do you have any signs of thyroid disease or other medical conditions that are sometimes associated with anxiety symptoms? Also, what's going on in your life? Are there some stressful events occuring now? Moreover, some anxiety disorders, such as panic disorder, can occur spontaneously, independent of stressful events.

Paxil 20 mg is an excellent treatment for some anxiety disorders, but you may need an adjustment of dosage or trial of another medication. Consult your psychiatrist about this.

Dating again
sir please from india,have mercy dr ewald!!!!!!!!!!!

  • Email Email
  • Glossary Glossary

 Get Email Notifications When This Forum Updates or Subscribe With RSS



This forum is designed for educational purposes only, and experts are not rendering medical, mental health, legal or other professional advice or services. If you have or suspect you may have a medical, mental health, legal or other problem that requires advice, consult your own caregiver, attorney or other qualified professional.

Experts appearing on this page are independent and are solely responsible for editing and fact-checking their material. Neither nor any advertiser is the publisher or speaker of posted visitors' questions or the experts' material.

Review our complete terms of use and copyright notice.

Powered by ExpertViewpoint