HIV: ON LIVING-SOURCES OF SUPPORT: MENTAL HEALTH PROFESSIONALS
Some mental health professionals—psychiatrists, psychologists, social workers, psychiatric nurses, counselors—deal primarily with people affected by HIV infection. Psychiatrists are physicians who have specialized in psychiatry—that is, in disorders of mood and thinking; psychiatrists can prescribe medication. Psychologists have doctoral degrees, either a Ph.D. or an Ed.D., in psychology; psychologists can test and diagnose. Social workers have master’s degrees plus supervised training. Psychiatric nurses have master’s degrees plus supervised training. And counselors can be pastors or others who counsel people. All these professionals should be certified by the certifying boards of their respective professions. The certifying boards for counselors are variable, some good, some not so good, and as a result, counselors are not as tightly monitored as the other mental health professionals. To overgeneralize, these professionals offer two kinds of therapy—talk therapy and medical therapy. All of them offer talk therapy. They can help you express and understand and resolve painful feelings, analyze and solve problems with other people, gain a sense of who you are as a whole person. They will work with problems that range from the specific and practical to the fundamental and philosophical. You can say anything to them. Psychiatrists alone can also offer medical therapy, drugs that restore sleep, appetite, and mood. Probably the best advice is to begin with talk therapy, but you will want to ask the professional to refer you for medical therapy if necessary. The professional who is unwilling to do this is best avoided. If you do not know who the mental health professionals are, begin by asking the medical professionals—doctors, nurses, physician’s assistants—you do know. If they cannot help, they will surely refer you to someone who can. Local AIDS-advocacy groups, the gay community, local mental health associations, and state mental health agencies all have lists of qualified, experienced mental health professionals.*235\191\2*