FROM DIAGNOSIS TO ACCEPTANCE: MENTAL HEALTH TRAJECTORIES IN HIV-INFECTED PATIENTS

HIV infection has long been associated with significant psychological and emotional challenges. From the initial diagnosis to eventual acceptance of living with the virus, individuals often experience a range of mental health issues, including depression, anxiety, and stress. These mental health challenges not only affect the quality of life of those living with HIV but also have profound implications on disease progression, treatment adherence, and overall well-being. The psychological journey from diagnosis to acceptance is complex and deeply influenced by factors such as stigma, social support, and personal resilience. This review explores the mental health trajectories of HIV-infected individuals, from the emotional shock of diagnosis to the process of coming to terms with the virus. The initial response to diagnosis often includes a mixture of denial, fear, and grief, which can delay medical engagement and complicate treatment adherence. Over time, many individuals develop psychiatric comorbidities such as depression, anxiety, and substance use disorders, which further complicate their mental health journey. Social support systems and coping mechanisms play a significant role in mitigating these mental health challenges, while the process of acceptance fosters a sense of empowerment, improved psychological resilience, and better health outcomes. Peer Review History: Received 7 February 2025; Reviewed 10 March 2025; Accepted 21 April; Available online 15 May 2025