Addressing Psychosocial Comorbidities in HIV Treatment and Prevention

Addressing Psychosocial Comorbidities in HIV Treatment and Prevention: Phase 2

Project AProaCH is an open pilot trial of a cognitive behavioral therapy (CBT) for individuals with HIV with various psychological comorbidities, which the investigators call "syndemics". Syndemics are co-occurring psychosocial problems that interact with each other and with health behavior such as HIV sexual transmission risk behavior and adherence to self care.

Inclusion Criteria:

• HIV+ individuals
• Uncontrolled virus (plasma HIV RNA concentrations that reach detectable limits) or being diagnosed with a sexually transmitted infection (STI) (gonorrhea, chlamydia, syphilis, trichomoniasis (female only)) currently or within the past 3 months.

Exclusion Criteria:

• Unable or unwilling to provide informed consent
• Active untreated, unstable, major mental illness (i.e., untreated psychosis or mania) that would interfere with study participation
• Opinion of the PI that the participant would be at risk for harm to himself or others as a result of study participation,
• Under the age of 18 or over the age of 65,
• Current CBT for a psychiatric disorder, or a course of CBT in the past year.