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The Role of Precise Conceptualization in the Treatment of a Complicated HIV-1–Infected Neuropsychiatric Patient

Received March 13, 1998; revised April 29, 1998; accepted June 19, 1998. From the Department of Psychiatry and Behavioral Sciences, University of Miami School of Medicine, Miami, Florida. Address correspondence to Dr. Goodkin, Department of Psychiatry and Behavioral Sciences (M836), University of Miami School of Medicine, 1400 NW 10th Avenue #803-A, Miami, FL 33136; e-mail: kgoodkin{at}mednet.med.miami.edu

Patients infected with human immunodeficiency virus, type 1, may present with neuropsychiatric manifestations across all stages of disease. Frequently, these patients may present with more than one neuropsychiatric disorder concomitantly. The case presented highlights the utility of detailed clinical observation, careful use of medical terminology, and a neuropsychiatric organizing paradigm in the diagnosis and treatment of a patient presenting over time with delirium, aphasia, mania, and a complex partial seizure disorder.

Key Words: Human Immunodeficiency Virus, Type 1 • Case Conceptualization

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