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H10 ‘Help, my test result is positive!’

When people first discover they have HIV, they may be shocked. Even if infection is likely, they will still hope the test is negative. They may want to deny it and tell themselves the test is wrong. They may be angry and want to blame the person they think has infected them. They may be fearful and worried about the future.

Talking with people about the result is essential. If trained counsellors are not available, friendly people who can listen and allow people to express their emotions and fears are very important. Good counsellors do not judge people or tell them what to do. They never pass on private information to other people. They listen and help people face the future, sometimes providing useful information and encouragement. Usually several meetings are needed to help people make wise decisions.

People who are able to accept the truth about being infected with HIV can begin to plan for the future and learn to live positive lives. They can be very effective in educating others about HIV and AIDS and in caring for people with AIDS. They can also make plans for the future of other family members.

Discussion

  • What kind of things would we fear most if we discovered we have HIV? How could we help to reduce these fears?
  • Many people will want to blame someone whom they think has infected them. This is a natural reaction. How can we help people through this?
  • A woman who has been raped and discovers she is infected with HIV has to cope with many difficult emotions. What may she have to face? What support is there to help her to cope?
  • People who discover they have HIV often think they will develop AIDS and die soon. Reassure them that they are likely to have many healthy, productive years ahead. How can people in this situation choose to live positive and caring lives?
  • Why is it so important for people to tell their partner and close family and friends if they test positive for HIV? Discuss how difficult this is to do. What are the risks? What are the benefits? Could you role-play how a counsellor could help somebody gain the confidence to tell others?

Go to H11

 
Counselling skills  

Training in counselling skills is highly recommended. However, many people may be unable to obtain such training and find themselves wanting to help others through difficult times. Here are some useful ideas:


• Help people to relax. Greet them warmly, talk about some local news and help them feel more comfortable.


• Show respect for them at all times.


• Encourage them to share their situation, using open questions when needed.


• Listen to them with all your attention. So often we only half listen and are already thinking of what we will say next.


• Be comfortable with silence or with tears.


• Do not react with surprise, shock or judgement – only understanding.


• Do not give advice. Simply let people consider all their options and reach their own decisions. However, do make sure they have the correct information and are aware of all available support.


• Never tell others about information you have been told in confidence.


• Support people in the decisions they reach (even if you don’t agree).


• Continue to meet with people until they can feel more positive about the future.


This page was last updated on 15 August 2005