Here are just a few of the most important questions to ask yourself before you start your HIV treatment regimen:
1. Why do I want to start treatment?
This extremely important question is not to be confused with, “Why does my doctor say I should start treatment?” It’s a way of asking yourself what you want to get out of treatment, and it gets straight at whether you believe that antiretrovirals are necessary to manage your HIV infection.
Starting and staying on HIV treatment is a supreme act of self-respect. This question can unmask any lurking reluctance you may have to take care of yourself. It helps clarify what your main motivation will be to take your HIV medications day after day.
2. Am I ready?
The list of reasons for starting treatment earlier than later only gets longer as the supporting data keeps rolling in. But that doesn’t mean it’s obvious when you should start. The biggest variable in sustained treatment success is you: the person who will have to take meds the right way, every day, indefinitely.
3. Which regimen will still let me live my life?
The greatest combination of medications the world has to offer isn’t worth much unless it makes it down your gullet as prescribed, every day. It can be hard enough to start taking daily medications, let alone have to make radical changes to your daily routine for them.
4. Have I surrendered to the truth that I have HIV/AIDS?
Denial and shame aren’t good for your health, and they can really interfere with your ability to commit to treatment. Some people start treatment because they’re “supposed to” or because their doctors think they should, not because they choose to do it as an act of self-preservation. They do it grudgingly, like a chore you do because someone asked you nicely to do but you really can’t wait to finish — and, honestly, you never got why it was important to do, anyway.
Let’s face it: Going on treatment means acknowledging, every day, “I have HIV/AIDS.” What happens on the days you don’t much want to acknowledge that — to yourself or to others around you? A treatment regimen is dangerous place to play out resentments.
5. Who will I tell about my regimen?
Never underestimate the power of support: Hearing a friendly “Have you taken your meds today?” can go a long way toward keeping you on the right path. Sure, it might get old, but it’s nice to have someone else paying attention, especially on those days you might not be.
It also can be surprisingly nice to have someone to talk to about your medications. Plus, you’ll likely be glad to have an extra pair of eyes and ears in treatment discussions with your doctor — or even just noticing how you’re doing.