Often these stigmas could lead the individual to have internalised thoughts especially if the person is homosexual the individual may realise that societal view of homosexuality is wrong and therefore they internalise these thoughts- this can affect hearing about HIV centers  and help groups. 
This stigma may lead to direct stressors and greater risk of discrimination.

Preserving relationships: 
studies have found when people are faced with a choice of either taking their medication and risking discovery of HIV or preserving their social relationships they favour social relationships. 
The preserving of their relationships show just how important it is, to try and sort the issue of this- could be linked to that of societal norms and how having HIV is often something that is highly scrutinised and they don't want to disclose their identity in fear.

Antiretroviral therapy ( ART) requires lifelong daily oral intake. Whilst advances in ART have significantly improved the quality of life of people living with HIV infection. The success of ART still hinder on the appropriate adherence and daily persistence of taking the medication.
Issues regarding maintaining the correct adherence scores can cause virological failure, drug resistant strains and transmission of the virus.  
Virologic  adherence- full viral suppression aims to maximise immune fuction and minimize the virus- often needed to be near perfect adherence to achieve full suppression. 
Managing treatments may also be a challenge in regards to those that begin to show signs of internalised homophobia- by which they fail to hear about treatments.
Antiretroviral medication therapy typically involves three or more medications, which may require 30 to 60 pills per day. 

Acquired immunodeficiency syndrome ( AIDS) is the final stage of HIV. At this stage, immune system has practically broke down and the risk of catching infections is much greater. 

- study by Safren  et al., (2010) found that treatment using CBT let to significantly better outcomes in both adherence and depression than an enhanced-care comparison group.

High adherence to HAART is a key determinant of the degree and durability of viral suppression,  findings have reported that it has been positively associated with lower rates of disease progression, hospitalization and mortality (Press, 2002). For those that fail to adhere to the medication, this is correlated with treatment failure and can limit options for future antiretroviral therapies due to cross- resistance between HIV drugs. Complicated HIV regimens, medication side effects and toxicities, high pill burdens and psychosocial factors all contribute to non-adherence (Singh, 1999; Ferguson, 2002).  

The term is now widely used in many research journals, however the actual definition is one that is fairly inconsistent. The term is used to convey an overall sense of well-being such as happiness and how satisfied you are with the life that you are living. As HIV/AIDS has gone from a disease in which you were “dying from” to one where that is “living with” through the development of successful treatments such as Highly Active Antiretroviral Therapy, the survival of these patients has increased then it can be subjectively assumed that so has the QOL.  Those who have been diagnosed with HIV often have to cope with a range of HIV -related symptoms for extended period of times.  Symptoms may be related to the infection itself, comorbid illnesses or toxicities from HIV-related medications. Further to this, many HIV patients struggle with numerous social problems such as stigma, poverty depression which can affect their QOL. 

Ø  Combined ART has changed the way people live with the chronic disease- this has increased survival and has improved the patients quality of life. 

Ø  Psychosocial aspects of HIV- positive status shows that living with HIV is associated with a large measure of stress and depression. It is widely evidenced that those with HIV have greater rates of depression. Warren, (1984) reported that 20% of LGBT teenagers had either contemplated or even attempted suicide because of the issues they face surrounding their sexual orientation.  The prevalence of depression in HIV has ranged from 22-38% (Kelly, 1999). 

Ø  Individuals who confronted stress with a problem-solving attitude were found to have a significant better QOL than those who were not using a coping mechanism. 

Ø  A new issue that people face is that they have to balance medication and employment- patients with the HIV infection must frequently adapt to the nature of the illness.  

Ø  Various psychological problems, such as stigma, poverty, depression which can affect their QOL. Income, emotional, social support and problem and perception orientated coping were related to QOL.