But as others have correctly mentioned, Atripla is no longer the first suggested med for "treatment naive" Hiv-positive people. There are several others. How very strange, then, though you mentioned that you did not want Atripla nor would you take it, that that's exactly what the nurse (practitioner, I presume) prescribed. Bizarre! What is wrong with them?
You are correct to refuse Atripla, when there are other alternatives and you anticipate central nervous system issues (dreams, exacerbation of PTSD symptoms) and work issues.
In the meantime, you can check out the alternatives and see what co-pay assistance may be available to you. Here's a link to POZ's list of HIV meds:
I wish you the very best in your initiation of therapy.