Time：2023-02-01 23:49:07 source：psychiatricethics.com author：Depression Read：641次

Patients with depression and anxiety should be vigilant, long-term insomnia may cause blood pressure to rise

Many patients with depression and anxiety disorders who come to my clinic have reported that they have poor sleep quality. Either they can't fall asleep or they wake up repeatedly in the middle of the night, and they still feel very tired when they wake up. In fact, many depressed people have no way to divert their attention during the day due to their depressed mood, and do not want to participate in activities. Before going to bed, they will uncontrollably recall some bad and negative experiences, such as work stress, exam failure, etc. This phenomenon we It's called rumination. In this case, patients are prone to problems such as difficulty falling asleep, early awakening, and shallow sleep. In addition to being prone to cranky thinking before going to bed, anxiety patients are often accompanied by symptoms of autonomic dysfunction, such as dizziness, palpitation, frequent urination, urgency, etc. These physical discomforts will affect sleep, resulting in inability to fall asleep. In addition, many patients in the state of long-term insomnia will have fear of insomnia, and their mental pressure will increase. They often start to worry that they will not be able to sleep again at night, which will aggravate the insomnia. Some of these patients had elevated blood pressure in the state of long-term insomnia, and they had never thought about the connection between elevated blood pressure and insomnia. Most people are active in the vagus nerve at night, while insomniacs are more excited by the sympathetic nerve at night, which will cause the body to release substances that constrict blood vessels, causing blood pressure to rise. Long-term elevated blood pressure increases the risk of cardiovascular diseases, such as hypertension and coronary heart disease. Therefore, for patients with depression or anxiety disorders, we must pay attention when there is long-term insomnia. Treating depression or anxiety disorders not only helps you regain your health psychologically, but also relieves negative emotions. Avoid developing more organic lesions due to these mental illnesses. Clinically, for patients with depression or anxiety disorders, drugs can be used to treat depression and anxiety, and cognitive behavioral therapy can be used to change the bad behavior and cognition of patients. With the relief of depressive disorder and anxiety disorder, the patient's sleep situation can also be improved. Coupled with paying attention to diet in daily life, the problem of elevated blood pressure caused by insomnia can be completely solved.

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