How to treat anxiety and insomnia?

Written by Zhang Hui

Neurology

Updated on September 21, 2024

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The patient is experiencing anxiety and insomnia, and the following treatment methods are recommended. Firstly, it is crucial for the patient to pay attention to psychological adjustment, maintain a pleasant mood, keep a good mindset, and communicate more with others, which can achieve very good effects. Secondly, it is essential to develop one's hobbies, engage in more outdoor sports, which can divert one's attention, significantly reduce anxiety, and also improve insomnia. Thirdly, long-term anxiety and insomnia can have adverse effects on the body. It is possible to take benzodiazepine drugs, which help with sleep and can also counteract anxiety, and should be taken under a doctor's advice. Finally, if the patient's anxiety is very pronounced, it is necessary to see a psychologist for treatment and take some anti-anxiety medication.

Other Voices

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Written by Pang Ji Cheng

Psychiatry and Psychology

42sec

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What to eat for insomnia

Insomnia is a relatively common clinical condition, so it is important to avoid spicy and greasy foods in the diet, and consume fresh vegetables and fruits rich in vitamins. Additionally, when insomnia becomes severe, benzodiazepine sedative-hypnotic drugs or short-acting sedatives can be taken to help patients enter sleep quickly. Furthermore, during insomnia, it is also important to notice if the patient has any other psychiatric symptoms. If there are accompanying psychiatric symptoms, sedative-hypnotic, anti-anxiety, antidepressant, or antipsychotic drugs can be taken to improve the patient's sleep condition. (Note: The above drugs should be used under the guidance of a doctor.)

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Written by Di Zhi Yong

Cardiology

1min

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What are the reasons for insomnia, hand tremors, and palpitations?

If a patient frequently experiences insomnia, trembling hands, and palpitations, it is possible that these symptoms are caused by myocardial ischemia. It is recommended that the patient actively undergo treatment using medications that dilate blood vessels and improve circulation, and firstly, coronary heart disease should be ruled out. If a person has long-term sleep disorders, they can also develop a certain level of anxiety, which in turn can lead to insufficient coronary artery blood supply and thus myocardial ischemia. This condition can also manifest as palpitations and trembling hands. Another scenario is hypoglycemia. If blood sugar levels are too low, symptoms such as palpitations, chest tightness, and trembling hands can occur, typically at night. For such cases, it is also necessary to promptly monitor the patient's heart rate, blood pressure, and pulse changes, and the diet should primarily consist of high-quality protein.

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Written by Pang Ji Cheng

Psychiatry and Psychology

40sec

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Does anxiety disorder cause insomnia?

Patients with anxiety disorders may experience symptoms of insomnia, primarily due to high sympathetic nervous excitement and hyperfunction of skeletal muscles. Therefore, patients may exhibit high alertness, difficulties falling asleep, frequent awakenings during sleep, or inability to fall back asleep after waking up. In such cases, clinically, anti-anxiety medications with sedative and hypnotic effects, such as benzodiazepine anti-anxiety drugs, or antidepressants with sedative effects, can be effectively used. Moreover, if anxiety disorder patients can self-adjust, such as through exercise, they may also improve their sleep conditions to some extent.

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Written by Cai Li E

Cardiology

1min 14sec

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How to regulate rapid heartbeat and insomnia?

If increased heart rate and insomnia are not due to cardiovascular disease, pulmonary disease, or thyroid disease, consider a diagnosis of cardiovascular neurosis. Patients with cardiovascular neurosis often present with numerous and variable complaints, lacking an intrinsic connection between symptoms. Common symptoms include palpitations, a heightened sense of heartbeat, chest tightness, labored breathing, a frequent feeling of insufficient air requiring opening windows or needing oxygen, accompanied by insomnia, vivid dreams, anxiety, loss of appetite, dizziness, tinnitus, sweating, cold hands and feet, and trembling hands. Treatment primarily involves psychotherapy, with medication as a secondary approach. Patients are encouraged to adjust their attitudes, organize their schedules properly, and engage in cultural, tourism, and sports activities. In cases of severe insomnia, the cautious use of drugs like midazolam or zopiclone may be considered. (The use of medications should be under the guidance of a physician)

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Written by Yuan Chun Yun

Geriatrics

1min 10sec

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What to do about insomnia?

Interventions for insomnia mainly include pharmacological treatment and non-pharmacological treatment. For patients with acute insomnia, it is advisable to use pharmacological treatment early. For patients with subacute or chronic insomnia, whether primary or secondary, psychological behavior therapy should be used in conjunction with pharmacological treatment. The essence of psychological behavior therapy is to change the patient's belief system and enhance their self-efficacy, thereby improving symptoms of insomnia. To achieve this goal, the involvement of professional physicians is often necessary. Psychological behavior therapy is effective for both primary and secondary insomnia in adults, and typically includes sleep hygiene education, stimulus control therapy, sleep restriction therapy, cognitive therapy, and relaxation therapy. These methods may be used alone or in combination for the treatment of primary or secondary insomnia in adults.