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.

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Written by Liu Yong
Traditional Chinese Medicine
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Can Qi deficiency cause insomnia?

Qi deficiency can cause insomnia. Symptoms of qi deficiency include loss of appetite, nausea, dizziness, tinnitus, insomnia, frequent dreaming, abdominal bloating, and diarrhea, leading to a decreased immune response and reduced resistance in the body. It is possible to take some Chinese herbal medicines that replenish qi and blood, such as ginseng, astragalus, and schisandra. (Medication should be taken according to medical advice.) It is important to maintain a light diet, keep a cheerful mood, and avoid spicy and highly stimulating foods. Consuming chicken, beef, and pork to supplement qi and blood can be beneficial. Try to avoid getting frustrated.

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Written by Li Xiao Jie
Internal Medicine
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What should women do about insomnia and frequent dreams?

For women with insomnia and frequent dreams, the specific age group should be considered. If the women are in menopause, it's related to a decrease in estrogen secretion. In such cases, hormone medications can be appropriately used, but it is necessary to visit the gynecology department for professional guidance from a doctor and not to blindly use hormone medications on one’s own. For younger women, it’s often caused by nervous exhaustion. Daily mental stress, or taking oral medications can address this issue, such as using Anshen Bunao liquid, Wuweizi granules, Bailemian, etc., which all have effective treatment results. Additionally, one can drink milk before bedtime, soak feet in hot water, listen to soothing music, etc., and try to avoid looking at phones or watching TV.

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Written by Li Hai Wen
Cardiology
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Management of poor heart condition and insomnia

If you have heart issues and are experiencing insomnia, you can consider the following adjustments: First, appropriate medication adjustments, such as under the guidance of traditional Chinese medicine, combining pulse-taking and tongue examination to determine the body's constitution, proper use of traditional Chinese herbs like sour jujube kernels, goji berries, poria, licorice, jujube, chrysanthemum, and honeysuckle to make porridge can to some extent improve sleep issues. Second, maintain good lifestyle habits, like keeping a positive mood, avoiding staying up late, developing the habit of sleeping regularly, and avoiding overeating, especially at dinner. If necessary, take Western medicine to improve sleep, such as eszopiclone, under the direction of a doctor.

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Written by Di Zhi Yong
Cardiology
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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 Yuan Chun Yun
Geriatrics
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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.