Which psychological or mental health issues are commonly comorbid in patients with hypertension?

Apr 10, 2023 Source: Cainiu Health
Dr. Tian Hongbo
Introduction
Hypertensive patients are prone to comorbid psychological and mental health issues such as sleep disorders, anxiety, depression, loneliness, and schizophrenia. These individuals may frequently experience sleep problems, including insomnia or excessive dreaming. There is a bidirectional relationship between sleep problems and hypertension, as poor sleep quality can lead to elevated blood pressure, while hypertension may also contribute to sleep disturbances.

Generally, patients with hypertension are prone to concurrent mental and psychological issues such as sleep disorders, anxiety, depression, loneliness, and schizophrenia. The details are as follows:

1. Sleep Disorders

Hypertensive patients may frequently experience sleep problems such as insomnia or vivid dreams. There is a bidirectional relationship between sleep problems and hypertension, as poor sleep quality can lead to elevated blood pressure, while hypertension itself may also contribute to sleep disturbances.

2. Anxiety

Hypertensive patients often feel palpitations, irritability, restlessness, and quick temper. These negative emotions can further increase blood pressure and worsen the condition. Under medical guidance, medications such as nitrazepam tablets, flurazepam tablets, or alprazolam tablets may be used for treatment.

3. Depression

Some hypertensive patients may also exhibit symptoms of depression, such as persistent fatigue, lethargy, and loss of interest in daily activities. Under medical supervision, drugs like amitriptyline tablets, moclobemide capsules, or sertraline tablets may be prescribed to improve symptoms.

4. Loneliness

Some hypertensive patients may experience social isolation and feelings of loneliness due to disease limitations and medical advice, which can negatively affect their quality of life. Under a doctor's guidance, medications such as sulpiride tablets or haloperidol tablets may be used for treatment.

5. Schizophrenia

In severe cases of hypertension, patients may develop schizophrenia-like symptoms, along with impaired memory. It is recommended to use medications such as olanzapine tablets, risperidone capsules, or amisulpride tablets under medical supervision to alleviate symptoms.

Besides the above conditions, patients may also experience other discomforts such as neurosis-like syndromes. It is advisable to seek timely medical evaluation and treatment. Keeping blood pressure within a safe range helps minimize damage to the patient's mental and psychological health.


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