High mental stress sleeplessness requires medication. Because psychotherapy requires patients to have a certain degree of self-regulation, in the case of high mental tension, patients are losing their self-control ability. You can first ask the cause of the patient’s high mental tension, if it is caused by anxiety, that is, no objective factors or objective stimuli exist, you can prefer to use benzodiazepine anxiolytics and hypnotics, such as diazepam, alprazolam, clonazepam, lorazepam. If the patient’s nervousness is caused by psychotic symptoms, such as hallucinations and delusions, antipsychotic drugs with sedative and hypnotic effects, such as olanzapine, quetiapine, clozapine, etc., may be used.