Constant nightmares can be caused by neurasthenia, or they can be caused by excessive mental tension and stress during the day. It can also be seen in patients with anxiety disorders and depression. In neurasthenia, patients can have sleep disorders, which can manifest as difficulty falling asleep or early awakening during sleep. Some patients may have nightmares during sleep, which may affect the quality of sleep. At the same time, patients may experience precordial discomfort, chest tightness, shortness of breath, sweating, etc., which can be treated with oral glutamate to regulate the vegetative nerves. If patients have anxiety, they can have nightmares, and at the same time, they can have anxiety, irritability, panic and fear, or they can have difficulty falling asleep. In case of depression, the patient can have nightmares at the same time, can also appear, not interested in anything, can also appear depressed, and in severe cases may appear the desire to lighten up, mainly by giving citalopram antidepressant treatment. Patients with anxiety disorders are generally treated with oral tandospirone and buspirone for anxiolytic treatment.