Wang Da-Ma, 65 years old, has been deeply troubled by persistent insomnia for the past 5 years, and she can barely fall asleep for 2-3 hours every night with sedative-hypnotic drugs, or even stay awake all night. During the daytime, he was listless, weak, unable to think about food and drink, and sometimes had panic attacks and muscle tremors, which seriously affected his daily life and caused him to have thoughts of light-heartedness when he was in extreme pain. She was diagnosed with anxiety disorder after a neuropsychological examination and anxiety scale assessment. After the diagnosis, she was given the anti-anxiety drug paroxetine, and with psychological and behavioral treatment, she is getting better day by day. “The company is a member of the Board of Directors of the University of California. In fact, Wang’s aunt is suffering from anxiety disorder. Insomnia is one of the main symptoms of anxiety disorders, and among the many causes of insomnia, anxiety is one of the most important causes of insomnia. The more the patient lies in bed, the more he or she tosses and turns and cannot sleep, the more anxious he or she is, the more he or she can’t sleep, and the more he or she thinks about whether he or she will lose sleep tonight, the more he or she worries about insomnia, the more he or she cannot sleep, and the more he or she worries, the more he or she loses sleep, entering a vicious circle of persistent insomnia. Patients are distressed and long for a way to solve the problem. Anxiety disorders are mostly triggered by mental tension, work or stress, mood swings, environmental changes and other factors, and are the result of a combination of psychological and biological factors. Clinical symptoms are both psychological and somatic. Psychogenic anxiety is the core symptom of the disorder, which is characterized by different degrees of anxiety such as worry, nervousness, anxiety and fear, insomnia, difficulty in sleeping, irritability, inability to concentrate and memory loss. Due to the abnormal secretion of excitatory neurotransmitters in the body, somatic anxiety with sympathetic hyperfunction can involve many systems, such as dry mouth, chest tightness, hyperventilation, palpitations, frequent urination, and tinnitus. Muscle tension can lead to generalized tenseness, even pain and stiffness, and numbness. Some patients may experience subtle tremors that can seriously affect work and life movements. Treatment of anxiety disorders can be psychological, behavioral, and pharmacological. Do not treat insomnia caused by anxiety as if it were just insomnia, as this will not only delay the condition, but may also have serious consequences. It is recommended that if you experience insomnia and persistent failure to relieve other anxiety symptoms secondary to it, you need to go to a hospital neuropsychological or psychiatric outpatient clinic to seek treatment from a professional doctor. Psychological treatment: First of all, identify the cause of anxiety: the cause of anxiety varies from patient to patient, so it is important to try to understand the cause of anxiety and take appropriate countermeasures. Distract the patient’s anxiety: appropriate leisure activities can reduce anxiety. You can read, listen to the radio, watch TV, play chess and cards, etc. to distract the patient from the anxiety problem. Communicating more with relatives, friends and colleagues to achieve mutual communication is an effective way to relieve anxiety. In many cases, medical psychologists are often able to mobilize positive factors in patients through psychotherapy to help them overcome their anxiety reactions. Behavioral therapy is a series of methods to correct the patient’s undesirable behavior through cognition, learning, and training with the help of a therapist, so as to reduce and subside the patient’s anxiety. Use of drugs to relieve anxiety: For anxiety that is not easily relieved, it is beneficial to give 5-HT reuptake inhibitors such as paroxetine under the guidance of a doctor, supplemented with sedative-hypnotics if necessary.