As society evolves, the proportion of anxious and depressed patients with comorbid somatic disorders is increasing. A Canadian survey of 130,000 people in 2005 confirmed that the number of depressed patients with comorbid physical illnesses alone was already 21% higher than that of healthy controls. When depression is combined with physical illnesses such as chronic lung disease, heart disease and diabetes, the rate of disability increases by 50%. When the temperature rises gradually, anxiety and depression patients are prone to mood swings due to their illnesses, and the combination of physical illnesses such as diabetes and hypertension creates more stressors, and the heat is a catalyst, which is like pouring oil on the fire. If you want to spend the summer safely, you need to pay attention to the following points: 1. Pay attention to somatic diseases Pay attention to the identification of somatic symptoms brought about by anxiety and depression and the symptoms of somatic diseases themselves, such as weakness and panic, which can be seen in diabetes hypoglycemia, poor diet hypokalemia, but also in anxiety and depression diseases or the side effects of anti-anxiety and anti-depressant drugs. 2, pay attention to drug side effects Patients taking lithium carbonate treatment in summer should pay attention to the appropriate amount of salt water supplementation, to avoid prolonged sweating in a high temperature environment. Because the metabolism of lithium salt needs sodium ion accompanied by transit, if a lot of sweating sodium ion loss will affect the lithium salt metabolism, while blood concentration is also prone to increase the blood lithium concentration or lithium toxicity. 3, pay attention to the impact of high temperatures on the disease High temperatures lead to outdoor activities time and scope of reduction, a long time in a relatively small and closed space poses a certain pressure on the emotions. Restricted physical activity and decreased appetite pose certain challenges to patients with diabetes, hypertension and other physical diseases to control their conditions. This can be regulated in three ways: 1. Disease perspective First, take medication regularly, in adequate amounts and on time as prescribed by the doctor. Symptom fluctuations should be seen in a timely manner to avoid scaring yourself with blind guesses alone, and to avoid adjusting medications on your own based on your feelings. Online and telephone appointments, time-sharing visits and online and telephone consultations can be taken to reduce the inconvenience of traveling in summer. 2, body perspective Emphasize eating properly, meat and vegetables, and eating fruits in moderation and in moderation, so that the body can be more resistant to stress. Rest more, ensure sleep time and sleep rhythm, avoid long hours on the Internet or watching TV, and at the same time appropriate exercise. 3, psychological point of view There should be emotions in a timely manner to vent do not accumulate, to have a good interpersonal network. A person who is in an unpleasant mood can be the first time to talk to the relatives, friends or colleagues around, which will greatly reduce emotional stress. Adopting positive and reasonable coping methods to resolve psychological conflicts, cultivating optimism and humor, being able to humor things without major principles, or subtly diverting attention, are all good ways to resolve bad moods. Although there may not be an inevitable causal relationship between summer and mental illness, physical illness fluctuations, but to a certain extent to remind us that mood swings may be more harmful than heat stroke. This is because it is affecting not only our physiology, but also our sense of self well-being. It is important to remember that there is a process from the beginning of being affected by bad emotions to the fluctuation of mental and physical illnesses; the earlier we are aware of it, the easier it will be to cope with it and avoid becoming a “person in authority”.