Anxiety and depression are common psychological problems in general hospitals. The vast majority of patients with anxiety and depression disorders have been seen in general hospitals and other medical institutions with somatic symptoms. Due to the lack of training and experience in diagnosing and treating psychological disorders, physicians in various clinical departments are unable to identify and handle patients with anxiety and depression disorders with somatic symptoms as the main complaint, which often leads to missed diagnosis and misdiagnosis, delayed treatment and wasted medical resources. What are anxiety and depression disorders? Anxiety, anxiety states, anxiety disorders Anxiety: usually a normal emotional response in a state of stress, manifested as internal tension and anxiety, premonition seems to happen some adverse situation, belongs to the body defensive psychological reaction, most do not need medical treatment. Anxiety state: It is a syndrome of symptoms, including somatic anxiety symptoms, psychotic anxiety symptoms and motor anxiety symptoms such as fidgeting, which are mentioned below, and the individual has an emotional experience that does not match the situation. It is pathological and generally requires medical management. Anxiety disorders: i.e., anxiety disorders, are a category of illness diagnosed with symptoms that are persistent, distressing, severely affect the patient’s daily functioning, and lead to abnormal behavior that requires treatment. Anxiety disorders can be further divided into several categories according to their main clinical manifestations, such as generalized anxiety, panic disorder, fear disorder, etc. Second, depression, depressive states, depressive disorders Depression: is a negative mood, with depressed mood as the main manifestation and reduced interest in activities that are usually pleasant. It is generally a normal psychological reaction, lasting for a short period of time, and most do not require medical treatment. Depressive states: are a group of symptom syndromes characterized by a significantly depressed state of mind, loss of interest or pleasantness, manifested by emotional, behavioral, and somatic symptoms, generally pathological, lasting slightly longer, and requiring medical management. Depressive disorders: i.e., depression, is a category of disease diagnosis. Caused by various reasons, with significant and persistent depressed mood as the main clinical features of a class of mood disorders, affecting social function, generally requires treatment. Third, the identification rate of anxiety and depression is low, and the treatment rate is even lower More than 26% of medical and surgical outpatients attending domestic general hospital inpatient clinics have anxiety and depression, and the proportion of anxiety symptoms (35%) is greater than that of depression (33.2%). However, the overall identification and treatment rate of patients with psychological disorders in general hospitals is low, especially when anxiety and depressive disorders coexist with physical illness. The survey showed that the recognition rate of depression in general hospitals was only 4%. Treatment rates for anxiety and depression were even lower, at about 10%. Only 6% of the residents detected in the community who met the diagnostic criteria had visited a hospital, and even when they did, more than half visited a non-psychiatric department; 80% of the patients did not have any targeted treatment, and the treatment rate was even lower. One of the reasons why the overall identification and treatment rates of psychological disorders in general hospitals are so low is that the vast majority of patients with anxiety or depressive disorders complain of somatic symptoms rather than emotional problems, making identification difficult for physicians in various departments, especially when somatic disorders and anxiety and depressive disorders are co-morbid. Other reasons are patient stigma or general practitioners’ lack of knowledge and skills related to psychiatric treatment, insufficient attention to mental illness and insufficient time for treatment. Fourth, the impact of anxiety and depression on physical illness. Concomitant anxiety and depression can significantly affect the prognosis of patients, increase the burden of illness, and affect the quality of life of patients. Patients with generalized anxiety disorder have a 6-year recurrence rate of 80%, and if there is no medical treatment, very little healing, about half of the delayed chronic course; panic disorder is also easy to turn into a chronic, recurrent course. The persistence of anxiety and depressive symptoms not only increases the risk of developing other diseases, but also significantly increases the risk of cardiovascular death, and is an important risk factor for morbidity and disability in coronary heart disease; anxiety and depression have a significant predictive effect on cardiovascular events (cardiac death, myocardial infarction, cardiac arrest) within 2 years of stable angina. If you have the above anxiety and depression and it affects your work and life, please see a professional psychiatrist hospital.