Mental Disorders In Chronic Disease

Although it can not be avoided, the disease can come to us without sometimes be prevented. Particularly it is the nature of chronic diseases such as diabetes, heart disease, rheumatoid arthritis or kidney disease. I've written several times about this disease in the medical field that are available in this Kompasiana. Later, the condition of patients with chronic diseases more commonly found in everyday practice. Because most psychiatric disorders such as mild anxiety or difficulty sleeping sickness often descend patients with chronic disease.


Difficulty sleeping is a fairly common problem experienced by patients with chronic disease problems. Patients with heart problems are also prone to trouble sleeping. Several times I found cases of insomnia or trouble sleeping in patients with conditions such as post-procedure cardiac catheterization / balonisasi or mounting ring.

Before the procedure is the treatment of heart patients experience anxiety due to his heart condition. Patients usually say the tension before starting the procedure especially if the patient has an anxious personality tendencies. Increased autonomic nerve response and increased adrenal hormone often increases the patient's anxiety that eventually could make it difficult to sleep before the procedure or afterwards. In these patients, usually anti-insomnia drug treatment of non-benzodiazepines such as Zolpidem can help.

Treatment with anti anxiety it can be given if there is a real concern. Later, because of the potential for dependence and withdrawal reaction of the benzodiazepine class of drugs such as anti anxiety or Benzodiazepine Alprazolam is usually not given in large quantities and long. SSRI antidepressants like sertraline in numerous studies both to address the condition of anxiety in heart patients.


Depression is classically depicted with the face (mood) is sad, loss of interest and passion for life and disability business as usual anymore. The three main symptoms are often also coupled with physical symptoms that often resemble the symptoms of chronic disease in certain diseases. Depression in chronic diseases is a very common thing. Figures the accident quite high among patients with chronic pain. Diseases such as diabetes (diabetes mellitus), renal failure, cancer, chronic lung disease are most susceptible to depression disease.

Unfortunately, depression is often not known well on chronic diseases or considered as part of the usual course of the disease in patients. Though depression was not handled properly in patients with chronic disease will aggravate the pain and reduce the quality of life. Treatment with SSRI antidepressant drugs such as sertraline group is very beneficial for patients.

In addition, a good education about the disease the patient either way and hope the future will help the patient to understand and eliminate the negative affective patients to the condition of the disease. Patients are expected to help themselves with the help of experts in the field of mental health as a psychiatrist who understands the patient's medical problem. Supportive psychotherapy that aims to improve patient adaptation in daily life is very important to do in addition to treatment with antidepressant drugs.

Recognize and treat immediately

Problems of psychiatric disorders in chronic diseases is often overlooked in everyday practice. Doctors tend to regard the symptoms of mental disorders, especially depressive symptoms as part of a natural course of the disease in patients. Though depression is a medical illness condition also in need.

For insomnia, often doctors or patients also consider this to be temporary. Often treatment is also not fully able to help if the problem is essentially solved. Depression and anxiety can be background person experiencing insomnia. Another problem associated with psychiatric disorders in the general medical condition is chronic fear in using the drug in patients psikofarmaka.

Medication is not the only method of treatment in cases of chronic medical but armed with knowledge of pharmacodynamics and pharmacokinetics of drugs that doctors can understand drug interactions that may occur in the use of drugs simultaneously. Hopefully with a good knowledge about aspects of mental health in chronic medical conditions, patients with chronic medical disorders can achieve a better quality of life again.