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a. Dr.. Ahmed Salem Bahamam Psychological disturbance affects sleep, and sleep disorders affect the psychological state. The relationship between sleep and the psychological state of the individual, sleep disorders may lead to depression, and psychological disorders may lead to sleep disorders, and in this case sleep disorder is accompanied by other psychological symptoms that the patient complains of or is noticed by the parents, and one of the most important psychological diseases related to sleep is closely related Depression: It affects women more than men (1:2) and it has several causes, some of which are hereditary, and some are caused by life stresses. Due to social isolation, the patient often complains of tightness in the chest, accompanied by weakness and lethargy.

The majority of patients (80 percent of them) have difficulty sleeping, such as insomnia, difficulty falling asleep, waking up frequently during the night, disturbing dreams, or waking up during the early morning hours, with the inability to return to sleep again, and this results in less hours of sleep at night, which increases mood tension his unit. There is another group of patients, on the contrary, the hours of sleep at night are more than the normal limits, and they have more sleepiness and lethargy during the day, and in both cases sleep disturbance negatively affects the disease and contributes to its increase.

Other symptoms of depression include a disorder of appetite for food accompanied by a change in weight, either an increase or decrease, a feeling of inferiority and guilt and self-blame for old mistakes, loss of sexual desire, and in severe cases the patient may wish for death or contemplate suicide, and the disease may reach its severity to the point where the patient stops From talking, eating, moving and even doing his own business, this condition is called depressive stupor. In all cases of depression, both mild and severe, the patient needs to see a psychiatrist and receive the necessary treatment. The nature of treatment depends on the severity of the disease When severe, the patient may need to be admitted to the psychiatric ward to closely monitor the development of the condition.

In general, the treatment of depression is a pharmacological and psychological treatment As for the pharmacological treatment, it is represented in anti-depressants, which do not cause the patient to become addicted to them, and their side effects are very few. They are given by normal prescription and they are sold in pharmacies. Psychotherapy is psychological sessions with a psychologist who will refer you to your doctor. These sessions aim to help the patient identify the causes of his depression, his way of thinking and negative behavior patterns that lead to depression, and replace them with a positive outlook and way of thinking, and thus healthy behavior adapted to reality.

As for the sleep disorder associated with depression, it gradually improves with the improvement of the patient''s mood. Schizophrenia: It is one of the most famous psychiatric diseases, and the first to give it this name is the scientist Baller from the Greek word (Schizein) meaning to divide, (Phren) meaning mind, meaning that the meaning of the word is division of the mind. Schizophrenia is a chronic disease characterized by disturbance of thinking (as if the patient believes that people are against him and conspiring against him) and the emergence of delusions and hallucinations. Difficulty falling asleep and lack of sleep during the night.

To treat the disease, the patient needs to see a psychiatrist to diagnose the condition and start pharmacological treatment, which is represented by antipsychotics, and medications help a lot in improving the condition and preventing its deterioration, and with it the patient can rely on himself in many aspects of life, and the role of the parents in following up, treating and supporting the patient is very important in the patient''s response to treatment. And in a recent review we did at the university with a group of researchers in Canada (which is currently under publication 2016), where we reviewed all the studies that examined the relationship between schizophrenia and circadian disruption, we found that recent research indicates a role for the circadian system in the production or exacerbation of Symptoms of schizophrenia suggest that correcting the circadian rhythm may reduce symptoms.

Adjustment disorder: A feeling of sadness or tension and anxiety in response to a traumatic event such as divorce, death of a relative or dismissal from work, and this response goes beyond the normal limits that can usually be expected, and adjustment disorder may be accompanied by lack of sleep, insomnia and frequent awakening during the night with a feeling of lethargy and lethargy during the day. A patient with an adjustment disorder requires psychological treatment, which is often supportive, and aims to identify the problem and try to solve it by improving the patient''s communication skills and enhancing his self-esteem. This is a brief overview of the most important mental illnesses associated with sleep disorders and ways to treat them.

When the mental disorder is treated, the resulting sleep disturbance improves a lot and may even go away.