logo
episode-header-image
May 2023
20m 12s

Hypertension on the Couch

Mental Health Training Information
About this episode

Hypertension, commonly known as high blood pressure, is often called the “silent killer” because it can go unnoticed until it causes severe health problems. In fact, hypertension affects over 1 billion people worldwide and is responsible for an estimated 7.5 million deaths annually. Understanding the risks of hypertension and how to prevent it is crucial for maintaining good health and longevity.

What is Hypertension?

Hypertension is a condition that occurs when the force of blood pushing against the walls of the arteries is consistently too high. Blood pressure is measured in two numbers - the systolic pressure (when the heart beats) and the diastolic pressure (when the heart is at rest). A normal blood pressure reading is typically around 120/80 mmHg. However, a reading consistently above 140/90 mmHg can be considered hypertensive and requires medical attention.

Hypertension is classified according to severity:

  • Stage 1 hypertension — clinic blood pressure ranging from 140/90 mmHg to 159/99 mmHg and subsequent ABPM daytime average or HBPM average blood pressure ranging from 135/85 mmHg to 149/94 mmHg.
  • Stage 2 hypertension — clinic blood pressure of 160/100 mmHg or higher but less than 180/120 mmHg and subsequent ABPM daytime average or HBPM average blood pressure of 150/95 mmHg or higher.
  • Stage 3 or severe hypertension — clinic systolic blood pressure of 180 mmHg or higher or clinic diastolic blood pressure of 120 mmHg or higher.
  • Accelerated (or malignant) hypertension is a severe increase in blood pressure to 180/120 mmHg or higher (and often over 220/120 mmHg) with signs of retinal haemorrhage and/or papilloedema (swelling of the optic nerve). 
  •  Ambulatory blood pressure monitoring (ABPM) 
  • Home blood pressure monitoring (HBPM)

Essential hypertension, or primary hypertension, is the most common type of high blood pressure. It means no specific underlying medical condition causing high blood pressure. Factors contributing to essential hypertension include genetics, lifestyle factors (such as diet and exercise), stress, and age.

Managing essential hypertension is important, as it can lead to serious health problems, such as heart disease and stroke. Treatment may include lifestyle changes, such as adopting a healthy diet, increasing physical activity, and medication to lower blood pressure. Regular check-ups with a healthcare provider are important for monitoring and managing essential hypertension.

Primary hypertension (which occurs in about 90% of people) has no identifiable cause.

Secondary hypertension (about 10% of people) has a known underlying cause, such as renal, endocrine, or vascular disorder or the use of certain drugs. 

Symptoms and Risks of Hypertension

Hypertension is often called the “silent killer” because it typically presents no noticeable symptoms. However, over time it can cause severe damage to the arteries, heart, brain, kidneys and eyes. Hypertension-related health problems include heart attacks, strokes, aneurysms, kidney failure, and vision loss. Hypertension is also a leading cause of dementia and cognitive impairment in the elderly.

Long-term effects of Hypertension

Hypertension affects a quarter of the adult population in the United Kingdom. It accounts for 60% of all strokes in the UK and half of all heart attacks, but because the condition is usually symptomless, most people have no idea they are at risk until it is too late. 

Hypertension and chronic pain

Hypertension and mental health

High blood pressure in young people may cause long-term brain issues.

Brain damage caused by Hypertension could contribute to dementia.

Hormones and Hypertension

Salt and Hypertension

Alcohol on hypertension

Managing Hypertension and Mental Health

Prevention and Treatment of Hypertension

Learn more:

Up next
Jan 2024
Mental Health in Literature 6
The following book reviews contain a mental health study on personality disorder. The first is mummy’s boy Norman; seconds out, round two is a private gentleman's club activity swirling out of control; after all, men will be men. We begin by exploring Alfred Hitchcock’s “Psycho”, ... Show More
24m 45s
Dec 2023
Mental Health in Literature 5.
To Kill a Mockingbird, a 1960 novel by Harper Lee, is an iconic masterpiece set in the 1930s Deep South that confronts American society's deep-seated prejudices and injustices. Positioned in the racially divided town of Maycomb, Alabama, during the Great Depression, the story fol ... Show More
7m 32s
Dec 2023
Understanding the Dichotomy of Control: A Stoic’s Guide to Serenity
Have you ever found yourself at the mercy of a situation, feeling like a leaf tossed in the wind? This is where the dichotomy of control steps in, offering a lifeline to clarity and calm in the chaos of life. It's a simple yet profound principle that can revolutionise how we hand ... Show More
48m 9s
Recommended Episodes
Feb 2025
The loneliness cure: How to break the cycle and build connections
A recent Gallup Poll showed that 1 in 5 American adults reports feeling lonely every single day. It's something that U.S. Surgeon General Vivek Murthy has called a "national epidemic of loneliness and isolation." We hear from Murthy about the broader impact of loneliness. Then, e ... Show More
28m 10s
May 2024
Loneliness & Isolation: Shocking Impacts
INCREASE LIFESPAN by Recalling Positive Memories - A Simple Technique to Improve Health!  Mayim breaks down famous relationship expert, Dr. David Richo’s ,“5 A’s” (Attention, Acceptance, Appreciation, Allowing, Affection) and their crucial role in fostering healthy connections in ... Show More
1h 8m
Jul 2024
3257: Are You Lonely by Krista O'Reilly-Davi-Digui of A Life in Progress on Mental Health & Wellbeing
Discover all of the podcasts in our network, search for specific episodes, get the Optimal Living Daily workbook, and learn more at: OLDPodcast.com.Episode 3257:Krista O'Reilly-Davi-Digui reflects on her experiences with loneliness as an introvert. She discusses how loneliness of ... Show More
10m 34s
Aug 2020
90 | How I Dealt With LONELINESS
On this episode, I talk about my feelings of loneliness while I was going through a confusing and chaotic time in my life. I also go over the underlying fears and habits that contributed to the feeling of lonliness and how I became more comfortable when being alone. When my addic ... Show More
18m 18s
Mar 2025
ALONE BUT NOT LONELY - How to Enjoy Solitude & Thrive on Your Own | Mafe's Sessions #5
Spending time alone doesn’t have to feel isolating—it can actually be one of the most powerful things you do for yourself. In this episode, we dive deep into the difference between being alone and feeling lonely, and how learning to enjoy your own company can be the key to self-g ... Show More
21m 29s
Apr 2025
Isolation vs Solitude
Welcome to the Let’s Try This Again podcast! I’m your host, B Simone, and in this episode, we’re diving deep into a topic that has transformed my life: Isolation vs. Solitude. This conversation is personal, relatable, and packed with lessons that will help you reflect on your own ... Show More
49m 16s
Aug 2024
What Your Brain Does in an Emergency & Solitude Vs Loneliness
Are dogs color blind? Many people believe so, but they are not. They do see color but not the way we do. This episode begins with a look at what colors they can and can’t see and why it is important. https://www.psychologytoday.com/intl/blog/canine-corner/200810/can-dogs-see-colo ... Show More
50m 50s
Jul 3
How to Deal with Loneliness and Build Meaningful Connections
What if loneliness isn't something to fix, but something to listen to? On this episode, Haesue sits down with Case Kenny, writer and podcast host of New Mindset, Who Dis? to unpack what loneliness really teaches us when we stop running from it. Case opens up about the profound di ... Show More
47m 1s
Sep 2024
302. Why You Feel Lonely (Even if You Have Friends) and Three Solutions that Work
Feeling lonely sucks! If you’re here with me now, you’ve likely experienced the pain of feeling lonely or isolated at some point in your life. Social connection is imperative for humans. It improves our mental well-being and our physical health. Studies have even shown that a lac ... Show More
44m 50s
Sep 2023
Loneliness Across the Globe: A Life-Span Approach
Did you know that loneliness is different from social isolation? Psychologists define loneliness as a subjective concept which is related to one’s own expectations. In this episode, Under the Cortex hosts Samia Akther Khan, PhD candidate from King’s College London, whose research ... Show More
16m 26s