Objective. To determine the relationship of anxiety and depressive disorders with cerebral and hemodynamic impairment in arterial hypertension (AH). Material and methods. The study involved 97 patients with AH, stage II, who were followed up by a general practitioner. The severity of anxiety and depression assessed with the HADS, severity of cerebral disorders and a set of hemodynamic parameters were evaluated. Results and conclusion. It was found that psycho-emotional disorders were combined with an increase in the frequency of modifying risk factors (smoking, high salt intake, overweight and obesity), severe cerebral disorders and significant changes in the elastic-tonic properties of a vascular wall. Significant correlations between depression and vascular age were found.