We study the theoretical foundations for the pressure shifts in highprecision atomic beam spectrosopy of hydrogen, with a particular emphasis on transitions involving higher excited P states. In particular, the long-range interaction of an excited hydrogen atom in a 4P state with a ground-state and metastable hydrogen atom is studied, with a full resolution of the hyperfine structure. It is found that the full inclusion of the 4P 1/2 and 4P 3/2 manifolds becomes necessary in order to obtain reliable theoretical predictions, because the 1S ground state hyperfine frequency is commensurate with the 4P fine-structure splitting. An even more complex problem is encountered in the case of the 4P -2S interaction, where the inclusion of quasidegenerate 4S-2P 1/2 state becomes necessary in view of the dipole couplings induced by the van der Waals Hamiltonian. Matrices of dimension up to 40 have to be treated despite all efforts to reduce the problem to irreducible submanifolds within the quasidegenerate basis. We focus on the phenomenologically important second-order van der Waals shifts, proportional to 1/R 6 where R is the interatomic distance, and obtain results with full resolution of the hyperfine structure. The magnitude of van der Waals coefficients for hydrogen atom-atom collisions involving excited P states is drastically enhanced due to energetic quasi-degeneracy; we find no such enhancement for atommolecule collisions involving atomic nP states, even if the complex molecular spectrum involving ro-vibrational levels requires a deeper analysis.Pressure Shifts in High-Precision Hydrogen Spectroscopy: I. states, which are removed from each other only by the Lamb shift, fine-or hyperfine structure. Namely, the fine-structure and the hyperfine-structure splittings in the case of atom-atom interactions are very small compared to the energy differences between atomic and molecular quasi-degenerate levels, even if one consider possible excitations to ro-vibrational levels. For example, in the case of the 4P (H)-1S(H) interaction, the fine structure and the hyperfine structure splitting parameters are of the order of 2×10 −7 E h and 9 × 10 −9 E h , respectively, where E h = 27.211396 eV is the Hartree energy [21]. However, in the case of the 4P (H)-1S(H 2 ) interaction, the atom-molecules degenerate states' separation is in the order of 2 × 10 −2 E h and the ro-vibrational level splitting is at-most ∼ 5.5 × 10 −5 E h . The oscillator strengths, in either cases, are of the same order of magnitude. As the respective energy differences appear in the denominator of the propagator denominators within perturbation theory, which determine the C 6 coefficients, we can anticipate that the so-called van der Waals C 6 coefficients are enhanced for atom-atom as compared to atom-molecule collisions. This is explained in greater detail in Sec. 5.In order to understand the systems more deeply, we should consider the particular properties of the van der Waals Hamiltonian mediating the interaction. Let us refer to the atoms participating ...