Can Anxiety And Depression Be Treated Together
Yes. No one has to suffer from anxiety disorder or depression, and certainly not both. People with anxiety disorder should speak with a psychiatrist, therapist, or other healthcare professional about their symptoms and start treatment as soon as possible. If you suspect you have both anxiety and depression, Connolly recommends getting a thorough evaluation from a psychiatrist as a first step. “It’s really crucial for people with both to have a good assessment to rule out bipolar disorder,” she says.
Important: If you or someone you know needs help coping with anxiety or depression, call the National Suicide Prevention Lifeline at 800-273-TALK . The Crisis Text Line also provides free, 24/7, confidential support via text message to people in crisis when they text to 741741.
When Should You Seek Help
Talk to your doctor if you experience sadness for longer than two weeks. And call emergency services to receive immediate medical help if youre having suicidal thoughts.
Note if your feelings interfere with your ability to function, take part in life, or experience enjoyment. Speaking to a professional, like a therapist, clergy member, or other trusted person, can be a powerful first step toward recovery.
Treatment For Anxiety And Depression
Medications and psychotherapy are effective for most people with depression and anxiety. Your primary care provider or psychiatrist can prescribe medications to relieve symptoms. Many people benefit from outpatient psychotherapy, like cognitive behavioral therapy or dialectical behavioral therapy.
Additional treatment can include changing your exercise or eating habits, using social supports, getting enough sleep, changing your responses to stress, avoiding alcohol and recreational drugs, and joining a support group.
If you have severe depression or anxiety, you may need to use crisis resources, like contacting a crisis hotline, going to the nearest emergency department for a mental health evaluation or participating in an inpatient or outpatient treatment program until your symptoms improve.
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What Strategies Are Often Used In Treating This Dual Diagnosis
Evidence-based research suggests that both anxiety and depression be treated at the same time.
Effective strategies often used in treating these co-occurring conditions include:
- Cognitive Behavioral Therapy CBT is often used to treat people with both disorders. Fears, anxieties and tendencies toward depression are managed by seeking out their root causes. Once uncovered, patients learn how to take control of their emotions and life.
- Antidepressant medications Often combined with CBT, these may be prescribed in treating both disorders. Selective serotonin reuptake inhibitors are new antidepressant drugs that produce fewer side effects than their predecessors.
- Exercise This can be very helpful for both disorders. Physical activity causes feel-good chemicals to be released in the body. This aids in relaxation and feeling of well-being.
- Relaxation techniques This typically involves meditation or mindfulness. These techniques can often help to remedy both disorders and improve quality of life.2
Depression And Drugs And Alcohol
“Drowning your sorrows” is actually a bad idea when it comes to depression. Alcohol is categorised as a “strong depressant” which can make depression worse, and drinking or taking drugs to cope can lead to a downward spiral by having a negative affect on other parts of your life.
There’s evidence that cannabis can cause depression, particularly in teenagers, even if it helps you relax.
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Supporting Someone With Anxiety Or Depression
There are ways that you can help someone with anxiety or depression. It may be helpful to:
- let them know if youve noticed a change in their behaviour
- spend time talking about their experiences and let them know youre there to listen without being judgmental
- help them to get information from a website, library or community health centre
- suggest they go to a doctor or health professional, and help them to make an appointment
- offer to go with them to their appointment and follow up with them afterwards
- encourage them to get enough sleep, to exercise and to eat well
- encourage family and friends to invite them out and keep in touch, but dont pressure them to participate in activities
- contact a doctor or hospital if they become a threat to themselves or others.
It is unhelpful to:
- put pressure on them by telling them to snap out of it or get their act together
- stay away or avoid them
- tell them they just need to stay busy or get out more
- pressure them to party more or wipe out how theyre feeling with drugs and alcohol
- assume the problem will just go away.
If you or someone you know needs support, talk to a doctor or other health professional about getting appropriate treatment.
When To Seek Professional Help
If support from family and friends and positive lifestyle changes arent enough, it may be time to seek help from a mental health professional. There are many effective treatments for depression, including:
Therapy. Consulting a therapist can provide you tools to treat depression from a variety of angles and motivate you to take the action necessary. Therapy can also offer you the skills and insight to prevent the problem from coming back.
Medication may be imperative if youre feeling suicidal or violent. But while it can help relieve symptoms of depression in some people, it isnt a cure and is not usually a long-term solution. It also comes with side effects and other drawbacks so its important to learn all the facts to make an informed decision.
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Are There Warning Signs Of Suicide With Depression
Depression carries a high risk of suicide. Suicidal thoughts or intentions are serious. Warning signs include:
- A sudden switch from sadness to extreme calmness, or appearing to be happy
- Always talking or thinking about death
- Clinical depression that gets worse
- Taking risks that could lead to death, such as driving through red lights
- Making comments about being hopeless, helpless, or worthless
- Putting affairs in order, like tying up loose ends or changing a will
- Saying things like “It would be better if I weren’t here” or “I want out”
- Talking about suicide
- Visiting or calling close friends and loved ones
If you or someone you know shows any of the above warning signs, call your local suicide hotline, contact a mental health professional right away, or go to the emergency room.
Signs Of Depression And Anxiety
At first glance, anxiety and depression can seem like two very different and unrelated conditions. Anxiety is thought of as more of a high energy state of being, and depression is thought of as more of a low energy state of being. However, those who suffer from one or both know that, often, one condition can come along with the other.
Anxiety and depression can commonly trigger one another. Anxious thoughts can eventually cause someone to fall into a depressive episode, and a depressive episode can bring on anxious thoughts. As a result, many symptoms of both conditions can overlap. For example, sleep issues, difficulty concentrating, loss of interest in previously enjoyed activities, and tiredness can be found in anxiety and depression.
The difference in symptoms that co-occur with anxiety and depression are the reasons they happen. Tiredness in depression is often a primary symptom. Tiredness in anxiety is often a secondary symptom resulting from exhaustion and lack of sleep due to rumination and thought patterns. Loss of interest in activities while depressed may result from fatigue and low energy, while loss of interest while anxious may be the result of panic attacks.
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How To Seek Help
When seeking more formalized help for anxiety or depression, start by speaking with your primary care physician.
You can also research local referrals via national organizations including:
Bear in mind that while effective treatment for anxiety or depression need not be a long-term commitment, it is likely to require regular, ongoing appointments at least in the short term . Therefore, it is critical to find a professional you trust and with whom you feel comfortable speaking about your symptoms.
It is equally important to make sure that you find a clinician that you can afford. Before making the commitment to ongoing care, you may want to meet with a couple of providers to get a feel for their therapeutic styles and their treatment recommendations. You can then use this information to determine which path forward feels best to you.
What Are The Different Types Of Depression
You might have heard a number of terms used to describe depression. In this section, we explain what some of these terms mean.
What is clinical depression?
Clinical depression is a common term, but it is not a formal diagnosis. People sometimes say clinical diagnosis to just mean they have been diagnosed by a doctor.
What is a depressive episode?
Your doctor might say that you are going through a ‘depressive episode’. This is the formal name that doctors give depression when they make a diagnosis. They may say that you are going through a ‘mild’, ‘moderate’ or ‘severe’ episode.
What is recurrent depressive disorder?
If you have had repeated episodes of depression, your doctor might say that you have recurrent depressive disorder. They may say that your current episode is ‘mild’, ‘moderate’ or ‘severe’.
What is reactive depression?
If your doctor thinks that your episode of depression was caused by particular stressful events in your life, they may say that it is reactive. For example, divorce, job or money worries. This is sometimes separated from an adjustment disorder, where you may struggle with some symptoms of depression because of adapting to a major change in your life. Such as separation from people, retirement or migrating to a new area.
What is a severe depressive episode with psychotic symptoms?
You can find more information about Psychosis by clicking here.
What is dysthymia?
What is cyclothymia?
What is postnatal depression?
What is manic depression?
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What Does Severe Depression Feel Like
Severe depression is classified as having the symptoms of mild to moderate depression, but the symptoms are severe and noticeable, even to your loved ones.
Episodes of major depression last an average of six months or longer. Sometimes severe depression can go away after a while, but it can also be recurrent for some people.
Diagnosis is especially crucial in severe depression, and it may even be time-sensitive.
Major forms of depression may also cause:
- suicidal thoughts or behaviors
Severe depression requires medical treatment as soon as possible. Your doctor will likely recommend an SSRI and some form of talk therapy.
If youre experiencing suicidal thoughts or behaviors, you should seek immediate medical attention. Call your local emergency services or the National Suicide Prevention Lifeline at 800-273-8255 right away.
Thoughts Of Death Or Suicide
A person with depression may think more about death and dying. They may also think about suicide and how they could end their life. The term for this is suicidal ideation .
Sometimes, a person may tell others about these thoughts. If someone is talking about death or suicide, this could be their way of asking for help, and it is vital to seek assistance right away.
Depression is a common but serious condition that can be life threatening. Not every person who thinks about suicide will attempt it. However, if someone mentions suicide, it is important either to contact a doctor or to help the person seek urgent medical care.
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How Does Psychotherapy Work
Cognitive-behavioral therapy is a form of psychotherapy that can treat anxiety or depression in children. CBT helps children learn to think more positively and control negative behaviors. It can also help children manage anxiety by getting to the root of their fears and worries. Therapy gives children tools to cope with anxiety and depression in healthier ways.
How To Tell If You Have Clinical Depression
Clinical depression affects people in different ways.
The symptoms of clinical depression can be complex and vary from person-to-person.
Generally, if you have clinical depression:
- you feel sad, hopeless and lose interest in things you used to enjoy
- you experience these symptoms for at least 2 weeks
- the symptoms are serious enough to interfere with work, social life or family
There are many other symptoms of clinical depression and you’re unlikely to have them all.
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It’s Easy To Overlook The Clues That You May Need Help For One Of These Common Conditions
The signs of mental illness aren’t always obvious. Subtle changes in mood or behavior are often attributed to aging, just like weaker muscles and fuzzy thinking. “There’s a tendency to dismiss it as, ‘Well, of course I’m worried, I have heart disease,’ or, ‘Of course I’m sad, I’m not as relevant as I once was,'” says Dr. Michael Craig Miller, an assistant professor of psychiatry at Harvard Medical School.
But depression and anxiety do not need to be routine parts of aging. Getting help for these feelings can help you maintain your health and enjoy life to the fullest.
Theres No Shame In Seeking Treatment
Mental illness is often seen as a taboo subject, and those who suffer from mental health conditions can face a great deal of stigma. This stigma can make it difficult for people to seek help, as they may worry about being judged or misunderstood. Additionally, the stigma surrounding mental illness can make it hard for people to find support from family and friends. In many cases, the shame and isolation that comes with mental illness can worsen symptoms and make a recovery more complex.
No one should feel ashamed to seek mental health services. Mental health is just as important as physical health, yet it is often overlooked or ignored. Depression and anxiety are two of the most common mental health disorders and can profoundly affect someones life.
Left untreated, depression can lead to suicide in some cases. Anxiety can lead to panic attacks and a host of other problems. If you or someone you know is struggling with depression or anxiety, please seek help from a professional. You are not weak or crazy for talking to a therapist or counselor. Your mental health is worth it.
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Anxiety And Depression In Children
Find information and resources for parents on how to help children cope
Many children have fears and worries, and may feel sad and hopeless from time to time. Strong fears may appear at different times during development. For example, toddlers are often very distressed about being away from their parents, even if they are safe and cared for. Although fears and worries are typical in children, persistent or extreme forms of fear and sadness could be due to anxiety or depression. Because the symptoms primarily involve thoughts and feelings, they are sometimes called internalizing disorders.
Is It Depression Or Bipolar Disorder
Bipolar disorder, also known as manic depression, involves serious shifts in moods, energy, thinking, and behavior. Because it looks so similar to depression when in the low phase, it is often overlooked and misdiagnosed. This can be a serious problem as taking antidepressants for bipolar disorder can actually make the condition worse.
If youve ever gone through phases where you experienced excessive feelings of euphoria, a decreased need for sleep, racing thoughts, and impulsive behavior, consider getting evaluated for bipolar disorder.
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Risk Factors For Suicide
Not all people with risk factors will be suicidal. In addition to depression or other mental illness, risk factors for suicide include:
- Current or past history of substance abuse
- Past history of suicide attempt
- Family history of suicide
- Family history of mental illness or substance abuse
- Firearms in the home
- Feelings of hopelessness
Managing Anxiety And Depression
A therapist can offer more guidance on treatment options for anxiety and depression, but you can also take steps to cope with symptoms on your own.
The strategies below may not always help, but trying different approaches at different times can help you learn more about what works for you. That insight can guide you toward a personalized toolbox of coping strategies, so you always have options to consider when feeling distressed or overwhelmed.
Your therapist can also offer suggestions for new strategies to try, plus offer tips on putting them into practice.
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Can Depression Be A Symptom Of Other Mental Health Problems
Depression can be a part of several mental health problems, such as:
If feelings of low mood or suicidal thoughts are the reason you first speak to your doctor about your mental health, your GP might offer you treatment for depression without realising that you are also experiencing other symptoms.
If you think you’re experiencing other symptoms, you can talk to your doctor about this to make sure you’re getting the right treatment to help you. See our pages on seeking help for a mental health problem for information on how to make sure your voice is heard, and what you can do if you’re not happy with your doctor.
Psychological Depression Symptoms Include:
- doing poorly at work
- difficulties with your family or home life
It’s not always possible to tell that you’re having symptoms of depression right away it can start and progress gradually. A lot of people don’t realise they’re ill and try to carry on and cope with their symptoms. Sometimes it takes a friend or family member to notice that there’s a problem.
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