When Anxiety And Depression Coexist
“There are many symptoms that overlap,” says Holland. These include symptoms like difficulty concentrating, sleep disturbances, loss of energy, aches, pains and digestive issues.
Holland also notes that there are further nuances to the symptoms, meaning there’s more overlap than might appear at face value oftentimes, for instance, anxious thinking patterns can include an element of feeling worthless or excessive amounts of guilt. And irritability is often a symptom that clinicians associate with depression because of the other symptoms present, although irritability isn’t directly outlined within a depression diagnosis.
“Many of the symptoms in either category could be associated with the other diagnosis, if given the right circumstantial evidence, which is why it’s so important to be evaluated by a mental health professional,” Holland says.
In her practice, Holland uses the patient’s suicidal ideation and energy levels to help distinguish between which diagnosis to give. “If someone is struggling with lethargy and motivation, I generally look more toward depression,” she explains. “If someone feels more like they or their brain is spinning like a top, I look to anxiety.”
“Anxiety and depression have a complicated relationship that can become cyclical,” adds Brandon. He explains that people who are depressed often feel anxious and that chronically anxious people can become depressed.
Can You Have Anxiety And Depression At The Same Time
You can experience symptoms of anxiety and depression at the same time. In fact, panic disorder and other types of anxiety disorders are often accompanied by major depressive disorder.
A recent worldwide study also showed that, of those who experienced major depression for 12 months, 41.6 percent of them also dealt with one or more anxiety disorders during the same period.
As youll see in the upcoming section, many of the symptoms of depression and anxiety overlap with each other, so its understandable why these two conditions are often diagnosed simultaneously.
Finding The Right Resources To Answer Your Questions And Meet Your Complex Needs
Just as anxiety and depression tend to be worse when occurring together, treatment of these disorders is most effective when both conditions are addressed at the same time.1
Hartgrove Behavioral Health System provides integrated care that treats these and other mental health issues simultaneously. As part of our comprehensive care, medical specialists and therapists work together to help bring healing and balance in our patients lives a feeling of being in charge of their inner self again.
2 How to Cope With Anxiety and Depression. Everyday Health, August 27, 2015.
3 Anxiety Disorders. National Institute on Mental Health, March 2016.
4 Depression. National Institute on Mental Health, October 2016.
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Are There Different Types Of Depression
If you are given a diagnosis of depression, you might be told that you have mild, moderate or severe depression. This describes what sort of impact your symptoms are having on you currently, and what sort of treatment you’re likely to be offered. You might move between mild, moderate and severe depression during one episode of depression or across different episodes.
There are also some specific types of depression:
- Seasonal affective disorder depression that occurs at a particular time of year, or during a particular season. See our page on SAD for more information.
- Dysthymia continuous mild depression that lasts for two years or more. Also called persistent depressive disorder or chronic depression.
- Prenatal depression depression that occurs during pregnancy. This is sometimes also called antenatal depression.
- Postnatal depression depression that occurs in the first year after giving birth.
See our page on postnatal depression and perinatal mental health for more information. The PANDAS Foundation also has information and support for anyone experiencing prenatal or postnatal depression.
Is premenstrual dysphoric disorder a type of depression?
PMDD is a severe form of premenstrual syndrome . Many women experience PMS, but for some women their symptoms are severe enough to seriously impact their daily life. This is when you might receive a diagnosis of PMDD.
Seeing A Doctor About Depression
Big changes in your life, like bereavement, losing a job, or even having a baby, can cause symptoms of depression. You’re also more likely to experience depression if you have a family history of depression. However, it’s also possible to become depressed without there being an obvious reason.
You can learn more about depression causes here.
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Changing Your Thought Patterns Helps Put Your Fears In Perspective
Cognitive behavioral therapy is an effective type of psychotherapy. It helps you understand how your thoughts influence your feelings and behaviors.
Since social anxiety is often fueled by irrational fears, one goal of therapy could be helping you develop more realistic thought patterns. So, instead of always imagining worst-case scenarios in social settings, youll learn how to focus on more realistic scenarios.
An irrational fear would be thinking, Everyones judging me, or I look stupid.
A more realistic thought pattern would be: Everyones nervous, and most people are too focused on how they look and sound to be overly concerned about me.
Treatment For Anxiety And Depression
The first step to treatment is to talk with a healthcare provider, such as your childs primary care provider or a mental health specialist, about getting an evaluation. Some of the signs and symptoms of anxiety or depression in children could be caused by other conditions, such as trauma. A mental health professional can develop a therapy plan that works best for the child and family. Behavior therapy includes child therapy, family therapy, or a combination of both. For very young children, involving parents in treatment is key the school can also be included in the treatment plan. Consultation with a healthcare provider can help determine if medication should be part of the treatment.
If you need help finding treatment, visit MentalHealth.govexternal icon.
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Get Help With Anxiety And Depression Today
Now that you know more about the differences between anxiety vs depression, as well as how these conditions are similar, do you think you could be struggling with either or both? If so, we have a team of experts who are ready to help you at The Center A Place of HOPE.
Ours is a Top Ten Facility for Depression Treatment, and we have more than 37 years of experience helping people like you overcome depression, anxiety, and more.
To learn more about our services, or to become a client, contact us today through our online form or give us a call at .
Anxious Depression: What You Need To Know
Mental Health Education » Anxious Depression: What You Need to Know
Major depressive disorder can take different forms, with recent studies finding that certain cases of depression are marked by symptoms of anxiety, as well. Individuals contending with this form of depression, dubbed anxious depression, face a shared set of challenges. Read on to find out more about this newly discovered variation on a mental health staple.
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How Are They Related
Both depression and anxiety are very common and often happen together. About 60% of people with anxiety also have symptoms of depression, and vice versa. Each condition can make symptoms of the other get worse or last longer.
The same genes may be behind both conditions. Anxiety and depression could also stem from the same structures or processes in the brain. Stress and trauma early in life can trigger both depression and anxiety.
If you have anxiety, you may be at greater risk for depression. Experts say avoiding the things you fear might lead to depression.
Signs Of Destination Anxiety
There are several signs that you may be living with destination anxiety.
- If you find yourself constantly thinking about the future and what you need to do in order to be happy, this is a sign that you are not living in the present moment.
- Additionally, if you are always striving for more and feel unsatisfied with your current situation, this may also be a sign of destination anxiety.
- Other signs include feeling stressed or anxious about the future, as well as feeling like you are not good enough or that you have to achieve certain things in order to be happy.
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How To Cope With Anxiety And Depression
Anxiety and depression often go hand in hand. Heres what you need to know if they strike simultaneously.
Aleksei Morozov/iStock
Do you sometimes worry so much that it interferes with your everyday activities? Or feel so blue that it completely clouds your outlook? Do you often experience these or similar feelings together? Youre not the only one.
According to the Anxiety and Depression Association of America , anxiety disorders which include generalized anxiety disorder, panic disorder, and social anxiety disorder are the most common mental health problem among U.S. adults, affecting 18.1 percent of the population each year. And mood disorders which include major depressive disorder, bipolar disorder, and seasonal affective disorder are the leading cause of disability.
Moreover, the incidence of developing depression in addition to an anxiety disorder or vice versa is high. Many people with major depression also suffer from severe and persistent anxiety, notes Sally R. Connolly, LCSW, in Louisville, Kentucky. And some experts estimate that 60 percent of people with anxiety will also have symptoms of depression, according to the National Alliance on Mental Illness .
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Mental Markers Of Depression
People with depression may:
- Be hopeless, assuming that nothing positive will happen in the future for themselves, for others, or for the world
- Believe it is not worth trying to think or feel differently, because of this hopelessness
- Feel worthless, as if who they are or what they do is not valuable
- Think about death due to a persistent belief that life is not worth living or that the individual is a burden on others. In cases of moderate to severe depression, more specific suicidal thoughts can be present.
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Feel hopeless about themselves, others, the world
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Believe it is not worth trying
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Think about death due to a persistent belief that life is not worth living
In major depressive disorder , these types of thoughts are persistent most of the day and more days than not for weeks on end. If a person vacillates between a very low and very high mood state, then a diagnosis of bipolar disorder may apply. For any variant of a mood disorder, the low mood state is likely to be characterized by the type of thinking described above.
If you are having suicidal thoughts, contact the National Suicide Prevention Lifeline at 988 for support and assistance from a trained counselor. If you or a loved one are in immediate danger, call 911.
For more mental health resources, see our National Helpline Database.
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The Most Common Depressive Disorders Include:
- Major depressive disorder This is a depressed mood that lasts for a two-week period. This could occur as a single or recurrent episode.
- Persistent depressive disorder This is a depressed mood that occurs almost every day for at least two years
It’s common for those struggling with anxiety disorders to also struggle with depression or vice versa. Close to 10% of the world’s population suffers from anxiety and depression. However, while anxiety and depressive disorders are highly treatable, only a small percentage of affected people receive treatment.
Risk Factors For Depression
Depression can affect anyoneeven a person who appears to live in relatively ideal circumstances.
Several factors can play a role in depression:
- Biochemistry: Differences in certain chemicals in the brain may contribute to symptoms of depression.
- Genetics: Depression can run in families. For example, if one identical twin has depression, the other has a 70 percent chance of having the illness sometime in life.
- Personality: People with low self-esteem, who are easily overwhelmed by stress, or who are generally pessimistic appear to be more likely to experience depression.
- Environmental factors: Continuous exposure to violence, neglect, abuse or poverty may make some people more vulnerable to depression.
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How Is Depression Syndrome Treated
Depression can be serious, but its also treatable. Treatment for depression includes:
- Self-help: Regular exercise, getting enough sleep, and spending time with people you care about can improve depression symptoms.
- Counseling: Counseling or psychotherapy is talking with a mental health professional. Your counselor helps you address your problems and develop coping skills. Sometimes brief therapy is all you need. Other people continue therapy longer.
- Alternative medicine: People with mild depression or ongoing symptoms can improve their well-being with complementary therapy. Therapy may include massage, acupuncture, hypnosis and biofeedback.
- Medication: Prescription medicine called antidepressants can help change brain chemistry that causes depression. Antidepressants can take a few weeks to have an effect. Some antidepressants have side effects, which often improve with time. If they dont, talk to your provider. A different medications may work better for you.
- Brain stimulation therapy: Brain stimulation therapy can help people who have severe depression or depression with psychosis. Types of brain stimulation therapy include electroconvulsive therapy , transcranial magnetic stimulation and vagus nerve stimulation .
When Does Low Mood Become Depression
We all have times when our mood is low, and we’re feeling sad or miserable about life. Usually these feelings pass in due course.
But if the feelings are interfering with your life and don’t go away after a couple of weeks, or if they come back over and over again for a few days at a time, it could be a sign that you’re experiencing depression. See our page on the symptoms of depression for more information.
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Disruptive Mood Dysregulation Disorder
Disruptive mood dysregulation disorder is a condition that occurs in children and youth ages 6 to 18. It involves a chronic and severe irritability resulting in severe and frequent temper outbursts. The temper outbursts can be verbal or can involve behavior such as physical aggression toward people or property. These outbursts are significantly out of proportion to the situation and are not consistent with the childs developmental age. They must occur frequently and typically in response to frustration. In between the outbursts, the childs mood is persistently irritable or angry most of the day, nearly every day. This mood is noticeable by others, such as parents, teachers, and peers.
In order for a diagnosis of disruptive mood dysregulation disorder to be made, symptoms must be present for at least one year in at least two settings and the condition must begin before age 10. Disruptive mood dysregulation disorder is much more common in males than females. It may occur along with other disorders, including major depressive, attention-deficit/hyperactivity, anxiety, and conduct disorders.
Disruptive mood dysregulation disorder can have a significant impact on the childs ability to function and a significant impact on the family. Chronic, severe irritability and temper outbursts can disrupt family life, make it difficult for the child/youth to make or keep friendships, and cause difficulties at school.
Treatment typically involves and/or medications.
Do Something You Have Control Over
Regaining some control in the moment could help overwhelming feelings feel a little easier to cope with.
You dont have to take any major action, but accomplishing a short task, such as making your bed, taking a shower, or unloading the dishwasher, can help boost a sense of accomplishment. It could also offer a temporary distraction.
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Get Help Finding Treatment
Here are tools to find a healthcare provider familiar with treatment options:
- Psychologist Locatorexternal icon, a service of the American Psychological Association Practice Organization.
- Child and Adolescent Psychiatrist Finderexternal icon, a research tool by the American Academy of Child and Adolescent Psychiatry .
- Find a Cognitive Behavioral Therapistexternal icon, a search tool by the Association for Behavioral and Cognitive Therapies.
- If you need help finding treatment facilities, visit MentalHealth.govexternal icon.
Other Causes Of Depression
There are a number of things that can lead to developing depression.
- Stressful events big changes in your life, like bereavement, the end of a relationship or the loss of a job, can be difficult to deal with. When these things happen, it’s important to keep seeing friends and family instead of trying to deal with problems alone this increases your risk of developing depression.
- Giving birth pregnancy and birth can make some people vulnerable to depression. Postnatal depression can happen as the result of physical changes, hormonal changes, and the responsibility of taking care of a new baby.
- Loneliness your risk of depression gets higher if you aren’t in contact or spending time with family and friends.
- Personality some personality traits can put you at a higher risk of developing depression. These include low-self esteem or a habit of criticising yourself too much. These personality traits can come from your genes, which you get from your parents, or they can be as a result of experiences in your early life.
- Family history it’s more likely for someone to develop depression if a family member, like a sibling or parent, has experienced it before.
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