What Is It Called When You Have Depression And Anxiety

Ways To Identify The Conditions

If you are experiencing signs and symptoms of anxiety and depression, one place to start is to speak with your primary care doctor. They can do an initial screening and may look for medical conditions that could be contributing to your symptoms. You will likely then be referred to a mental health professional for an official clinical diagnosis.

The mental health professional will use the standard reference manual for diagnosing recognized mental illnesses in the United States, the Diagnostic and Statistical Manual of Mental Disorders, 5th Edition .

The DSM-5 diagnostic criteria for depression and each anxiety disorder are different. A diagnosis might be harder to make when anxiety and depression overlap.

What Is Generalized Anxiety Disorder

With GAD, you may feel extreme and unrealistic worry and tension even if theres nothing to trigger these feelings. Most days, you may worry a lot about various topics, including health, work, school and relationships. You may feel that the worry continues from one thing to the next.

Physical symptoms of GAD can include restlessness, difficulty concentrating and sleeping problems.

Signs And Symptoms Of Anxiety

There are several types of anxiety disorders, including generalized anxiety disorder, , social anxiety disorder, and specific phobias.

For people with anxiety disorders, the anxiety is often persistent and can get worse over time. The symptoms may interfere with their daily life.

Some of the most common signs and symptoms of anxiety include:

• Excessive fear and worry

If you experience these symptoms for six months or longer, you may have an anxiety disorder.

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Who Is At Risk For Depression

Depression can affect anyone, no matter their age, gender or circumstances. About 16 million Americans experience depression each year.

Women may experience depression more often than men. And your genetics or other health conditions can increase the likelihood that youll have at least one depressive episode in your lifetime.

How Are Anxiety Disorders Diagnosed

If you have symptoms of an anxiety disorder, talk to your healthcare provider. Theyll start with a complete medical history and physical examination.

There are no lab tests or scans that can diagnose anxiety disorders. But your provider may run some of these tests to rule out physical conditions that may be causing symptoms.

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Anxiety And Depression In Children

Find information and resources for parents on how to help children cope

Learn about recommendations for school-based cognitive behavioral therapy to reduce depression and anxiety symptomsexternal icon.

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.

What Is An Anxiety Disorder

An anxiety disorder is a type of mental health condition. If you have an anxiety disorder, you may respond to certain things and situations with fear and dread. You may also experience physical signs of anxiety, such as a pounding heart and sweating.

Its normal to have some anxiety. You may feel anxious or nervous if you have to tackle a problem at work, go to an interview, take a test or make an important decision. And anxiety can even be beneficial. For example, anxiety helps us notice dangerous situations and focuses our attention, so we stay safe.

But an anxiety disorder goes beyond the regular nervousness and slight fear you may feel from time to time. An anxiety disorder happens when:

• Anxiety interferes with your ability to function.
• You often overreact when something triggers your emotions.
• You cant control your responses to situations.

Anxiety disorders can make it difficult to get through the day. Fortunately, there are several effective treatments for anxiety disorders.

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What Are The Symptoms Of Dysthymia

Dysthymia is milder, yet more long lasting than major depression. Each person may experience symptoms differently. Symptoms may include:

• Lasting sad, anxious, or empty mood
• Less ability to concentrate, think, and/or make decisions
• Feeling hopeless
• Weight and/or appetite changes due to over- or under-eating
• Changes in sleep patterns, such as fitful sleep, inability to sleep, early morning awakening, or sleeping too much
• Low self-esteem

To diagnose this condition, an adult must have a depressed mood for at least 2 years , along with at least 2 of the above symptoms. The symptoms of this illness may look like other mental health conditions. Always talk with a healthcare provider for a diagnosis.

What Are The Symptoms Of Depression And How Is It Diagnosed

The NHS recommends that you should see your GP if you experience symptoms of depression for most of the day, every day, for more than 2 weeks.

Doctors make decisions about diagnosis based on manuals. The manual used by NHS doctors is the International Classification of Diseases .

When you see a doctor they will look for the symptoms that are set out in the ICD-10 guidance. You do not have to have all of these to be diagnosed with depression. You might have just experience some of them.

Some symptoms of depression are:

• low mood, feeling sad, irritable or angry,
• having less energy to do certain things,
• losing interest or enjoyment in activities you used to enjoy,
• reduced concentration,

You may also find that with low mood you:

• feel less pleasure from things,
• feel more agitated,
• find your thoughts and movements slow down, and
• have thoughts of self-harm or suicide.

Your doctor should also ask about any possible causes of depression. For example, they may want to find out if youve experienced anything traumatic recently which could be making you feel this way.

There are no physical tests for depression. But the doctors may do some tests to check if you have any physical problems. For example, an underactive thyroid can cause depression.

On the NHS website, they have a self-assessment test which can help you to assess whether you are living with depression: www.nhs.uk/mental-health/conditions/clinical-depression/overview/

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You May Be Wondering What Are The Signs Of Seasonal Affective Disorder

SAD is a type of depression characterized by its seasonal pattern with symptoms lasting around 4-5 months per year. Some symptoms of SAD do overlap with major depression though there are symptoms specific the seasonal subtypes of SAD .

Symptoms of SAD may actually vary in severity and often can interfere with daily functioning and personal relationships. Some of the symptoms can include a sad mood, changes in sleep, fatigue, changes in eating, loss of interest in activities, irritability, weight gain, feelings of hopelessness and despair and thoughts of suicide. Oftentimes, these symptoms can impact ones ability to work, interfere with social relationships, and decrease the overall quality of life.

Experiencing one or two symptoms does not mean that you have a clinical disorder however, not every person with SAD will experience every symptom listed below either. As listed on the NIMH webpage:

Symptoms of major depression may include:

• Feeling depressed most of the day, nearly every day
• Losing interest in activities you once enjoyed
• Experiencing changes in appetite or weight
• Having problems with sleep

• Episodes of violent behavior

Although there is an overlap between SAD symptoms of non-seasonal depression symptoms, the most common symptoms reported tend to be: sleeping more than usual, sad mood, significant fatigue, difficulty concentrating, craving starches and sweets, and gaining body weight.

How Are They Different

The main difference between depression and anxiety is the symptoms. Depression is a persistent feeling of sadness. You also have no energy and you lose interest in activities you once loved. Some people with depression think about hurting themselves.

Anxiety involves fear or worry that you can’t control. Depending on the type of anxiety you have, the worry can surface during everyday activities like meeting new people.

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Where Can I Find Clinical Trials For Depression

Clinical trials are research studies that look at new ways to prevent, detect, or treat diseases and conditions. Although individuals may benefit from being part of a clinical trial, participants should be aware that the primary purpose of a clinical trial is to gain new scientific knowledge so others may receive better help in the future.

Researchers at the National Institute of Mental Health and around the country conduct many studies with patients and healthy volunteers. Talk to your health care provider about clinical trials, their benefits and risks, and whether one is right for you. For more information, visit NIMH’s clinical trials information.

The Relationship Between Anxiety And Depression

Helpful Links

While anxiety is generally considered a high-energy state and depression a low-energy state, anxiety and depression are more closely related than you might think. A person with depression often experiences a lot of anxiety, possibly even to the extent of having panic attacks.1

Anxiety disorders involve more than common nervousness and worry. They can cause terrifying fear about things other people wouldnt think twice about. Many people with anxiety disorders fully comprehend that their thoughts are irrational. But they still cant stop them. Feelings of losing inner control haunt them. This angst is one of the entry ways for depression.2

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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.

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 .

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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.

What Treatment Should I Be Offered

The National Institute of Health and Care Excellence writes guidance on what treatment doctors should offer you. But your doctor does not have to give you these treatments. And the treatments may not be available in your area.

Different treatments may be available in your area. Your doctor might think these suit your symptoms more than the recommended treatments.

NICE recommend that depression is treated in different steps depending on how severe the condition is for you. The steps are as follows.

Step 1: Everyone who may have depression

Your doctor should offer you:

• an assessment of your symptoms,
• support, such as regular appointments in person or by telephone,
• information on how to deal with your symptoms,
• monitoring of your symptoms and follow-up, and
• referral for further assessment and treatment if needed.

Step 2: Mild to moderate depression

Your doctor may offer you:

• low-intensity interventions, such as self-help guided by the doctor or computerised cognitive behavioural therapy ,
• physical activity programmes,
• group cognitive behavioural therapy ,
• medication if you have a history of moderate or severe depression, or you have had symptoms for a long time, and
• referral for further assessment and treatment if needed.

Step 3: Moderate to severe depression, or mild to moderate depression when other treatments havent worked

Your doctor may suggest:

Step 4: Severe and complex depression or if your life is at risk Your doctor may suggest:

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Try A Walk Around The Block

According to 2019 research, 2.5 hours of exercise each week can help relieve both depression and anxiety. Exercising outside also appeared to offer more benefits than exercising indoors.

Physical activity can help naturally boost your mood by prompting the release of happy hormones in your brain.

That said, exercising when living with depression or anxiety can be a challenge. If youre able to exercise, it can help to start with small activities you can incorporate into your routine, such as:

• a walk around your neighborhood after dinner

What Are Symptoms Of Anxiety And Depression

It is not uncommon for people with depression to experience anxiety, along with symptoms such as nervousness, irritability, and trouble sleeping. Likewise anxious people can become depressed and experience low energy or a loss of interest in life.

People suffering from anxiety or depression can have a broad range of experiences- some may have only mild symptoms of anxiety and depression, while others may experience debilitating anxiety attacks or severe depression. Symptoms may also fluctuate, from difficult episodes to periods of relief.

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Anxiety And Depression: What Are The Possible Links

Although clearly not identical emotional states, mental health research suggests that depression and anxiety often coexist because they can be caused by the same or similar factors. According to an article published May 2020 in the American Journal of Psychiatry, those overlapping causes can include:

• Genetic Factors Genetic factors contribute to 40 percent of the predisposition to depressive and anxious symptoms, with 60 percent being attributed to environmental, noninherited factors. “Especially with anxiety, more so than depression, there often is some family history, and so therefore we think that there may be some genetic predisposition to this,” Connolly explains.
• Environmental Factors Also referred to as social factors, these include experiences like trauma or neglect in early childhood, and current stressors such as relationship difficulties, unemployment, social isolation, and physical illness. People who have post-traumatic stress disorder , an anxiety disorder, are particularly likely to also develop depression, according to the National Institute of Mental Health .

• Pain Chronic pain, and particularly disabling pain syndromes such as fibromyalgia, irritable bowel syndrome , low back pain, headaches, and nerve pain, are closely linked to psychological distress, including both anxiety and depression, notes Harvard Health. In fact, they say, research suggests that pain shares some biological mechanisms with anxiety and depression.

Information For Family Carers And Friends

You can get support if you are a carer, friend or family member of someone living with depression.

Being a carer might mean you can claim certain benefits that might help you and the person you care for. For more information, please see the Mental Health and Money Advice services website:www.mentalhealthandmoneyadvice.org/en/welfare-benefits/what-benefits-are-available-for-mental-health-carers/

You could also get in touch with carer support groups or sibling support groups. You can search for local groups in your area online or ask your GP.

You can ask your local authority for a carers assessment if you need more practical support to help care for someone.

As a carer you should be involved in decisions about care planning. There are rules about information sharing and confidentiality which may make it difficult for you to get all the information you need in some circumstances.

You can find out more information about:

• Carers assessments by clicking here.
• Confidentiality and information sharing by clicking here.

How can I support the person that I care for?

You might find it easier to support someone with depression if you understand their symptoms, treatment and self-management skills. You can use this to support them to get help and stay well.

Below are some initial suggestions for providing practical day to day support to someone with depression.

You can find out more information about:

You can find more information about:

Website: www.web.ntw.nhs.uk/selfhelp/

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What Are The Causes Of Depression And Anxiety

Weve seen that biology isnt the primary cause of depression for most people. In this part, well cover the major causes of depression and anxiety: the social, psychological, and environmental factors in our daily lives.

Hari calls these factors disconnections because they represent a fundamental disconnect between the realities of modern life and the healthy practices we need in order to stave off depression. Disconnections fall into three broad categories: disconnections from others, disconnections from your past and future, and disconnections from a meaningful life.

Well start our examination of the causes of depression and anxiety by first exploring forms of disconnections to others: namely disconnection from meaningful relationships and from positive social status.