When Depression and Anxiety Occur Together

  1. Anxiety and Depression Together
  2. Depression and Anxiety: Patients With One, Often Have The Other
  3. Symptoms of major depressive disorder
  4. Symptoms of Generalized Anxiety Disorder
  5. Treatment of anxiety and depression
  6. When Depression and Anxiety Occur Together
  7. Depression
  8. Types of Depression
  9. Depression and Anxiety Disorders: Not the Same
  10. Sleep and Anxiety and Depression
  11. What to Do When Depression and Anxiety Occur Together in Houston Adults
  12. What are Severe Depression and Anxiety , Together?
  13. Adult Depressive Disorder
  14. Adult Anxiety Disorder
  15. Ketamine Infusion Therapy 
  16. Intensive Outpatient Program (IOP) for Behavioral Health
  17. Depression and Anxiety: Symptoms, Self-Help Test, Treatment, and
  18. Depression
  19. Anxiety
  20. 1. Allow yourself to feel what you’re feeling — and know that it’s not your fault
  21. 2. Do something that you have control over, making your bed or taking out the trash
  22. 3. You could also create a morning, evening, or even daily routine
  23. 4. Do your best to stick to a sleep schedule
  24. 5. Try to eat something nutritious, an apple or some nuts, at least once a day
  25. 6. If you’re up for it, go for a walk around the block
  26. 7. Do something that you know brings you comfort, such as watching a favorite movie or flipping through a magazine
  27. 8. If you haven’t left the house in a while, consider doing something you find soothing, getting your nails done or getting a massage
  28. 9. Reach out to someone you’re comfortable talking to and talk about whatever you feel , whether that’s how you’re feeling or something you saw on
  29. Therapy
  30. Medication
  31. Alternative therapy

Anxiety and Depression Together

When Depression and Anxiety Occur Together

By published October 1, 2003 – last reviewed on February 5, 2020

Are you anxious or are you depressed? In the world of mental health care, where exact diagnosis dictates treatment, anxiety and depression are regarded as two distinct disorders. But in the world of real people, many suffer from both conditions.

In fact, most mood disorders present as a combination of anxiety and depression. Surveys show that 60-70% of those with depression also have anxiety. And half of those with chronic anxiety also have clinically significant symptoms of depression.

The coexistence of anxiety and depression—called comorbidity in the psych biz—carries some serious repercussions. It makes the course of disorder more chronic, it impairs functioning at work and in relationships more, and it substantially raises suicide risk.

Over the past couple of years, clinicians and researchers a have been moving towards a new conclusion: Depression and anxiety are not two disorders that coexist. They are two faces of one disorder.

“They're probably two sides of the same coin,” says David Barlow, Ph.D., director of the Center for Anxiety and Related Disorders at Boston University. “The genetics seem to be the same. The neurobiology seems to overlap.

The psychological and biological nature of the vulnerability are the same. It just seems that some people with the vulnerability react with anxiety to life stressors. And some people, in addition, go beyond that to become depressed.

They close down. “Depression seems to be a shutdown,” explains Barlow. “Anxiety is a kind of looking to the future, seeing dangerous things that might happen in the next hour, day or weeks.

Depression is all that with the addition of 'I really don't think I'm going to be able to cope with this, maybe I'll just give up.

' It's shutdown marked by mental, cognitive or behavioral slowing.”

At the core of the double disorder is some shared mechanism gone awry. Research points to overreactivity of the stress response system, which sends into overdrive emotional centers of the brain, including the “fear center” in the amygdala. Negative stimuli make a disproportionate impact and hijack response systems.

Mental health professionals often have difficulty distinguishing anxiety from depression, and to some degree they're off the hook. The treatments that work best for depression also combat anxiety. Cognitive-behavioral therapy (CBT) gets at response patterns central to both conditions.

And the drugs most commonly used against depression, the SSRIs, or selective serotonin reuptake inhibitors, have also been proved effective against an array of anxiety disorders, from social phobia to panic and post-traumatic stress disorder (PTSD).

Which drug a patient should get is based more on what he or she can tolerate rather than on symptoms.

And therein lies a problem. According to physicians Edward Shorter of Canada and Peter Tyrer of England, the prevailing view of anxiety and depression as two distinct disorders, with multiple flavors of anxiety, is a “wrong classification” that has led the pharmaceutical industry down a “blind alley.

” It's bad enough that the separation of anxiety and depression lacks clinical relevance. But it's also “one reason for the big slowdown in drug discovery in psychiatric drugs,” the two contend in a recent article published in the British Medical Journal.

It's difficult to create effective drugs for marketing-driven disease “niches.”

Who is at risk for combined anxiety and depression? There's definitely a family component. “Looking at [what disorders populate] the family history of a person who presents with either primary anxiety or depression provides a clue to whether he or she will end up with both,” says Joseph Himle, Ph.D., associate director of the anxiety disorders unit at University of Michigan.

The nature of the anxiety disorder also has an influence. Obsessive-compulsive disorder, panic disorder and social phobia are particularly associated with depression. Specific phobias are less so.

Age plays a role, too. A person who develops an anxiety disorder for the first time after age 40 is ly also to have depression, observes Himle. “Someone who develops panic attacks for the first time at age 50 often has a history of depression or is experiencing depression at the same time.”

Usually, anxiety precedes depression, typically by several years. Currently, the average age of onset of any anxiety disorder is late childhood/early adolescence. Psychologist Michael Yapko, Ph.D.

, contends that presents a huge opportunity for the prevention of depression, as the average age of first onset is now mid-20s. “A young person is not ly to outgrow anxiety unless treated and taught cognitive skills,” he says.

“But aggressive treatment of the anxiety when it appears can prevent the subsequent development of depression.”

“The shared cornerstone of anxiety and depression is the perceptual process of overestimating the risk in a situation and underestimating personal resources for coping.” Those vulnerable see lots of risk in everyday things—applying for a job, asking for a favor, asking for a date.

Further, anxiety and depression share an avoidant coping style. Sufferers avoid what they fear instead of developing the skills to handle the kinds of situations that make them uncomfortable. Often enough a lack of social skills is at the root.

In fact, says Jerilyn Ross, LICSW, president of the Anxiety Disorders Association of America, the link between social phobia and depression is “dramatic. It often affects young people who can't go out, can't date, don't have friends. They're very isolated, all alone, and feel cut off.”

Sometimes anxiety is dispositional, and sometimes it's transmitted to children by parental overconcern. “The largest group of depression/anxiety sufferers is Baby Boomers,” says Yapko.

“The fastest growing group is their children. They can't teach kids what they don't know. Plus their desire to raise perfect children puts tremendous pressures on the kids.

They're creating a bumper crop of anxious/depressed children.”

Treatment seldom hinges on which disorder came first. “In many cases,” says Ross, “the depression exists because the anxiety is so draining. Once you treat the anxiety, the depression lifts.”

In practice, treatment is targeted at depression and anxiety simultaneously. “There's increasing interest in treating both disorders at the same time,” reports Himle. “Cognitive behavioral therapy is particularly attractive because it has applications to both.”

Studies show that it is effective against both. But sometimes the depression is so incapacitating that it has to be tackled first. Depression, for example, typically interferes with exposure therapy for anxiety, in which people confront in a graduated way situations they avoid because they give rise to overwhelming fear.

“Exposure therapy requires substantial effort,” explains Himle. “That's effort that depressed people often do not have available to them.” Antidepressants can make a difference. Most SSRIs are approved for use in anxiety disorders and are the first line of drug therapy. But which drug works best for whom can not be predicted in advance. It takes some trial and error.

Ross finds CBT 80-90% successful in getting people functioning well, “provided it's done correctly.” Not all psychotherapy is CBT, which has a very specific set of procedures, nor is every mental health professional trained in CBT. “Patients have to make sure that is what they are really getting.”

Medication and CBT are equally effective in reducing anxiety/depression. But CBT is better at preventing relapse, and it creates greater patient satisfaction. “It's more empowering,” says Yapko.

“Patients feeling responsible for their own success.” Further, new data suggests that the active coping CBT encourages creates new brain circuits that circumvent the dysfunctional response pathways.

Treatment averages 12 to 15 weeks, and patients can expect to see significant improvement by six weeks. “CBT doesn't involve years and years of talk therapy,” says Ross.

“There's homework, practice and development of lifestyle changes. Once patients learn how to identify the trigger thoughts or feelings, or events or people, they need to keep doing that.

CBT gives people the tools they need.”

Source: https://www.psychologytoday.com/us/articles/200310/anxiety-and-depression-together

Depression and Anxiety: Patients With One, Often Have The Other

When Depression and Anxiety Occur Together

Most people experience feelings of anxiety or depression at times. Grief, loss of a job, divorce, illness, and other stressors can lead to feelings of sadness, worry, frustration, and loneliness. These are normal reactions to difficult life situations.

Some people experience these feelings daily, without a known stressor. This can interfere with the ability to carry out every day activities such as getting to work on time, proper self-care, or caring for children. In this case, people might be suffering from depression, anxiety, or a combination of the two.

Depression and anxiety can co-occur. Studies show that between 10% and 20% of adults in any given 12-month period will visit their primary care physician during a depressive or anxiety disorder episode, and that nearly 50% of them will suffer from a co-morbid, secondary depressive or anxiety disorder.

The presence of co-occurring depressive and anxiety disorders is associated with greater chronicity, slower recovery, increased rates of recurrence, and psychosocial disability.

It’s always helpful to know what symptoms to watch for and the most effective treatments.

Symptoms of major depressive disorder

The essential feature of major depressive disorder is a period of two weeks during which there is either depressed mood most of the day nearly every day or loss of interest or pleasure in nearly all activities. Other potential symptoms include:

  • Significant weight loss when not dieting or weight gain and changes in appetite
  • Insomnia or hypersomnia nearly every day
  • Psychomotor agitation or retardation nearly every day
  • Fatigue or loss of energy nearly every day
  • Feelings of worthlessness or excessive guilt
  • Impaired ability to think or concentrate, and/or indecisiveness
  • Recurrent thoughts of death, recurrent suicidal ideation without a plan, or a suicide attempt or suicide plan

The symptoms of major depressive disorder cause significant distress or impairment in social, occupational, or other areas of functioning.

Symptoms of Generalized Anxiety Disorder

The essential feature of generalized anxiety disorder is excessive anxiety and worry about a number of events or activities. The intensity of the worry is proportion to the lihood of the anticipated event. The excessive worry or anxiety occurs more days than not for a period of at least six months.

Anxiety and worry are associated with at least three (or more) of the following symptoms, with at least some symptoms present more often than not during the six-month period:

  • Restlessness or feeling keyed up or on edge
  • Easily fatigued
  • Difficulty concentrating or mind going blank
  • Irritability
  • Muscle tension
  • Sleep disturbance

To meet the criteria for generalized anxiety disorder, the anxiety, worry, or physical symptoms cause significant distress in social, occupational, or other areas of functioning.

There are several features that separate generalized anxiety disorder from nonpathological anxiety.

  • Worries are excessive and typically interfere with psychosocial functioning
  • Worries are more pervasive, pronounced, and distressing
  • Worries have longer duration
  • Worries are more ly to be accompanied by physical symptoms (restlessness, keyed up)

People with generalized anxiety disorder are ly to experience somatic symptoms (sweating, nausea, diarrhea), muscle tension, and an exaggerated startle response.

Treatment of anxiety and depression

A treatment plan for co-occurring anxiety and depression should be designed to help the person manage and reduce symptoms of both disorders at the same time.

Several forms of psychotherapy are widely available and effective for both anxiety and depression.

  • Cognitive Behavioral Therapy (CBT): This short-term therapy works to replace negative and unproductive thought patterns with more realistic and useful ones. This treatment focuses on taking specific steps to manage and reduce symptoms.
  • Interpersonal “talk” therapy: This attachment-focused therapy centers on resolving interpersonal problems and symptomatic recovery.
  • Problem solving therapy: This treatment helps people learn tools to effectively manage the negative effects of stressful life events.

Both anxiety and depressive disorders respond to treatment with selective serotonin reuptake inhibitor (SSRI) and serotonin norepinephrine reuptake inhibitor (SNRI) medications.

Long-term, combined treatment (psychotherapy and medication management) is typically recommended for people with co-occurring anxiety and depression.

  1. Hirschfeld, R., “The Comorbidity of Major Depression and Anxiety Disorders: Recognition and Management in Primary Care,” Primary Care Companion Journal of Clinical Psychiatry, Volume 3 (6), 2001: 244-254.

2. American Psychological Association, Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition, American Psychiatric Publishing, Washington, D.C., 2013.

Source: https://www.psycom.net/depression.central.anxiety.html

When Depression and Anxiety Occur Together

When Depression and Anxiety Occur Together

Gary John Norman / Getty Images

It is possible to have both depression and anxiety at the same time. Many people with anxiety go through bouts of occasional depression.

Symptoms of depression and anxiety often co-occur in certain disorders.

In fact, according to the National Institute of Mental Health, major depression often accompanies panic disorder and other anxiety disorders.

While depression and anxiety have distinct clinical features, there is some overlap of symptoms. For example, in both depression and anxiety, irritability, decreased concentration and impaired sleep are common.

It is not uncommon to experience occasional and brief periods of feeling down and anxious. These episodes are not usually a cause for concern, and once passed, you are able to resume life as usual.

If you suffer from depression and anxiety and your symptoms are present for more than two weeks, frequently recur, or are interfering with how you live your life, it’s time to get help.

We’ve all felt “sad” or “blue” at one time or another. Rare bouts of depression that last only a few days are usually not a problem for most people. But, clinical depression—the type that people seek help for—is a different story.

The DSM 5 uses the term “major depressive disorder” to classify and diagnose clinical depression. Major depressive episodes are the hallmark features of this type of depression.

These episodes are characterized by extreme symptoms that interfere with daily functioning.

Clinical depression, or a major depressive episode, can include any of the following symptoms :

  • feeling sad most of the time
  • feeling tired or having low energy most of the day
  • loss of interest in activities once enjoyed
  • changes in appetite, weight loss or weight gain
  • trouble concentrating
  • difficulty sleeping
  • feeling worthless
  • feeling helpless or hopeless
  • unexplained headaches, stomach problems or muscular/skeletal pain
  • thoughts of death or suicide

Anxiety is a normal human experience. In fact, it is considered a beneficial response in certain situations. For example, dangerous situations trigger anxiety in the form of a fight-or-flight stress response that is necessary for our survival. Or, sometimes anxiety gives us the necessary push we need to get things done.

While it’s pretty clear that anxiety is normal and even beneficial, for some people it becomes a problem. And, when anxiety becomes a problem, the effects can be physical, emotional and behavioral. Your symptoms may lead to an anxiety disorder if they are :

  • severe or last a long time
  • proportion to the situation at hand
  • causing extreme behaviors (i.e., avoidance) to reduce the anxiety

It should also be noted that anxiety can be a central aspect of depression, causing an anxious or agitated depression.

Symptoms of depression and anxiety are treatable. Studies show that medications and/or psychotherapy (talk therapy) are effective for most individuals.

As the name implies, antidepressants are used for the treatment of depression. It is now clear that in addition to improving one’s mood, antidepressants also have an anti-anxiety effect.

Antidepressants are believed to affect certain (chemical messengers) in the brain, resulting ​in a better mood and less anxiety.

Today, antidepressants are the usual choice of medication intervention for major depressive disorders and anxiety disorders.

Cognitive-behavioral therapy (CBT) is one form of psychotherapy that has been shown to be successful in treating depression and anxiety disorders. CBT combines the fundamental concepts of behavioral therapy and cognitive therapy.

The term “cognitive” refers to our thought process and reflects what we think, believe and perceive. Put together, CBT focuses on our behaviors and thoughts and how they are contributing to our current symptoms and difficulties.

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Source: https://www.verywellmind.com/depression-and-anxiety-2584202


When Depression and Anxiety Occur Together

322 million people worldwide live with depression.* Our World Data

In 2014, around 15.7 million adults age 18 or older in the U.S. had experienced at least one major depressive episode in the last year (6.7% of adults in the U.S.).* (National Institute of Mental Health)

  • Types of Depression
  • ADAA Resources
  • Additional Resources

Losing a loved one, getting fired from a job, going through a divorce, and other difficult situations can lead a person to feel sad, lonely and scared. These feelings are normal reactions to life's stressors.

Most people feel low and sad at times. However, in the case of individuals who are diagnosed with depression as a psychiatric disorder, the manifestations of the low mood are much more severe and they tend to persist.

Depression occurs more often in women than men. Some differences in the manner in which the depressed mood manifests has been found sex and age. In men it manifests often as tiredness, irritability and anger. They may show more reckless behavior and abuse drugs and alcohol.

They also tend to not recognize that they are depressed and fail to seek help. In women depression tends to manifest as sadness, worthlessness, and guilt. In younger children depression is more ly to manifest as school refusal, anxiety when separated from parents, and worry about parents dying.

Depressed teenagers tend to be irritable, sulky, and get into trouble in school. They also frequently have co-morbid anxiety, eating disorders, or substance abuse.

In older adults depression may manifest more subtly as they tend to be less ly to admit to feelings of sadness or grief and medical illnesses which are more common in this population also contributes or causes the depression.  

Types of Depression

There are different types of depressive disorders, and while there are many similarities among them, each depressive disorder has its own unique set of symptoms.

The most commonly diagnosed form of depression is Major Depressive Disorder. In 2015, around 16.1 million adults aged 18 years or older in the U.S.

had experienced at least one major depressive episode in the last year, which represented 6.7 percent of all American adults. Depression is the leading cause of disability in the United States among people ages 15-44.

  View the NIMH website for statistics from the 2016 National Survey on Drug Use and Health

Major depression is characterized by at least five of the diagnostic symptoms of which at least one of the symptoms is either an overwhelming feeling of sadness or a loss of interest and pleasure in most usual activities.

The other symptoms that are associated with major depression include decrease or increase in appetite, insomnia or hypersomnia, psycho motor agitation or retardation, constant fatigue, feelings of worthlessness or excessive and inappropriate guilt, recurrent thoughts of death and suicidal ideation with or without specific plans for committing suicide, and cognitive difficulties, such as, diminished ability to think, concentrate and take decisions. The symptoms persist for two weeks or longer and represent a significant change from previous functioning. Social, occupational, educational, or other important functioning is also impacted. For instance, the person may start missing work or school, or stop going to classes or their usual social activities. 

Another type of depression is called Persistent depressive disorder (dysthymia).

The essential feature of this mood disorder is a low, dark or sad mood that is persistently present for most of the day and on most days, for at least 2 years (children and adolescents may experience predominantly irritability and the mood persist for at least 1 year).

For the individual to receive the diagnosis of persistent depressive disorder they should also have two of the diagnostic symptoms which include poor appetite or overeating, insomnia or hypersomnia, low energy or fatigue, low self-esteem, poor concentration, difficulty making decisions, or feelings of hopelessness.

During this period, any symptom-free intervals last no longer than two months. The symptoms are not as severe as with major depression. Major depression may precede persistent depressive disorder, and major depressive episodes may also occur during persistent depressive disorder.

Premenstrual dysphoric disorder is another manifestation of depression which is a severe and sometimes disabling extension of premenstrual syndrome (PMS).

Although regular PMS and Premenstrual dysphoric disorder (PMDD) both have physical and emotional symptoms, the mood changes in PMDD are much more severe and can disrupt social, occupational, and other important areas of functioning.

In both PMDD and PMS, symptoms usually begin seven to 10 days before the start of a menstrual period and continue for the first few days of the period. Both PMDD and PMS may also cause breast tenderness, bloating, fatigue, and changes in sleep and eating habits.

PMDD is characterized by emotional and behavioral symptoms that are more severe, such as sadness or hopelessness, anxiety or tension, extreme moodiness, irritability or anger.

Some medical conditions can trigger depressive symptoms in individuals. This is called depressive disorder due to another medical condition. Endocrine and reproductive system disorders are commonly associated with depressive symptoms.

For example, people with low levels of the thyroid hormone (hypothyroidism) often experience fatigue, weight gain, irritability, memory loss, and low mood. When the hypothyroidism is treated it usually reduces the depression. Cushing's syndrome is another hormonal disorder caused by high levels of the hormone cortisol which can also cause depressive symptoms.

Other conditions that have been found to cause depression include conditions such as HIV/AIDS, diabetes, strokes, Parkinson’s disease etc.

Adjustment Disorder with Depressed Mood is diagnosed when symptoms of depression are triggered within 3 months of onset of a stressor. The stressor usually involves a change of some kind in the life of the individual which he/she finds stressful.

Sometimes the stressor can even be a positive event such as a new job, marriage, or baby which is nevertheless stressful for the individual.

The distress is typically proportion to the expected reaction and the symptoms cause significant distress and impairment in functioning. The symptoms typically resolve within 6 months when the person begins to cope and adapt to the stressor or the stressor is removed.

Treatment tends to be time limited and relatively simple since some additional support during the stressful period helps the person recover and adapt.

Another type of depression is related to changes in the length of days or seasonality. This type of depression is called Seasonal affective disorder (SAD).

People with SAD suffer the symptoms of a Major Depressive Disorder only during a specific time of year, usually winter.

This appears to be related to the shorter days of winter, and the lack of sunlight in many parts of the country.

Depression and Anxiety Disorders: Not the Same

Depression and anxiety disorders are different, but people with depression often experience symptoms similar to those of an anxiety disorder, such as nervousness, irritability, and problems sleeping and concentrating. But each disorder has its own causes and its own emotional and behavioral symptoms.

Many people who develop depression have a history of an anxiety disorder earlier in life. There is no evidence one disorder causes the other, but there is clear evidence that many people suffer from both disorders.

Sleep and Anxiety and Depression

  • Anxiety, Stress, Depression and Sleep
  • Sleep Disorders


1. NIMH: Depression Basics
2. View the NIMH website for statistics from the 2016 National Survey on Drug Use and Health3. American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Arlington, VA: American Psychiatric Publishing.

4. Sadock, B. J., Sadock, V. A., & Ruiz, P. (2009). Comprehensive Textbook of Psychiatry (Ninth edition.) Philadelphia: Wolters Kluwer.

Source: https://adaa.org/understanding-anxiety/depression

What to Do When Depression and Anxiety Occur Together in Houston Adults

When Depression and Anxiety Occur Together

Sacred Oak Medical Center Blog 27 January 2020

Everyone experiences periods of feeling down or anxious certain stressors of life, such as moving, losing a loved one, having a hard time at school, or losing your job. These are normal reactions. However, for 16 million American adults, their down days are persistent and exist when everything else in life seems to be going well. This is because they suffer from severe depression.

For 42 million American adults, it’s not just naturally stressful situations that make them anxious, and that’s because they have anxiety disorder. Often, when an individual has depression, anxiety also accompanies their mental illness and vise-versa.

What are Severe Depression and Anxiety , Together?

Although the two illnesses are different, there is overlap in their symptoms, and sometimes this only worsens symptoms. Each case is different, but when these mental illnesses come together, they undoubtedly cause debilitating behavioral health challenges.

Adult Depressive Disorder

Depressive Disorder is what we refer to as severe depression or clinical depression. Common symptoms are as follows:

  • Feeling sad, tired, and low-energy
  • Losing interest in enjoyable activities
  • A change in appetite
  • Trouble concentrating and sleeping
  • Feelings of worthlessness, helplessness, and hopelessness
  • Suicide thoughts/attempts 

Adult Anxiety Disorder

A little stress and anxiety is normal, and can even be good for us. Stress can trigger our fight or flight response in times of danger and it may also benefit those who wish to succeed in their Houston-based, deadline-driven job. For individuals who have Anxiety Disorder, their behaviors are different:

  • Stress and anxiety can be severe in situations that others may not feel as stressed in
  • Stress and anxiety may be persistent to a point where individuals don't get a break from it
  • Reactions to stress may seem more overreactions
  • Extreme avoidance of stressful situations

Ketamine Infusion Therapy 

Research has demonstrated that low, controlled doses of Ketamine reduce the imbalance in the brain’s neurotransmitters. This imbalance contributes to both anxiety and depressive disorder. Ketamine also works faster and more efficiently than typical depression and anxiety medications, often within a few hours.

Intensive Outpatient Program (IOP) for Behavioral Health

Our Houston Outpatient Program for adult behavioral health is ideal for individuals that have undergone our Partial Hospitalization Program and reached a point in their depression treatment and anxiety treatment where they no longer need round-the-clock care. It allows patients to work with our qualified medical professionals to understand the symptoms of their behavioral health, as well as healthy ways to overcome them. When in conjunction with our Ketamine Infusion Program, recovery is that much closer.

If you would to know more about how to recover from anxiety and depression, please get an assessment. Our medical professionals will happily develop a customized treatment plan so you can live a happier, healthier life.

Source: https://www.sacredoakmedical.com/resources/medical-news/what-to-do-when-depression-and-anxiety-occur-together-in-houston-adults

Depression and Anxiety: Symptoms, Self-Help Test, Treatment, and

When Depression and Anxiety Occur Together

Depression and anxiety can occur at the same time. In fact, it’s been estimated that 45 percent of people with one mental health condition meet the criteria for two or more disorders. One study found that half of people with either anxiety or depression have the other condition.

Although each condition has its own causes, they may share similar symptoms and treatments. Read on to learn more, including tips for management and what to expect from a clinical diagnosis.

Some symptoms of depression and anxiety overlap, such as problems with sleep, irritability, and difficulty concentrating. But there are several key differences that help distinguish between the two.


Feeling down, sad, or upset is normal. It can be concerning feeling that way for several days or weeks on end.

Physical symptoms and behavioral changes caused by depression include:

  • decreased energy, chronic fatigue, or feeling sluggish frequently
  • difficulty concentrating, making decisions, or recalling
  • pain, aches, cramps, or gastrointestinal problems without any clear cause
  • changes in appetite or weight
  • difficulty sleeping, waking early, or oversleeping

Emotional symptoms of depression include:

  • loss of interest or no longer finding pleasure in activities or hobbies
  • persistent feelings of sadness, anxiety, or emptiness
  • feeling hopeless or pessimistic
  • anger, irritability, or restlessness
  • feeling guilty or experiencing feelings of worthlessness or helplessness
  • thoughts of death or suicide
  • suicide attempts


Anxiety, or fear and worry, can happen to anyone from time to time, too. It’s not unusual to experience anxiety before a big event or important decision.

But, chronic anxiety can be debilitating and lead to irrational thoughts and fears that interfere with your daily life.

Physical symptoms and behavioral changes caused by generalized anxiety disorder include:

  • feeling fatigued easily
  • difficulty concentrating or recalling
  • muscle tension
  • racing heart
  • grinding teeth
  • sleep difficulties, including problems falling asleep and restless, unsatisfying sleep

Emotional symptoms of anxiety include:

  • restlessness, irritability, or feeling on edge
  • difficulty controlling worry or fear
  • dread
  • panic

You know what’s normal for you. If you find yourself experiencing feelings or behaviors that aren’t typical or if something seems off, this might be a sign you need to seek help from a healthcare provider. It’s always better to talk about what you’re feeling and experiencing so that treatment can begin early if it’s necessary.

With that being said, some online self-diagnosis tests are available to help you better understand what may be happening. These tests, while helpful, aren’t a replacement for a professional diagnosis from your doctor. They can’t take other conditions that may be impacting your health into account, either.

Popular self-help tests for anxiety and depression include:

  • depression test and anxiety test
  • depression test
  • anxiety test

In addition to a formal treatment plan from your doctor, these strategies may help you find relief from symptoms. It’s important to know, though, that these tips may not work for everyone, and they may not work each time.

The goal of managing depression and anxiety is to create a series of treatment options that can all work together to help, to some degree, whenever you need to use them.

1. Allow yourself to feel what you’re feeling — and know that it’s not your fault

Depression and anxiety disorders are medical conditions. They aren’t the result of failure or weakness. What you feel is the result of underlying causes and triggers; it’s not the result of something you did or didn’t do.

2. Do something that you have control over, making your bed or taking out the trash

In the moment, regaining a bit of control or power can help you cope with overwhelming symptoms. Accomplish a task you can manage, such as neatly restacking books or sorting your recycling. Do something to help give yourself a sense of accomplishment and power.

3. You could also create a morning, evening, or even daily routine

Routine is sometimes helpful for people with anxiety and depression. This provides structure and a sense of control. It also allows you to create space in your day for self-care techniques that can help you control symptoms.

4. Do your best to stick to a sleep schedule

Aim for seven to eight hours each night. More or less than that may complicate symptoms of both conditions. Inadequate or poor sleep can cause problems with your cardiovascular, endocrine, immune, and nervous symptoms.

5. Try to eat something nutritious, an apple or some nuts, at least once a day

When you’re feeling depressed or anxious, you may reach for comforting foods pasta and sweets to alleviate some of the tension. However, these foods provide little nutrition. Try to help nourish your body with fruits, vegetables, lean meats, and whole grains.

6. If you’re up for it, go for a walk around the block

Research suggests exercise can be an effective treatment for depression because it’s a natural mood booster and releases feel-good hormones. However, for some people, exercise or a gym can trigger anxiety and fear. If that’s the case for you, look for more natural ways to move, such as walking around your neighborhood or looking for an online exercise video you can do at home.

7. Do something that you know brings you comfort, such as watching a favorite movie or flipping through a magazine

Give yourself time to focus on you and the things you . Down time is a great way to let your body rest, and it can distract your brain with things that bring you a boost.

8. If you haven’t left the house in a while, consider doing something you find soothing, getting your nails done or getting a massage

Relaxation techniques can improve your quality of life and may reduce symptoms of depression and anxiety. Find an activity that feels right for you and you can practice regularly, such as:

  • yoga
  • meditation
  • breathing exercises
  • massage

9. Reach out to someone you’re comfortable talking to and talk about whatever you feel , whether that’s how you’re feeling or something you saw on

Strong relationships are one of the best ways to help you feel better. Connecting with a friend or family member can provide a natural boost and let you find a reliable source of support and encouragement.

Symptoms that last two weeks or more may be an indication you have depression, anxiety, or both. Severe symptoms may include:

  • problems with sleep
  • unexplained emotional changes
  • sudden loss of interest
  • feelings of worthlessness or helplessness

If you’re not feeling yourself and want help understanding, make an appointment to see your doctor. It’s important to be open and honest so they can fully understand what’s happening and get a clear picture of what you’ve been feeling.

There’s no single test that can diagnose depression or anxiety. Instead, your doctor will ly conduct a physical exam and a depression or anxiety screening test. For this, they’ll ask you a series of questions that help them get a better insight into what you’ve been experiencing.

If the results aren’t clear or if your doctor suspects the symptoms may be the result of another condition, they may order tests to rule out underlying issues. Blood tests can check your thyroid, vitamin, and hormone levels.

In some cases, general practitioners will refer you to a mental health expert, such as a psychiatrist or psychologist, if they don’t feel equipped to properly manage your symptoms and conditions or if they suspect you’re experiencing more than one condition.

Although depression and anxiety are two separate conditions, they share many of the same treatments. A combination of these may be used to treat both conditions at the same time.


Each type of therapy has unique characteristics that make it more suited to some people and not others. Your doctor may recommend one or more of the following:

  • Cognitive behavioral therapy (CBT). With CBT, you’ll learn to adjust your thoughts, behaviors, and reactions to be more even and rational.
  • Interpersonal therapy. This type focuses on learning communication strategies that can help you express yourself better.
  • Problem-solving therapy. This therapy focuses on using coping skills to manage symptoms.


Several types of medication may be used to treat depression, anxiety, or both. Because the two conditions overlap in many ways, one medication may be enough to treat both conditions. Your doctor may prescribe:

  • Antidepressants. Several classes of this drug are available, including selective serotonin reuptake inhibitors (SSRIs) and serotonin-norepinephrine reuptake inhibitors (SNRIs). Each carry unique benefits and risks. The type you use will depend largely on the severity of your symptoms.
  • Antianxiety medications. These drugs can help reduce symptoms of anxiety but may not help with all symptoms of depression. Some of these medications should only be used for a short amount of time due to risk of addiction.
  • Mood stabilizers. These drugs may be used to stabilize mood when antidepressants don’t work by themselves.

Alternative therapy

Hypnotherapy isn’t widely used in psychotherapy treatments, but research suggests this alternative approach may actually help ease some symptoms of both conditions. This includes loss off focus, greater emotional control, and better management of feelings of self-consciousness.

You don’t have to live with unusual feelings, thoughts, or other symptoms of either depression or anxiety. Talk with your doctor if these feelings or changes last longer than a week or two. Early treatment is the best way to manage the conditions and find treatments that are effective in the long-term.

Finding the right treatment for you may take some time. Most medications require two weeks or more to be effective. wise, you may have to try several medications to find the right option for you. Your doctor will work with you to find the best option.

Source: https://www.healthline.com/health/mental-health/depression-and-anxiety