Depression and Anxiety
Many people with depression may experience what is known as “anxious distress” in addition to their low mood. People with anxious distress often feel tense, restless, and have trouble concentrating because they worry so much. They are deeply afraid that something bad is going to happen or that they might lose control of themselves. People who experience anxious distress with depression may be at higher risk for suicide or need more intensive treatment, so it is important to identify these symptoms along with the depression.
Above all, it’s important to remember to let a doctor or mental health professional evaluate you to see if your symptoms meet the criteria for a depressive disorder or an anxiety disorder.
- depressed mood
- lack of interest in enjoyable activities
- increase or decrease in appetite
- insomnia or hypersomnia
- slowing of movement
- lack of energy
- feelings of guilt or worthlessness
- trouble concentrating
- suicidal thoughts or behaviors.
For a diagnosis of major depressive disorder, a person needs to have experienced five or more of these symptoms for at least two weeks. People experiencing some of these symptoms might also be diagnosed with persistent depressive disorder (dysthymia), premenstrual dysphoric disorder, or a depressive disorder due to another condition. They may also meet the criteria for bipolar disorder if they also experience symptoms of mania.
- excessive worry
- being easily fatigued
- trouble concentrating
- sleep disturbance
- muscle tension
If you’ve experienced these symptoms most days for more than six months, and they cause distress in your daily life, then you may receive a diagnosis of generalized anxiety disorder. Other types of anxiety disorders include separation anxiety, panic disorder, or phobias, among others.
If you compare the two lists of symptoms, you can see that there is some overlap. Sleep problems, trouble concentrating, and fatigue are all symptoms of both anxiety and depression. Irritability may also manifest in forms of anxiety or depression (in place of low mood).
There are however, some distinguishing features. People with depression move slowly, and their reactions can seem flattened or dulled. People with anxiety tend to be more keyed up, as they struggle to manage their racing thoughts. Another distinguishing feature is the presence of fear about the future in people with anxiety. Depressed people who do not have anxiety are less likely to be fraught with worry about future events, as they are often resigned to believing that things will continue to be bad. In other words, they may predict the future based on how they feel in the moment.
Dr. Campbell has assessment instruments to help discern your level of disruption and to determine if one or both of these are issues for you and to recommend treatment.