Mixed Anxiety-Depressive

The similarity between depression and anxiety related symptoms (e.g., agitation, insomnia, despair) may make it difficult to distinguish between depression and anxiety diagnoses. For example, the shame, guilt, and hopelessness found in Post Traumatic Stress Disorder can be misdiagnosed as depression.

Many people experience depression and anxiety symptoms at the same time, often of sufficient severity for both to be diagnosed. Between 10% and 65% of individuals with Panic Disorder also experience Major Depressive Disorder, with approximately a third of such individuals experiencing depression prior to the onset of panic. For others, the restrictions to lifestyle and erosion of social and emotional well-being caused by ongoing anxiety can result in depression.

Mixed Anxiety-Depressive Disorder, however, occurs when someone experiences symptoms that are not sufficient for a diagnosis of either an anxiety disorder or mood disorder, even though the symptoms cause the person emotional distress or interfere with academic, occupational, or social functioning.

The diagnosis of Mixed Anxiety-Depressive Disorder may be warranted if the person has experienced persistent or recurrent depressive mood for at least 1 month, accompanied by a number of other symptoms. These symptoms include having difficulty concentrating or having the experience of one's mind going blank, sleep problems, including difficulty falling asleep, staying asleep, and restless or unsatisfying sleep, and daytime fatigue or lack of energy. The person may feel irritable and worry excessively. He or she may become more vigilant with regard to possible threats of danger and anticipate the worst possible outcome. Being more tearful and feeling hopeless or pessimistic about the future may result and the person may experience low self-esteem or feelings of worthlessness. In order to receive the diagnosis of Mixed Anxiety-Depressive Disorder, the person must have never previously been diagnosed with Major Depressive Disorder, Dysthymic Disorder, Panic Disorder, or Generalized Anxiety Disorder.

Treatment:

Mixed Anxiety and Depression is treated most effectively though Cognitive Behavior Therapy (CBT), using strategies that work for both anxiety and depressive disorders. People are taught how to change their thinking and behavior to reduce their anxiety and depression symptoms.

If you or someone you know is suffering from mixed anxiety and depression contact one of our psychologists today at either the Calgary (403-313-8309) or Vancouver (1-877-313-8309) office to find out how we can help. You can also contact us by e-mail.

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