What is Anxious Depression?


Anxiety and depression often come together. And there’s different ways this can look. Sometimes anxiety spawns depression, where you start off with something like obsessive compulsive disorder where you have these overwhelming thoughts that you can’t get out of your head or rituals that you can’t stop doing. Or you may have generalized anxiety disorder where you are gripped with worry and fear. Some people’s anxiety can be so bad that they wake up every morning and throw up. Or you can feel like there’s a heavy weight pressing on you all day. Some people feel like their throat is closing all day long. This is a horrible way to feel. Especially when there’s not a clear reason to feel anxious. You can start to think – what’s wrong with me? Why can’t I feel normal? Feeling like this for weeks or months on end can make some people sink into a depression. In this case, you would have two disorders, the original anxiety disorder and then a depression.

That’s one scenario. Another scenario is when your primary problem is depression – having no joy, feeling hopeless, hardly having the energy to do anything. Instead of feeling a heavy weight on your chest all day, you feel tears just behind your eyes all day ready to stream at the slightest provocation.

This is what your depression might look like if you had pure depression. But many times people have anxiety symptoms mixed in with their depression. The anxiety doesn’t rise to the level of a full disorder like panic disorder or generalized anxiety disorder. But it’s presence is enough to make the quality of your depression different. The term for this is depression with anxious distress. Anxious distress is what we call a course specifier. It gives more specific information about how your depression looks and behaves.

Here is the criteria for this specifier. This is from the diagnostic and statistical manual of mental disorders, 5th edition.

Anxious distress is defined as the presence of at least two of the following symptoms during the majority of days of a major depressive episode or persistent depressive disorder (dysthymia):
Feeling keyed up or tense.
Feeling unusually restless.
Difficulty concentrating because of worry.
Fear that something awful may happen.
Feeling that you may lose control of yourself

If you have depression with anxious distress, be prepared that you may need more than one medication to treat your condition and you may have a try a few before you get one that works well with the least amount of side effects.

Refences
Zhao K, Liu H, Yan R, et al. Cortical thickness and subcortical structure volume abnormalities in patients with major depression with and without anxious symptoms. Brain Behav. 2017;7(8):e00754.

Fu CH, Steiner H, Costafreda SG. Predictive neural biomarkers of clinical response in depression: a meta-analysis of functional and structural neuroimaging studies of pharmacological and psychological therapies. Neurobiol Dis. 2013;52:75-83.

Ionescu DF, Niciu MJ, Richards EM, Zarate CA Jr. Pharmacologic treatment of dimensional anxious depression: a review. Prim Care Companion CNS Disord. 2014;16(3)

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Quelling Everyday Anxiety

By far the commonest anxiety is suffered by those who would not be diagnosed with a disorder. The commonest anxiety is caused by the tension of task-and-time pressure that leads to exhaustion.

Anxiety or Not

Answering yes may mean that your day-to-day life is sometimes overwhelmed by anxiety. We all experience stress, worry and anxiety.

Stress and Mood Swings

If you notice yourself experiencing a drastic change of emotions every now and then it’s possible that you’re experiencing what many people refer to as “mood swings”. One moment you may be feeling fine working on your daily tasks, the next minute you may be feeling irritable and even become hostile – all these sudden changes in your mood indicates that you are indeed having mood swings.

Anxiety, Insomnia and Constipation Are Linked To The Nervous System According to Ayurveda

Have you ever reflected or meditated on the electro-magnetic field of your brain? I know that could be a crazy question. Consider this tho, the brain’s electricity is responsible for respiration and sensory perception. The pathway that is being described in the previous sentence is the nose, eyes, skin, ears and ability to see. It is connected to the brain. From the brain this electric force sends a supply to the heart center. Anxiety, constipation and insomnia are linked intimately to this five senses, brain and heart balance. Learn more how your daily routine effects this inter-connection. Find out what you can do to control how healthy these connections can be.

How Stress Impacts Your Vital Organs

Stress affects just about everyone’s daily lives. It can affect your body in ways that can have a long lasting impact on your health. Here are some ways it can affect your health:

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