10 Facts About Mixed Anxiety And Depressive Disorder That Will Instantly Put You In An Optimistic Mood
Symptoms of Mixed Anxiety and Depressive Disorder
Mixed anxiety and depression disorders (MADD) are characterized by depression and anxiety symptoms at the same time. In contrast to pure anxiety disorders or pure depression, MADD is more disabling and difficult to treat.
The existence of MADD has sparked debate over its place in the psychiatric nomenclature. Some believe that MADD should be included because it may aid patients in accessing treatment and help prevent the development of the disorder syndromal.
Causes
If you or someone you know suffers from depression and anxiety simultaneously, it's important to seek help. This mental disorder, known as the acronym MADD, can make it hard to cope with daily life. This disorder can cause feelings of sadness, anxiety, low energy, difficulty concentrating, being easily distracted and even irritable. This disorder is treatable, and it's best to address it as early as possible.
There is no one specific reason for this condition however, certain risk factors are more likely than others. People who have an anxiety history or depressive disorders are more likely to develop this kind of mood disorder. Other factors could contribute to this disorder include a stressful relationship or job, childhood abuse or neglect, a low self-esteem, distorted self-worth, or exposure to traumatic experiences.
MADD is not curable, however it can be treated by a variety of therapies. Cognitive behavioral therapy helps patients identify and challenge negative behaviors, beliefs and thoughts that contribute to their feelings sadness and anxiety. Therapists teach their clients healthy ways to cope and stress-reducing techniques. Antidepressant drugs are also used to treat this condition. These are usually SSRIs and SNRIs that boost the levels of norepinephrine as well as serotonin in the brain.
In a study that was conducted over a long period, researchers examined the outcomes of 85 individuals who met the criteria for MADD in the current ICD-10 classification system. This research found that most of the patients diagnosed with the disorder were cured within a year. Most of the remaining patients suffered from syndromal depression, or anxiety, or met other ICD-10 diagnoses.
Although there isn't a cure for MADD, there are steps you can take to manage your symptoms and prevent the condition from becoming worse. A healthy diet regular exercise routine, regularly exercising, and doing mindfulness meditation or praying can all help improve how you feel. Avoiding refined sugars and caffeine can also help ease anxiety and depression.
Symptoms
Symptoms of depression and anxiety frequently overlap and it's normal for people to feel both. When they interfere with daily activities, a dual diagnosis can be beneficial. The symptoms of mixed anxiety and depressive disorder can include anxiety and sadness and low energy, or feelings of inadequacy, and physical symptoms like dizziness or headaches. These symptoms can cause issues at work, school and in relationships.
In the latest version of the International Classification of Diseases, called ICD-11, there is a category for comorbid depression and anxiety. The criteria states that a person is diagnosed with MADD when they suffer from a combination of both anxiety and depression, however neither of them by itself meets the threshold of diagnosis for syndromal depression or anxiolytic disorder. It is a catch all for those who fall in the 'grey zone' between depression and anxiety disorders. It allows clinicians to avoid making arbitrary decisions about which disorder sufferers are likely to develop based on only cross-sectional data.
Many factors can cause both depression and anxiety, but the most important factors are the genetic predisposition of an individual, life events that have caused stress and medical conditions like chronic pain or side effects of medications like antidepressants or blood pressure medications. Personality traits like self-criticism, perfectionism, or seeing the glass as half empty also increase the risk of depression and anxiety disorders.
People with MADD can have similar symptoms as those suffering from anxiety or depression alone however, these symptoms tend to be more severe and frequent. They may be more difficult to manage and difficult to treat, and have a higher chance of suicide than anxiety or depression. MADD can be treated using various treatments for anxiety and depression which include cognitive behavioral therapy, mindful meditation, exercise and diet changes. Sedatives and antidepressants are needed, based on the degree of symptoms.
Diagnosis
The symptoms of anxiety and depression overlap and can be difficult to differentiate. The symptoms include low motivation, fatigue, difficulty sleeping and irritability. Depression can also affect your eating habits, and result in a withdrawal from social activities.
panic anxiety disorder suffering from depression that is not treated may have trouble functioning at school, work and at home. To treat depression, it is important to speak with an expert in mental health.
The symptoms of the patient and their family history and recent life events are commonly used to diagnose mixed anxiety and depression disorder. Genetics, traumas and past experiences are all risk factors for anxiety and depression.
There are different types of psychometric tests that help professionals in the field of mental health to determine the severity and symptoms of depression and anxiety. They can also advise on the best method of treatment for you. Mild to moderate cases of MADD are often treated with psychotherapy and counselling, such as talk therapy (CBT REBT, hypnotherapy, etc.), or alternative therapies like meditation.
For more severe and difficult cases, medication might be recommended. Antidepressants are frequently employed to treat depression and anxiolytics may be used to alleviate anxiety.
It is worth mentioning that there are some researchers who have advocated for MADD to be eliminated as a diagnosis category because it has been associated with significantly fewer remissions, and a higher incidence of progression to syndromal disorders than depression or pure anxiety. However, a variety of studies based on retrospective clinical data suggest that this notion is not a good one and warrants further examination.
A study that tracked the lives of 85 MADD patients revealed that after a year, nearly half of them had gone away. The remaining ones were diagnosed with syndromal depression or anxiety. Thus, it is likely that the majority of those who meet the criteria for MADD are either not significantly affected or are in a prodromal stage of an affective disorder that is syndromal and do not require a specific diagnosis of MADD.
Treatment
It is crucial to seek help when anxiety and depression are present. Your therapist can help learn to accept your emotions as natural and normal, instead of battling them like an enemy. Your therapist can teach you techniques and tools to reduce your symptoms. This includes learning to relax, let go of worries, and establishing healthy coping strategies.
Mixed anxiety and depressive disorder is a difficult thing to treat and diagnose however, there are effective treatment options. Your doctor may prescribe antidepressants or benzodiazepines. These medications can help improve your mood because they affect how your brain reacts to specific nerve impulses. You may also be able to benefit from cognitive behavioral therapy that can help you change negative thought patterns and coping strategies that may cause your symptoms.

It is well-documented that co-occurring depression and anxiety symptoms are very common. In fact according to a study of psychological problems in primary care they account for a significant portion of all reported psychological disorders. MADD is a controversial diagnosis within mental health systems. A number of studies have proven that MADD does not possess enough diagnostic validity or stability over time. It is unclear if the MADD diagnosis can aid in guiding patients to the right treatment.
In addition, numerous clinical and epidemiological studies have demonstrated considerable symptom overlap between anxiety and depression. It is not unusual for people with depression and anxiety disorders that co-occur to alter their psychiatric diagnosis in the course of time. For instance, in the DSM-5 which does not contain a specific diagnosis for MADD, patients who present with subsyndromal symptoms of anxiety and depression are categorized as having another depressive disorder with anxious distress.
Despite the ongoing debate on whether MADD is a valid diagnostic term, a variety of factors suggest its continued importance in facilitating access treatment and improving outcomes for patients. These include enabling patients to seek help early and preventing the onset of symptoms from getting worse and lessening the burden on healthcare systems.