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Symptoms of Mixed Anxiety and Depressive Disorder Mixed anxiety and depressive disorders (MADD) have both depression and anxiety symptoms at the same time. Contrary to pure depression or anxiety disorders, MADD is more disabling and difficult to treat. The existence of MADD caused debate about its place in the psychiatric nomenclature. Some argue that MADD should not be ruled out because it could help patients access treatment and prevent the development of a syndromal disorder. Causes If you or someone you know is experiencing both anxiety and depression simultaneously it is important to seek help. This condition, also known as MADD is a serious mental health condition and can cause difficulty in coping with the daily demands of life. Symptoms of this disorder include feelings of sadness and worry as well as fatigue and difficulty concentrating, being easily distracted, and anger. The disorder can be treated and it is best to treat it as early as possible. There is no single cause for this condition. However, some risk factors are more prevalent than others. People who have an history of anxiety or depressive disorders are more likely to develop this kind of mood disorder. Other causes of this condition may include being in a stressful relationship or job, being a victim of abuse in childhood or having low self-esteem, an unreliable sense of self-worth, being exposed to trauma-inducing events, and chronic illness. MADD is not curable, however it can be managed through various types of therapy. Cognitive behavioral therapy helps patients identify and challenge negative beliefs, behaviors and thoughts that trigger their feelings of sadness and anxiety. These therapists also teach their clients to practice healthy strategies for coping and techniques for reducing stress. panic anxiety disorder are also sometimes used to treat this condition. These are usually SSRIs or SNRIs that boost the levels of serotonin as well as norepinephrine in the brain. Researchers looked at the results of 85 patients who had met MADD criteria under the current ICD-10 system. The study found that the majority of the patients who developed this disorder remitted within 1 year. The majority of the remaining patients developed syndromal depression or anxiety, or other ICD-10 diagnoses. Although there is no cure for MADD but there are ways you can reduce your symptoms and stop this condition from getting worse. Maintaining a healthy diet, exercising regularly, and practicing mindfulness meditation or prayer can all improve the way you feel. It is also essential to stay away from caffeine and refined sugars as they can exacerbate depression and anxiety symptoms. Signs and symptoms It's not uncommon for people to experience both anxiety and depression. They may be able to separate them in their mind but when they're affecting daily functioning the combination diagnosis may aid in making the most of the treatment options. Mixed depression and anxiety symptoms can include low energy feelings of desperation and sadness. Physical symptoms like dizziness or headaches could be present. These symptoms can affect work and school and create problems in relationships. The new ICD-11 version of the International Classification of Diseases includes an entry for anxiety that is comorbid with and depression. MADD is diagnosed when a person suffers from both anxiety and depression. However, neither depression nor anxiety alone is enough to meet the diagnostic criteria for anxiolytic disorders. It is a catch-all for those who fall into the 'grey zone' that exists between depression and anxiety disorders. It allows doctors to avoid making arbitrary decisions regarding which disorder patients are likely to progress towards based on only cross-sectional data. There are a myriad of factors that can trigger depression and anxiety. The most important include genetic predispositions, stressful life events, chronic pain or the side effects of medications like blood pressure medicine or antidepressants. Personality patterns like self-criticism, perfectionist thinking or judging the glass as half full also increase the risk of anxiety and depression disorders. People suffering from MADD may suffer from the same symptoms as people suffering from depression or anxiety alone, but these symptoms tend to be more severe and frequent. They can be debilitating and more difficult to treat than the case where anxiety or depression is the primary diagnosis, and there is increased chance of suicidal behavior. MADD is treatable with various treatments as depression and anxiety, including cognitive behavior therapy, mindful meditation and exercise, as well as diet modifications. Medications such as sedatives and antidepressants may be prescribed if required, based on the severity of symptoms. Diagnosis The symptoms of anxiety and depression can overlap and be difficult to differentiate. Some of the symptoms are low motivation, fatigue, difficulty sleeping and irritability. Depression can also affect your eating habits, and make you withdraw from social activities. Untreated depression can cause issues at work, at school and at home. For treatment, it's crucial to talk to a mental health professional. A diagnosis of mixed anxiety and depression is usually determined by the symptoms of the patient in addition to their family history and recent life events. Genetics, traumas and past experiences are all potential risk factors for anxiety and depression. There are a variety of psychometric tests which can assist professionals in mental health assess the severity and manifestations of depression and anxiety. They can also provide advice on the best treatment for you. Psychotherapy and counseling (CBT or REBT) can be used to treat mild to moderate MADD. Alternative treatments, such as meditation may also be helpful. It is possible to prescribe medication for more severe and incapacitating situations. Depression can often be helped by antidepressants, whereas anxiety is often treated with anxiolytics. These are drugs that reduce anxiety in people and make them more relaxed. Some researchers have suggested that MADD should be eliminated as a diagnosis. They claim that MADD is associated with fewer remissions and a higher rate of progression into syndromal disorders. However, a number of studies that are based on retrospective data from clinical studies suggest that this approach is too simplistic and needs to undergo further evaluation. A study that tracked the lives of 85 MADD patients revealed that after a year, nearly half of them had gone away. The remaining were diagnosed with syndromal depression or anxiety. Therefore it is probable that the majority of people who meet the requirements for MADD are either mildly affected or are in a prodromal stage of an affective disorder that is syndromal and don't require a formal diagnosis of MADD. Treatment When depression and anxiety occur together, it is important to seek out help. Your therapist can teach you to accept your feelings as normal and natural instead of fighting them. Your therapist will teach you techniques and tools to reduce the symptoms. This includes learning how to relax, let go of worries, and establishing healthy strategies for coping. Mixed anxiety and depression disorders can be difficult to diagnose and treat however, there are effective treatment options. Your doctor may prescribe antidepressants or benzodiazepines, which are medications that can improve your mood by altering the way your brain responds to specific nerve signals. You might also be able to benefit from cognitive behavioral therapy, which can help you change negative thinking patterns and coping mechanisms that could cause your symptoms. It is well-documented that co-occurring anxiety and depression symptoms are common. In fact according to a study on mental health issues in primary care they account for about half of all reported psychological disorders. However, it's a question of whether MADD should be a distinct diagnosis within the psychiatric classification systems. Certain studies have suggested that it lacks sufficient diagnostic validity and stability over time. It is not clear whether the MADD diagnosis is helpful in guiding patients to treatment. Numerous epidemiological and clinical studies have revealed that anxiety and depression have a number of symptoms. It is not uncommon for people with co-occurring anxiety disorders and depression to change their psychiatric diagnoses in the course of time. For instance, in the DSM-5, which does not include a dedicated diagnosis for MADD patients with subsyndromal symptoms of depression and anxiety are instead classified as having another depressive disorder with anxious distress. Despite the ongoing debate over whether MADD is an actual diagnostic entity, there are a number factors that point to its continued importance in improving patient outcomes and facilitating access. This is due to the fact that patients can seek treatment early, preventing symptoms from worsening and lessening the burden on healthcare systems.