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Symptoms of Mixed Anxiety and Depressive Disorder Mixed anxiety and depressive disorders (MADD) present both depression and anxiety symptoms at the same time. MADD is more than severe and difficult to treat than pure anxiety disorders or depression. The existence of MADD has sparked debate over its place in psychiatric nomenclature. Some believe that MADD should be considered a part of nosology since it could help patients gain access to treatment and help prevent the development of the disorder syndromal. Causes It's important to get assistance If you or someone you love is suffering from anxiety and depression simultaneously. This condition, also referred to as MADD, is a serious mental health issue and can make it difficult to cope with daily life activities. This disorder can cause feelings of sadness, anxiety, low energy, difficulty staying focused, easily distracted and irritable. This disorder is treatable and it is recommended to treat it as early as possible. There is no one specific cause of this condition however certain risk factors are more likely than others. Individuals who have an ancestral history of depression or anxiety are more prone to developing this kind of mood disorder. Other factors could contribute to this disorder include a stressful relationship or job, abuse in childhood, low self-esteem, distorted self-worth or exposure to traumatizing experiences. MADD is not curable, but it can be controlled with different types of therapy. Cognitive therapy for behavioral disorders helps patients to recognize and overcome negative thoughts, behaviors, and beliefs that contribute to their feelings of sadness and anxiety. These therapists teach their clients healthy coping techniques and techniques for reducing stress. The condition is often treated with antidepressant medications. They are typically SSRIs or SNRIs, which increase the levels of serotonin and norepinephrine in the brain. Researchers examined the results of 85 patients who had met MADD criteria under the current ICD-10 system. This research found that most of the patients diagnosed with MADD relapsed within one year. The majority of the remaining patients developed syndromal depression or anxiety, or met other ICD-10 diagnoses. While there isn't a cure for MADD but there are ways to reduce your symptoms and stop the condition from becoming worse. Keeping a healthy diet exercising regularly, as well as engaging in mindfulness meditation or prayer can all improve how you feel. Avoiding caffeine and refined sugars can also help to alleviate depression and anxiety. Signs and symptoms Symptoms of depression and anxiety often play off each other, and it's common for people to experience both. They may be able to distinguish them in their minds but when they're impacting daily life, a combination diagnosis can assist in making the most of the treatment options. Mixed depression and anxiety symptoms can include low energy and feelings of inadequacy, as well as sadness. Physical symptoms like headaches or dizziness may be present. These symptoms can affect work and school and create problems in relationships. In the new version of the International Classification of Diseases, called ICD-11 there is a category that covers depression and anxiety that are comorbid. MADD is diagnosed when a person suffers from both anxiety and depression. However there is no way that anxiety or depression alone meets the threshold for diagnosing a syndromal disorder or anxiolytic disorders. It is a catch all for those who fall into the 'grey zone' between depression and anxiety disorders. It allows doctors to avoid making arbitrary decisions about which disorder sufferers are likely to develop based on only cross-sectional data. Many factors can cause both anxiety and depression, but the most important ones are the genetic predisposition of a person and life events that cause stress and medical conditions such as chronic pain or side effects of medications such as antidepressants or blood pressure medications. Self-criticism, perfectionism and seeing the glass half full are all traits that increase the risk of anxiety and depression disorders. People with MADD can have similar symptoms as those suffering from anxiety or depression however, these symptoms tend to be more severe and frequent. They can be more disabling and more difficult to treat. They also have a higher chance of suicide than anxiety or depression. Some of the same treatments for both anxiety and depression are effective for MADD, such as mindfulness meditation, exercise and changes to diet. Sedatives and antidepressants may be prescribed if needed, based on the degree of symptoms. Diagnosis The symptoms of anxiety and depression may overlap and be difficult to distinguish. Symptoms include fatigue, lack of motivation, difficulty sleeping and irritability. Depression can affect your eating habits and lead you to withdraw from social situations. People suffering from depression that is not treated may have trouble functioning at work, school and at home. To treat depression, it is essential to talk with an expert in mental health. A diagnosis of mixed anxiety and depressive disorder is usually dependent on the symptoms of the patient and their family history and recent life events. There are a myriad of risk factors that can contribute to the development of depression and anxiety, such as genetics, traumas and past experiences, and certain medications. Different types of psychometric testing can help a mental health professional determine the degree of depression and anxiety. They can also provide advice on the best course of treatment for you. Mild to moderate cases of MADD can often be treated through psychotherapy and counselling, such as talk therapy (CBT REBT, hypnotherapy), or alternative therapies such as meditation. Medication may be prescribed for more severe and incapacitating situations. Depression is often treated with antidepressants. Anxiety is sometimes treated with anxiolytics. They are drugs that reduce anxiety and make them more relaxed. It is worth mentioning that there are a few researchers who have advocated for MADD to be dropped as a diagnostic category, on the basis that it has been associated with significantly fewer remissions, and a greater risk of the development of syndromal disorders than depression or anxiety in its pure form. However, a variety of studies that are based on retrospective data from clinical studies suggest that this approach is not a good one and needs to undergo more thorough examination. In reality, a longitudinal study of 85 patients diagnosed with MADD discovered that after one year almost half of them were cured, while the rest were classified as having syndromal anxiety or depression. It is therefore possible that the majority of those who meet the MADD criteria are not severely affected, or are in a pre-clinical stage of a Syndromal Affective Disorder. They do not need a MADD diagnosis. Treatment When anxiety and depression co-occur, it's important to seek help. Your therapist can teach you to accept your feelings as normal and normal, rather than fighting against them. generalized anxiety disorder will teach you strategies and techniques to lessen the symptoms. This includes learning how to breathe deeply, letting worry go and developing healthy strategies for coping. It can be challenging to diagnose and treat depression and mixed anxiety However, there are treatment options that work. Your doctor can prescribe antidepressants or benzodiazepines which are medications that can improve your mood by affecting how your brain responds to specific nerve signals. You may also benefit from cognitive behavior treatment which can help to change negative thinking patterns or coping mechanisms that contribute to your symptoms. It is well-documented that co-occurring anxiety and depression symptoms are common. In fact according to a study on primary care psychological issues they account for about half of all reported psychological disorders. However, it's a question of whether MADD should be a distinct diagnostic entity in psychiatric classification systems. Some research has indicated that it does not have sufficient diagnostic reliability and stability over time. It is unclear whether the MADD diagnosis can help guide patients to the appropriate treatment. Numerous epidemiological and clinical studies have demonstrated that depression and anxiety have many symptoms. Thus, it's not uncommon for individuals who suffer from subthreshold anxiety, co-occurring disorders and depression to be able to move to another psychiatric diagnosis as time passes. For example, in the DSM-5, which does not contain a specific diagnosis for MADD, patients who present with subsyndromal signs of depression and anxiety are instead classified as having another depressive disorder that is associated with anxious distress. Despite the ongoing debate about whether MADD is an actual diagnostic entity There are many reasons to believe that it has ongoing importance in improving patient outcomes and facilitating access. This is due to the fact that patients can seek treatment early and preventing the symptoms from getting worse and lessening the burden on healthcare systems.