{"id":2033,"date":"2025-12-31T08:10:27","date_gmt":"2025-12-31T08:10:27","guid":{"rendered":"https:\/\/kensmartips.com\/depression\/?p=2033"},"modified":"2025-12-31T08:10:27","modified_gmt":"2025-12-31T08:10:27","slug":"what-is-anxious-depression","status":"publish","type":"post","link":"https:\/\/kensmartips.com\/depression\/?p=2033","title":{"rendered":"What is Anxious Depression?"},"content":{"rendered":"<p><iframe loading=\"lazy\" width=\"480\" height=\"270\" src=\"\/\/www.youtube.com\/embed\/oWJuIkzjbPc\" frameborder=\"0\" allowfullscreen><\/iframe><\/p>\n<p>\u2728 UNLOCK YOUR BRAIN&#8217;S FULL POTENTIAL! My free 2-minute quiz reveals your unique &#8220;Brain Operating System&#8221; and gives you a personalized guide to master your focus, handle stress, and perform at your best. Take the Quiz \u2192 https:\/\/drmarks.co\/BrainQuiz-yt<\/p>\n<p>Anxiety and depression often come together. And there&#8217;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&#8217;t get out of your head or rituals that you can&#8217;t stop doing. Or you may have generalized anxiety disorder where you are gripped with worry and fear. Some people&#8217;s anxiety can be so bad that they wake up every morning and throw up.  Or you can feel like there&#8217;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&#8217;s not a clear reason to feel anxious. You can start to think \u2013 what&#8217;s wrong with me? Why can&#8217;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.<\/p>\n<p>That&#8217;s one scenario. Another scenario is when your primary problem is depression \u2013 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. <\/p>\n<p>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&#8217;t rise to the level of a full disorder like panic disorder or generalized anxiety disorder. But it&#8217;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.<\/p>\n<p>Here is the criteria for this specifier. This is from the diagnostic and statistical manual of mental disorders, 5th edition. <\/p>\n<p>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):<br \/>\nFeeling keyed up or tense.<br \/>\nFeeling unusually restless.<br \/>\nDifficulty concentrating because of worry.<br \/>\nFear that something awful may happen.<br \/>\nFeeling that you may lose control of yourself<\/p>\n<p>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. <\/p>\n<p>Refences<br \/>\nZhao 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.<\/p>\n<p>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.<\/p>\n<p>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)<\/p>\n<p>Disclaimer: All of the information on this channel is for educational purposes and not intended to be specific\/personal medical advice from me to you. Watching the videos or getting answers to comments\/question, does not establish a doctor-patient relationship. If you have your own doctor, perhaps these videos can help prepare you for your discussion with your doctor.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>\u2728 UNLOCK YOUR BRAIN&#8217;S FULL POTENTIAL! My free 2-minute quiz reveals your unique &#8220;Brain Operating System&#8221; and gives you a [&hellip;]<\/p>\n","protected":false},"author":0,"featured_media":2034,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1],"tags":[],"class_list":["post-2033","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-uncategorized"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v17.6 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/kensmartips.com\/depression\/?p=2033\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"What is Anxious Depression? - DEPRESSION\" \/>\n<meta property=\"og:description\" content=\"\u2728 UNLOCK YOUR BRAIN&#8217;S FULL POTENTIAL! 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