Anxiety and Depression – A Combination Disorder

January 28, 2010 by  

Anxiety disorders are more common than you would believe. They are, as a matter of fact, the most routine of all psychiatric conditions that affect the population. Somehow, depressive problems}, the ones that affect the most people, trail behind only anxiety disorders, and anywhere they appear in people, they shadow anxiety disorders closely. Physicians frequently discover that the one condition will often turn up with the other. Two crosses together – that would be difficult for anyone to shoulder. It is never possible to tell which of the two comes first either. But whichever way it plays out, dealing with the one, often makes it possible to deal with the other as well.

Some people are genetically given to reacting to life circumstances in one of these two fashions. Since anxiety attacks and sadness are at times the correct form required in certain cases, those who suffer from chronic versions of these, find it hard to make out the distinction. Are they just sad in the everyday way, or do they remain in this state for no real reason? The absence of certainty they may feel here can often be aggravated by another issue. Those who are anxious and depressed, frequently live a very introverted and self-aware life. And there is some self-worth attached to the degree of personal candor and personal connection they achieve. When you see that you are capable of exercising such meticulous intellectual care, you might find it difficult to believe that there could be anything wanting in your mind.

But being too near yourself removes your aptness to have a frame of reference. You would be surprised how quickly a pschiatric expert could take apart the illusion that your self-awareness is perfect or adequate. Depression can often manifest itself in a variety of somatic ways too. Often, anxiety can express itself as an endocrine disorder. But anxiety and depression, are eminently curable, and easily too. People carry this impression that they just give you a few pills to unnaturally make you happy, and they contemptuously, liken them to the mood elevating action of alcohol or recreational drugs. Psychiatry doesn’t merely “treat” these conditions the way alcohol does though. It cures anxiety and depression well enough for the survivors to go on to live well help others around them.

Comments

36 Responses to “Anxiety and Depression – A Combination Disorder”

  1. hannersia leone on June 6th, 2010 3:18 pm

    ah thhe stink eye!

  2. shurine on June 13th, 2010 5:51 am

    I know suffering from anxiety, panic disorder, ocd, agaraphobia and more is tormenting, I know I suffered through it for 7 years. I have been completely free from it for over 5 years now. Feel free to check out my testimony by going to my channel or my site fuentesevangelism.c-o-m

  3. cjferrer on July 1st, 2010 5:04 am

    Depression | Anxiety Disorders Association of America, ADAA

  4. HSP Woman on July 15th, 2010 10:38 am

    Hi again, Super Woman! Here's a nice article I found on Dr. Vliet's web site about PMS. I'm sure you can include PMDD here, too. (The symptoms clusters sure look a lot like bipolar!)

    What Is PMS?

    By Elizabeth Lee Vliet, MD
    Excerpted and condensed from “Screaming to be Heard,” pgs. 136 – 144, Scribner, 2003

    Medical Definition of PMS (Premenstrual Symptoms)

    A pattern of recurring mood, behavioral, and physical symptoms which regularly occurs between ovulation and menstruation and abates by the end of menstruation, to be followed by a symptom-free interval each month. Symptoms are present for at least six months, cause moderate to severe disruption in normal functioning, and are not due to another disorder.

    40 percent of all menstruating women have regular premenstrual symptoms. This figure translates into 27 million women! The majority of majority of these have a milder form of the disorder, with bloating, headache, irritability, and then “blues”
    5 – 10 percent of these, or 3 to 7 million women, have PMS severe enough to disrupt their personal and professional lives.

    PMS Symptom Clusters

    Affective: depression, irritability, anxiety, angry outbursts, tearfulness, panicky feelings
    Behavioral: impulsive actions, compulsions, agitation, lethargy, decreased motivation
    Autonomic: palpitations, nausea, constipation, dizziness, sweating, tremors
    Fluid/Electrolyte: fluid retention, bloating, weight gain, breast fullness, hands swelling
    Dermatological: acne, oily hair, hives and rashes, herpes outbreaks, allergy outbreaks
    Cognitive (brain): decreased concentration, memory changes, word-retrieval problems
    Pain: migraines, tension headaches, back pain, muscle and joint aches, breast pain
    Other: drug/alcohol abuse, food binges, hypersomnia or insomnia

    What Causes PMS?

    Current research indicates that PMS is triggered by the effects of ovarian hormones on the brain, which in turn influences multiple brain-body systems and leads to a wide variety of symptoms.

    Many researchers believe that PMS involves a neuroendocrine imbalance. The underlying mechanism involves neuroendocrine triggers within the hypothalamus and pituitary, which in turn affect neurotransmitter function.

    The diverse symptoms of PMS are caused by the many different brain centers and the whole series of neuropeptide hormones governed by these neurotransmitters. The neuropeptides beta-endorphine and MSH not only regulate the neurotransmitters involved in mood and behavior, they also modulate the release of other hormones affecting physical states and moods. The brain-body regulation of progesterone and estrogen in response to these changes in neuropeptides differs from woman to woman, which probably accounts for the various clinical forms of PMS. As better designed studies are done, I think we will find that hormone ratios and rate of change are key factors in PMS.

    The clear pattern of hormone profiles in my patients is one of low estradiol and relatively normal levels of progesterone, so that there is a reduced ratio of estradiol to progesterone. I view PMS as a neuro-endocrine disorder beginning with hormone shifts that affect multiple brain centers. The brain events then trigger a variety of physical changes in multiple systems in the body, and can be aggravated by diet, substance use, and life stress.

    There are other postulated causes of PMS, but I think these may also be results of neuroendocrine changes, so it is unclear whether some of these disturbances are causes of the syndrome, or are results of alterations in the reproductive hormone levels. These include:

    Altered glucose metabolism
    Abnormal fatty acid metabolism resulting in altered tissue sensitivity to reproductive hormones
    Abnormalities in the regulation of fluid and electrolyte balance in the body
    Other factors that may be involved in the rising incidence of PMS are:

    The fact that women are postponing pregnancy and having fewer pregnancies — resulting in more years of ovulatory cycles
    The significant increase in obesity, which alters estrogen to progesterone ratios in the body. The majority of women suffering from PMS are obese (defined as more than 20% over ideal body weight)
    The typical American diet, which is high in fat, protein, salt, refined sugars, alcohol, and caffeinated beverages, all of which aggravate PMS
    The deficit of magnesium in the diets of American women. Magnesium is an important co-factor in the synthesis of mood-elevating neurotransmitters
    Possible inadequate intake of B6, which is also a co-factor in the synthesis of mood-elevating neurotransmitters and is involved in the metabolism of estrogen and progesterone.

    Extensive, detailed information on PMS and its treatment is available in Chapter 7 of “Screaming to Be Heard.”

  5. panicpuzzle2 on August 1st, 2010 6:21 pm

    Anxiety Disorders

  6. HealthYRc on August 3rd, 2010 4:17 am

    What is Guided Meditation? | Panic Anxiety Disorders: It is meditation which incorporates the use of guided imager…

  7. alejna on September 5th, 2010 9:01 pm

    antropologa-
    I'm glad that you guys seem to have come out unscathed from the tick bites. Keep them in mind, though, if you develop any unexplained fatigue, aches or other malaise down the line. It sounds like many people miss the early stages of the disease, and end up sick later. And the chronic versions of the disease sound downright horrid.

  8. Banyon on September 20th, 2010 6:30 pm

    You need to get educated about the damaging effects of untreated sleep-disordered breathing. It does cause brain damage, heart disease, type 2 diabetes, hypertension, stroke, anxiety disorders and depression. That is “does” no “may” about it.

    Also note that more that 90% of sleep problems and insomnia are caused by sleep-disordered breathing.

    You are also violating the copyrights of CartoonStock.com.

  9. Trinity Regional Health System -- News on December 2nd, 2010 10:53 pm

    Press Release: Robert Young Center forms area’s only anxiety disorders support group -

  10. alejna on December 26th, 2010 1:24 am

    antropologa-
    I'm glad that you guys seem to have come out unscathed from the tick bites. Keep them in mind, though, if you develop any unexplained fatigue, aches or other malaise down the line. It sounds like many people miss the early stages of the disease, and end up sick later. And the chronic versions of the disease sound downright horrid.

  11. bridgetwhitlow on January 12th, 2011 6:20 am

    CBT isn't the only effective #therapy for #anxiety disorders. Learn others

  12. determinedtoshine on February 8th, 2011 9:39 pm

    Wowowowow this post is true inspiration! You should be SO proud of how far you have come, so don't appologise for tooting your own horn! I hope in time to come I will be in a place similar to where you are, able to see the light at the end of the tunnel. I love your positivity regarding weight gain and recovery, its so uplifting :) and contagious!

    You are so beautiful by the way! Have a great evening and good luck at the support group for people with anxiety disorders xxx

  13. MarkZ on February 9th, 2011 10:40 am

    I don't agree with you on the Temple Grandin issue about antidepressants (biomed). I do agree with Temple that antidepressants help adults, including Aspies, with anxiety disorders and depression. They can be dangerous for kids, though. This is widely accepted in the medical industry.

    On another topic:
    http://www.childrenofthenewearth.com/free.php?page=articles_free/awards/awards_websites_may_06

  14. laurabee1991 on February 23rd, 2011 5:08 am

    Insufficient Mind as a Factor in Anxiety Attacks and Disorders … on my blog, After Psychotherapy.

  15. Bunkerville on March 29th, 2011 5:37 pm

    No doubt an “Endocrine” disorder! You betcha

  16. daleyrant on April 18th, 2011 12:49 pm

    Can someone reassure me Jive Bunny tracks were awesome/chronic breaches of copyright and not the woeful synthesised versions now on YouTube?

  17. clarence24 on May 31st, 2011 6:07 am

    The causes of psychological disorders are very hard to find, but it is a gold standard for which we should seek.
    Two things that can be researched to help tease out the causes of PD, among other anxiety disorders:
    One, cognitive behavioral therapy has been shown to actually cause the same physiological changes to the brain as medication does (it takes a little longer though). In reverse, could could chemical imbalances actually be the result of patterns of behaving and thinking?
    Second, cross culturally women suffer from anxiety disorders far more than men. There are theories that explain how feelings of entrapment and humiliation (i.e. being stuck in the norms of society that pushes you down as a person – think Nepal, India, etc.), lead to anxiety disorders. Substantive correlational research has supported these theories thus far. Can the socio-cultural influences also be a possible cause of PD and other anxiety disorders?

  18. xanax on June 11th, 2011 5:11 am

    The anti-anxiety medicine < REL="nofollow">xanax is wholly capable of facilitating your war against anxiety as it is the most widely recognized medication to treat anxiety disorders, especially generalized anxiety disorders and altogether Xanax can treat a whole lot of anxieties related to panic disorders and depression. Before you move on to administer Xanax and treat your anxiety, get hold of Xanax tidbits from the site <

  19. TweetTestJM on June 26th, 2011 2:27 pm

    Various Types Of Anxiety Disorders:

    Anxiety is a feeling of unease. Anxiety is only conside… http://tinyurl.com/3o4oy9t

  20. iDannyOcean on June 28th, 2011 12:12 am

    May b good to mention; users will still b able 2 downgrade via saved SHSH blobs with older iTunes versions on iOS4 or less

  21. Rx_100 on July 4th, 2011 5:35 am

    Also eating healthier again. Yeah, getting off track with an endocrine disorder suck ass. So yeah, gotta do some maintenance.

  22. Elhamyz on July 20th, 2011 5:50 pm

    Hey man , I'm looking for a way to extended the SMS vibration time in 4.3.3 as the plist file is different from the older versions

  23. immunov on July 20th, 2011 10:29 pm

    Diabetes Week to tackle healthy food: Diabetes is considered the number one endocrine disorder that leads to hyp…

  24. on August 31st, 2011 2:48 am

    xanax is wholly capable of facilitating your war against anxiety as it is the most widely recognized medication to treat anxiety disorders, especially generalized anxiety disorders and altogether Xanax can treat a whole lot of anxieties related to panic disorders and depression. Before you move on to administer Xanax and treat your anxiety, get hold of Xanax tidbits from the site

  25. emily9789897 on October 10th, 2011 9:13 pm

    World Mental Health Day: There’s a rise in anxiety disorders, in depression, that often goes un-noticed, or un-r…

  26. DrMiry on October 26th, 2011 12:48 pm

    Phobias, Anxiety Disorders, and Society In Normal

  27. Ping.fm on October 26th, 2011 6:49 pm

    by Ayurvedic-Medicine Question by Sweet Pinki: Should we change our strategy for treating patients with Anxiety disorders ? Most of the times a patient having anxiety disorder is prescribed a SSRI. I think ideally treatment should consist of counseling , CBT , taking patients relatives in confidence …

  28. MrMigz_ on December 18th, 2011 1:50 am

    Endrocrinology involves caring for the person as well as the disease. Most endocrine disorder are chronic diseases that need life-long care

  29. IntheFaceofPain on January 16th, 2012 11:58 pm

    Thanks for all you do for kids. My daughter has an endocrine disorder which causes obesity. Melanocortin 4 Receptor Defect.

  30. Ryan McKenzie on January 29th, 2012 11:30 pm

    Chronic obstructive pulmonary disease is also called COPD and knowing the symptoms of chronic obstructive pulmonary disease, as well as the treatment of chronic obstructive pulmonary disease is vital in understanding this serious condition. It is a combination of several other diseases that all cause some sort of obstruction in the air flow of the victim’s lungs. These include chronic versions of bronchitis and asthma, as well as emphysema. What determines COPD exists in victims? Victims w… Read more at:

  31. on January 30th, 2012 6:36 pm

    xanax is wholly capable of facilitating your war against anxiety as it is the most widely recognized medication to treat anxiety disorders, especially generalized anxiety disorders and altogether Xanax can treat a whole lot of anxieties related to panic disorders and depression. Before you move on to administer Xanax and treat your anxiety, get hold of Xanax tidbits from the site

  32. on March 10th, 2012 4:38 pm

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  33. GeneQuan on March 11th, 2012 3:03 pm

    Acromegaly is a rare endocrine disorder caused by hypersecretion of growth hormone. See updated lab testing

  34. on March 21st, 2012 5:58 am

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  35. on March 27th, 2012 4:21 pm

    xanax is wholly capable of facilitating your war against anxiety as it is the most widely recognized medication to treat anxiety disorders, especially generalized anxiety disorders and altogether Xanax can treat a whole lot of anxieties related to panic disorders and depression. Before you move on to administer Xanax and treat your anxiety, get hold of Xanax tidbits from the site <

  36. ignacio_varela on May 14th, 2012 12:25 pm

    RT #SanjadSakatiSyndrome is a rare genetic endocrine disorder found almost exclusively in #Arabs.

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