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anxiety counseling services of Mixed Anxiety and Depressive Disorder Mixed anxiety and depression disorders (MADD) have both anxiety and depression symptoms at the same time. Unlike pure depression or anxiety disorders, MADD is more disabling and difficult to treat. The existence of MADD prompted debate about its place in the psychiatric nomenclature. Some believe that MADD should be included because it can aid patients in accessing treatment and prevent progression to the disorder syndromal. Causes It is essential to seek help if you or someone you care about is suffering from anxiety and depression at the same time. This condition, also referred to as MADD is a serious mental health issue and can cause difficulty in coping with daily life activities. Symptoms of this disorder include feelings of sadness and worry, lack of energy, trouble concentrating and being easily distracted, as well as irritability. The disorder can be treated and it's best to address it as early as possible. There is no single cause for this condition. However, some risk factors are more common than others. People with an anxiety history or depressive disorders are more prone to develop this type of mood disorder. Other causes might include having an unhealthy relationship or job, being a victim of abuse during childhood or having low self-esteem, an unbalanced sense of self-worth, being exposed to trauma-inducing events, and chronic illnesses. MADD is not curable, however it can be managed with different types of therapy. Cognitive behavioral therapy assists patients in learning to recognize and overcome negative attitudes, behaviors and beliefs that trigger their feelings of sadness and anxiety. These therapists instruct their clients on healthy ways to cope and stress-reducing techniques. This condition is sometimes treated with antidepressant medication. These are usually SSRIs or SNRIs which increase the levels of norepinephrine as well as serotonin in the brain. Researchers looked at the results of 85 individuals who meet MADD criteria in the current ICD-10 system. The study revealed that the majority of those who developed MADD recovered within one year. In addition, a majority of the remaining patients either had depression or syndromal anxiety or were diagnosed with other ICD-10 psychiatric diagnoses. MADD is not curable but there are ways to treat symptoms and stop it from getting worse. You can improve your mood by eating a healthy diet and exercising regularly. You can also practice mindfulness meditation or even pray. It's also important to avoid caffeine and refined sugars because they can trigger depression and anxiety symptoms. Signs and symptoms The symptoms of anxiety and depression frequently overlap and it's normal for people to feel both. When they affect the way you live, a combination diagnosis may be beneficial. Mixed anxiety and depression disorder symptoms could include fatigue, feelings of worthlessness and sadness. Physical symptoms such as dizziness or headaches may be present. These symptoms can lead to problems at work, school and in relationships. The new ICD-11 version of the International Classification of Diseases includes the category of comorbid anxiety and depression. The criteria state that a patient is diagnosed with MADD when they suffer from a combination of both depression and anxiety, but neither of them is enough to meet the criteria for diagnosing a syndromal depression or anxiolytic disorder. It is a catch all for those who fall into the 'grey zone' between depression and anxiety disorders. It allows clinicians to avoid making arbitrary choices 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 factors are the genetic predisposition of a person and life events that have triggered stress, and medical conditions including chronic pain or side effects of medications like blood pressure medications or antidepressants. Self-criticism, perfectionistism and seeing the glass half full are also characteristics that increase the risk of anxiety and depression disorders. People with MADD can experience some of the same symptoms as those suffering from anxiety or depression alone however, these symptoms are typically more intense and frequent. They can be disabling and difficult to treat when anxiety or depression is the primary diagnosis and there is a higher chance of suicidal behavior. MADD can be treated using certain of the same treatments for anxiety and depression such as cognitive mindfulness meditation, behavioral therapy and exercise, as well as diet modifications. If necessary medications like antidepressants or sedatives can be prescribed based on degree of the disorder. Diagnosis The symptoms of depression and anxiety may overlap and be difficult to differentiate. Symptoms include fatigue, lack of motivation, difficulty sleeping and irritability. Depression can also affect your eating habits and cause you to withdraw from social situations. Untreated depression can cause issues at school, at work and at home. It is crucial to talk with an expert in mental health to get treatment. The symptoms of the patient, their family history, and recent life events are frequently used to diagnose mixed anxiety and depression disorder. There are a myriad of risk factors that could contribute to the development of depression and anxiety, such as genetics, past experiences and traumas and medication. There are a variety of psychometric tests which can help professionals in mental health assess the severity and manifestations of depression and anxiety. They can also advise on the best method 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 like meditation. The use of medication is often for more severe and incapacitating cases. Depression can often be helped by antidepressants, whereas anxiety can be treated with anxiolytics. These are medicines that help to reduce a person's anxiety and relax them. 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 is associated with significant fewer remissions and a more frequent the development of syndromal disorders than depression or pure anxiety. A number of retrospective clinical studies suggest that this idea may be too simplistic and needs to be further examined. In reality, a longitudinal study of 85 patients diagnosed with MADD discovered that after one year almost half of them had recovered and the rest were classified as having depression or syndromal anxiety. So it is likely that the majority of those who meet the criteria for MADD are either mildly affected or in a predromal stage of an affective disorder with syndromal symptoms and don't require a formal diagnosis of MADD. Treatment It is crucial to seek help when depression or anxiety are present. Your therapist can help you learn to accept your emotions as natural and normal, instead of battling them like an enemy. Your therapist can help you learn strategies and techniques to lessen your symptoms. This includes learning to breathe deeply, letting worry go and developing healthy strategies for coping. Mixed anxiety and depressive disorders can be a challenge to treat and diagnose however, there are effective treatment options. Your doctor can prescribe antidepressants or benzodiazepines which are medicines that improve your mood by affecting how your brain responds to specific nerve signals. You might also be able to benefit from cognitive behavioral therapy which can help you overcome negative thoughts patterns and coping mechanisms that can cause your symptoms. The prevalence of co-occurring, subthreshold depression and anxiety symptoms is well documented. In fact according to a study of psychological problems in primary care they account for about half of all reported psychological disorders. However, there is a debate whether MADD deserves to remain a distinct diagnostic entity in the psychiatric classification system. Some studies have indicated that it doesn't have sufficient diagnostic reliability and stability over time. It isn't clear if the MADD diagnosis can guide patients to the appropriate treatment. In addition, many clinical and epidemiological studies have revealed a significant symptoms of overlap between anxiety and depression. It is not uncommon to find people who suffer from depression and anxiety disorders that co-occur to change their psychiatric diagnoses in the course of time. For instance, in the DSM-5, which does not include a specific diagnosis for MADD patients with subsyndromal signs of depression and anxiety are instead classified as having other specified depression disorder that includes anxiety-related distress. Despite the ongoing debate on whether MADD is a valid diagnostic entity there are several factors that point to its continued importance in improving patient outcomes and facilitating access. These include enabling patients to seek help early in order to avoid the exacerbation of symptoms and reducing the overall burden on healthcare systems.