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Symptoms of Mixed Anxiety and Depressive DisorderThe symptoms of depression and anxiety are present at the same time in a depressive and anxiety disorder. In contrast to pure depression or anxiety disorders, MADD is more disabling and resistant to treatment.The existence of MADD caused debate about its place in the psychiatric nomenclature. Some believe that MADD should be included because it may aid patients in accessing treatment and prevent progression to an underlying disorder.CausesIf you or someone you know suffers from depression and anxiety at the same time it is important to seek help. This condition, also known as MADD, is a serious mental health condition and can make it difficult to cope with the daily demands of life. The symptoms of this disorder include anxiety and sadness and fatigue, trouble concentrating and being easily distracted, and irritation. The disorder can be treated and it is best to treat it early on.There isn't a single reason for this disorder. However, some risk factors are more common than others. People with a family history of depression or anxiety are more prone to developing this kind of mood disorder. Other factors could contribute to this disorder include an uneasy relationship or job, childhood abuse and low self-esteem, deficient self-worth or exposure to traumatic experiences.MADD is not curable, however it can be controlled through various types of therapy. Cognitive behavioral therapy helps patients identify and challenge negative behaviors, beliefs, and thoughts that cause their feelings of sadness and stress. The therapists also help their clients to practice healthy coping strategies and stress reduction techniques. The condition is often treated with antidepressant medications. These are usually SSRIs or SNRIs which increase the levels of norepinephrine as well as serotonin in the brain.In a longitudinal study, researchers analyzed the outcomes of 85 individuals who were deemed to have MADD in the current ICD-10 classification system. The study found that the majority of patients who developed MADD recovered within one year. The majority of the remaining patients developed syndromal depression or anxiety, or other ICD-10 diagnoses.MADD is not cure-all however there are ways to manage the symptoms and avoid it from becoming worse. You can improve your mood by eating a balanced diet and exercising regularly. You can also engage in mindfulness meditation or even pray. Avoiding caffeine and refined sugars can also help to alleviate depression and anxiety.SymptomsIt's not common for people to suffer from anxiety and depression. When they interfere with daily functioning, a combined diagnosis can be beneficial. Symptoms of mixed anxiety and depressive disorder can include anxiety and sadness and low energy, or feelings of worthlessness, and physical symptoms such as dizziness or headaches. These symptoms can lead to problems at school, at work and in relationships.The new ICD-11 version of the International Classification of Diseases includes a category for comorbid anxiety and depression. The criteria states that a person is diagnosed with MADD when they exhibit a combination of both depression and anxiety, but neither depression nor anxiety by itself meets the diagnostic threshold for a syndromal depression or anxiolytic disorder. It is a catch-all for those who fall in the 'grey area' between a anxiety disorder and depression and allows doctors to avoid making an uninformed choice on the disorder a patient is most likely to progress to based solely on cross-sectional information.Many factors can lead to both anxiety and depression, but the most important are a person's genetic predisposition and life events that have caused stress and medical conditions such as chronic pain or the side effects of medications like blood pressure medicines or antidepressants. Personality structures such as self-criticism, perfectionist thinking or seeing the glass as half empty also increase the risk of depression and anxiety disorders .People with MADD can have similar symptoms as those with depression or anxiety alone, but these symptoms are usually more intense and frequent. They can be more challenging, harder to treat and have a higher risk of suicide than depression or anxiety. Some of the same treatments for both depression and anxiety are effective for MADD, such as mindfulness meditation, exercise and diet changes. Medications such as sedatives and antidepressants are necessary, depending on the severity of the symptoms.DiagnosisThe symptoms of depression and anxiety can be overlapping and difficult to differentiate. The symptoms include low motivation, fatigue or sleep, and anger. Depression can also impact your eating habits, and make you withdraw from social activities. Untreated depression can cause issues at work, in school and at home. It is essential to speak with an expert in mental health for treatment.The symptoms of the patient and their family history and recent life events are often used to diagnose depression and mixed anxiety disorder. There are a myriad of risk factors that cause depression and anxiety, such as genetics, traumas and past experiences, and certain medications.There are a variety of psychometric tests that can assist professionals in mental health assess the severity and signs of anxiety and depression. They can also provide suggestions on the best treatment for you. Psychotherapy and counselling (CBT or REBT) can be utilized to treat moderate to mild MADD. Alternative treatments, such as meditation, could also be beneficial.Medication may be prescribed for more severe and incapacitating cases. Depression can be treated with antidepressants. Anxiety is sometimes treated with anxiolytics. They are drugs that reduce anxiety and relax them.Some researchers have argued that MADD should be eliminated as a diagnosis category. They argue that MADD is associated with fewer remissions and a higher risk of developing into syndromal disorders. However, a number of studies that are based on retrospective clinical data suggest that this approach is not a good one and warrants further evaluation.A study that tracked the lives of 85 MADD patients revealed that after a year, almost half had remitted. The remaining ones were diagnosed with anxiety or syndromal depression. It is therefore possible that the majority of people who have the MADD criteria are not severely affected, or in an early stage of Syndromal Affective Disorder. They do not require an MADD diagnosis.TreatmentIt's important to seek out assistance when depression and anxiety are present. Your therapist will help you to accept your feelings as normal and natural, rather than fighting against them. Your therapist will teach you strategies and techniques to lessen your symptoms. This includes learning how to relax, let go of worries, and establishing healthy coping strategies.It can be difficult to recognize and manage depression and mixed anxiety However, there are treatments that work. Your doctor can prescribe antidepressants, or benzodiazepines which are medicines that boost your mood by altering the way your brain responds to specific nerve signals. You may also benefit from cognitive behavioral treatment, which can help modify negative thinking patterns or strategies for coping that contribute to your symptoms.It is well-documented that co-occurring depression and anxiety symptoms are very common. In fact, according to a study of psychological problems in primary care they account for about half of all psychological disorders reported. MADD is a controversial diagnosis within mental health systems. Some studies have indicated that it does not have enough diagnostic reliability and stability over time. It is also not yet clear if the MADD diagnosis is helpful in guiding patients to treatment.In addition, numerous clinical as well as epidemiological studies have revealed a significant symptom overlap between depression and anxiety. Therefore, it is not uncommon for people with subthreshold, co-occurring anxiety and depression to be able to move to a different psychiatric diagnosis as time passes. In the DSM-5 which does not contain any specific diagnosis for MADD patients who suffer from subsyndromal depression and anxiety symptoms are classified as having a different depression disorder (with anxiety-related distress).Despite the ongoing debate about whether MADD is a valid diagnostic entity, there are a number reasons to believe that it has ongoing importance in improving patient outcomes and facilitating access. This includes helping patients seek help earlier in order to avoid the exacerbation of symptoms and decreasing the burden on healthcare systems.