Depression, Anxiety, or Both?

Published: October 04, 2024
Barbara Young
By Barbara Young, PharmD

Although anxiety and depression are considered two separate mental health conditions, they occur together in over half of people with these conditions. Some symptoms such as irritability, sleep disturbances, tiredness, and trouble concentrating may happen in both conditions.

How do I know if I have anxiety as well as depression? Or depression along with anxiety?
It is important to reach out to your healthcare provider to obtain an accurate diagnosis. You should be honest and complete in describing your symptoms to your healthcare provider. They will also rule out medical problems or other mental health issues to reach an accurate diagnosis.

What causes anxiety and depression?
The cause of anxiety and depression may be related to a family history, situational factors or stressors, or other causes, or a combination of these. Sometimes having untreated anxiety for a while may lead to depression.

What treatments are used for people with anxiety and depression together?
Certain antidepressants called serotonin reuptake inhibitors or serotonin-norepinephrine reuptake inhibitors are often first choice for the treatment of anxiety and depression. They work by increasing the amounts of naturally occurring substances such as serotonin and norepinephrine in the brain, which helps to regulate mood. Based on your condition and response, additional medications may be necessary to manage your condition.

In addition to taking medication, your healthcare provider may also recommend talk therapy such as cognitive behavioral therapy alone or in combination with your prescribed medications.

How do I know my treatments are working?
Your symptoms should improve within 2-4 weeks. If your symptoms are not improving, your healthcare provider may increase the dose of your current antidepressant or try another medication. Be sure to tell them if you notice any side effects after you begin to take your medication.

How long do I need to take medication?
Taking your medication as directed is important to improving your mental health. You may need to continue taking your medication after you have recovered. Studies have shown that taking it for at least 6-9 months or longer can prevent return of your symptoms.

Do not suddenly stop taking your medication as this can cause unwanted effects. Your doctor will help you to plan to slowly taper your dose.

Summary
Your pharmacist is a great resource to provide information about your medications for depression and anxiety. Talk with them if you have any questions about managing side effects or to check for potential drug interactions with your other medications or OTC drugs or herbal products.

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