What is the relationship between anxiety and depression?

Written in association with: Dr Teresa Gomez Alemany
Published: | Updated: 01/08/2024
Edited by: Conor Lynch

Anxiety and depression are two of the most common mental health conditions, affecting millions of people worldwide. Although they are distinct disorders, they often occur together and share many symptoms, which can make them challenging to differentiate and treat effectively.

 

Here, renowned consultant child, adolescent, and adult psychiatrist, Dr Teresa Gomez Alemany, discusses the conditions in more detail.

How is anxiety defined medically?

Anxiety is characterised by excessive worry, fear, or nervousness about everyday situations. People with anxiety disorders may experience intense, prolonged feelings of apprehension or dread that are disproportionate to the actual threat.

 

Physical symptoms such as increased heart rate, sweating, trembling, and difficulty concentrating are common. Anxiety can manifest in various forms, including generalised anxiety disorder (GAD), panic disorder, social anxiety disorder, and specific phobias.

 

What does depression entail?

Depression, on the other hand, involves persistent feelings of sadness, hopelessness, and a lack of interest or pleasure in activities once enjoyed. Individuals with depression may also experience changes in appetite and sleep patterns, fatigue, difficulty concentrating, and thoughts of death or suicide. Major depressive disorder (MDD) is the most well-known form, but depression can also appear as part of bipolar disorder, dysthymia, or seasonal affective disorder.

 

What is the relationship between anxiety and depression?

The interplay between anxiety and depression can create a vicious cycle. Anxiety can lead to feelings of frustration and helplessness, contributing to depression. Similarly, depression can amplify feelings of anxiety, leading to more severe symptoms and complicating treatment. Understanding the link between these conditions is crucial for effective management.

 

How are anxiety and depression treated?

 

Treatment for anxiety and depression often involves a combination of psychotherapy, medication, and lifestyle changes. Cognitive-behavioural therapy (CBT) is particularly effective for both conditions, helping individuals identify and challenge negative thought patterns and develop healthier coping mechanisms. Medications, such as selective serotonin reuptake inhibitors (SSRIs) and serotonin-norepinephrine reuptake inhibitors (SNRIs), can help regulate mood and reduce symptoms.

Lifestyle changes can also play a significant role in managing anxiety and depression. Regular exercise, a balanced diet, adequate sleep, and mindfulness practices such as meditation and yoga can all contribute to improved mental health. Building a strong support network of friends, family, or support groups can provide invaluable emotional support and reduce feelings of isolation.

By Dr Teresa Gomez Alemany
Psychiatry

Dr Teresa Gomez Alemany is a highly-skilled consultant paediatric and adult psychiatrist who offers online video consultations and remote therapy. Her areas of expertise include ADHD, anxiety disorder, depression, suicidal behaviour, substance abuse, trauma and bullying.

In 2013, Dr Gomez Alemany became licenced in medicine from the University of Barcelona. She continued her training in 2016 obtaining her first master's degree in mental health research focusing her research to better understand the mechanisms underlying mental health conditions after trauma in childhood. In 2018, she received another master's degree in child and adolescent psychiatry from the Autonomous University of Barcelona writing her final thesis on adoptive children. Upon completion of her general training as a psychiatrist, Dr Gomez Alemany has received a fellowship award in child and adolescent psychiatry from Alicia Koplowitz foundation to pursue further studies in psychiatry in New York University in 2019. She is currently involved with Columbia University collaborating a research study on mental health and immigration.

She was elected as a Board Member and Chair of the Child and Adolescent Psychiatry Working Group for two consecutive years (2016-2018) in the European Federation of Psychiatry Trainees and also represented the European trainees for two consecutive years at the annual meeting of the European Union of Medical Specialists - Child and Adolescent Psychiatry Department. She attended several certified courses such as the “Autism Diagnostic Observation Schedule Course - ADOS-2” and the “Autism Diagnostic Review Schedule Course - ADI-R”, and was also selected to participate in the “Workshop on Clinical Research Methods Course” organised by the European College of Neuropsychopharmacology and the “ABCs of Psychotherapy” organised by the “European Psychiatry Association Summer School” in Brussels.

Her professional background strikes a holistic and global approach by her experiences abroad as a psychiatrist including the Karolinska Institutet in Stockholm, Sweden (2012), Hospital Civil Fray Antonio Alcalde in Guadalajara, Mexico (2013), The Royal Children’s Hospital in Melbourne, Australia (2018-19), Hospital Nostra Senyora Meritxell in Andorra la Vella, Andorra (2020), JNF Hospital in St Kitts and Nevis (2020-2021).

Throughout her professional career, Dr Gomez Alemany has been awarded with several international recognitions, including: The European Psychiatry Association Scholarship Award in Poland (2019); the Donald J. Cohen Fellowship Scholar given by the International Association of Child and Adolescent Psychiatry and Allied Professionals in Czech republic (2018), the Japanese Society of Psychiatry and Neurology Fellowship Award received in Japan at their annual national congress (2018), the mention of the American Woman Psychiatrist Association with the Ellen Violett International Scholar received during the American Psychiatry Association Congress in San Diego, USA (2017), and the World Psychiatry Association Fellowship award, in Thailand (2021 - virtual due to covid).

Dr Gomez Alemany offers online counselling and therapy sessions for a wide range of mental health conditions through our e-Consultation service, so you can connect with her from anywhere. Check her availability and book an appointment through her profile.

Fees:
*Initial assessments (1h): 400 GBP
*Review appointments (30min): 250 GBP
*Child and Adolescent Initial Assessments (1h30min): 525 GBP
* Comprehensive reports: 175 GBP

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