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People with anxiety disorders — social anxiety disorder, generalized anxiety disorder, obsessive-compulsive disorder — or phobias spend most of their lives in an agitated state.

After a while, that can take a huge emotional toll, and depression often sets in. There’s no conclusive explanation as to why anxiety and depression so often co-exist, according to the Anxiety and Depression Association of America, but you can find relief from both with the right treatment.

These are signs that a person may suffer from both anxiety disorder and depression:

  • Constant, irrational fear and worry
  • Physical symptoms like rapid heartbeat, fatigue, headaches, hot flashes, sweating, abdominal pain, and difficulty breathing
  • Insomnia
  • Changes in eating, either too much or too little
  • Difficulty with memory, decision making, and concentration
  • Constant feelings of sadness or worthlessness
  • Loss of interest in hobbies and activities
  • Feeling tired and cranky
  • Inability to relax
  • Panic attack

Warning Signs That You Shouldn't Ignore

Loved ones of those struggling with anxiety and depression should be on the lookout for these warning signs of a mental health crisis:

  • Poor daily self-care, such as refusing to perform personal hygiene habits, get out of bed, or eat
  • Sudden and extreme changes in mood
  • Becoming violent, threatening, or aggressive
  • Abusing substances
  • Appearing confused or having hallucinations
  • Talking about suicide or about not having a reason to live

Treatment for anxiety disorders and depression needs to be administered and managed by a psychiatrist, Connolly says. “It’s really crucial for people with both [anxiety and depression] to have a good assessment to rule out bipolar disorder,” she says. Bipolar disorder, a condition in which emotions can swing from very low to very high levels of mania and depression, is treated much differently than anxiety disorder with depression.

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