It is normal to feel sad, lonely, and hopeless at times in our lives. It is also normal to feel a little scared and anxious at times like when an exam is approaching or when you have to go for an interview. But if these feelings of sadness and anxiety are constantly present in your mind, and if they are so severe that they interfere with your daily activities and relationships, it may be a situation that we should be a little concerned about. These may be symptoms of mental health conditions called depression or anxiety. Both of these are treatable conditions. Let's see what these two are, what are the differences and similarities between them.
So what is this depression?
Simply put, depression is a condition that affects your mood, emotions, and behavior. If you have depression, you may feel sad all the time, have no energy to do anything, and lose interest in things you used to enjoy.
In general, to diagnose depression, a person must have at least one of the following symptoms for more than two weeks, most of the time, and a doctor must also make sure that the symptoms are not caused by another medical condition, such as a thyroid problem.
| Main symptoms of depression | To explain simply... |
|---|---|
| Constant sadness and despair | Feeling sad, empty, or helpless for no particular reason. |
| Loss of interest | The fact that I don't feel like doing things and hobbies that I used to enjoy doing now. |
| Weakness | Feeling tired all the time, as if you are tired of doing even the smallest thing. |
| Changes in diet | A significant increase or decrease in appetite, resulting in weight gain or loss. |
| Sleep problems | Either sleeping too much, not sleeping at all, or waking up in between. |
| Difficulty in coming to terms with oneself | Difficulty concentrating, making decisions, and remembering things. |
| Thoughts of self-harm | Thoughts of harming oneself or ending one's life due to frustration with life. |
Okay, so what is anxiety?
Fear and anxiety are part of our lives. But if these feelings become uncontrollable, or if they occur all the time for no apparent reason, it may be a symptom of an anxiety disorder.
Do you always feel like this?
- I feel a great burden on my heart, worried about everything.
- I get angry very quickly and I have no peace of mind.
- Things like shaking, sweating, and trembling occur.
- They feel like they can't control themselves.
Are there different types of anxiety? (Types of Anxiety)
Yes, there are several main types of anxiety disorders.
- Generalized Anxiety Disorder: This is characterized by constant excessive worry about various things in daily life (job, money, family).
- Social Anxiety Disorder: Feelings of extreme fear and shyness in social situations, in places where other people are present.
- Panic Disorder: A sudden, intense fear that occurs for no apparent reason. Symptoms may include chest pain, rapid heartbeat, and difficulty breathing. We call these ``Panic Attacks''.
- Phobias: An extreme, unusual fear of a specific object or situation, such as heights, animals, spiders, or needles.
- Obsessive-Compulsive Disorder (OCD): Obsessions are unwanted thoughts that cause you to repeat certain things (compulsions). For example, washing your hands over and over again because you think your hands are dirty.
- Posttraumatic Stress Disorder (PTSD): A condition that occurs after a traumatic event (e.g., a serious accident, natural disaster). It can be characterized by flashbacks and avoidance of events associated with the event.
What is the main difference and relationship between these two?
The main difference is the symptoms. Depression is basically a persistent feeling of sadness, loss of interest, and lack of energy. Sometimes there are thoughts of harming yourself. Anxiety is basically an uncontrollable fear and worry.
But there is a strong connection between the two. Both conditions can occur in the same person at the same time. In fact, about 60% of people with anxiety also experience symptoms of depression, and about 60% of people with depression also experience symptoms of anxiety. One condition can even make the symptoms of the other worse.
Remember, these two conditions can occur together. One can even worsen the symptoms of the other. So it's important to talk to your doctor about all of your symptoms.
Scientists believe that both conditions may be caused by the same genetic factors or brain chemistry. Also, stress and trauma experienced during childhood or later in life may contribute to the development of both conditions.
How are depression and anxiety treated?
When these two conditions coexist, diagnosis and treatment can sometimes be a bit complicated. That's why it's important to tell your doctor about all your symptoms, no matter how small.
There are two main methods used for treatment: talk therapy and medication. Sometimes both are used together.
Talk Therapy / Counseling
This involves talking to a qualified counselor or psychiatrist about your problems and providing guidance on changing your thinking and behavior patterns. There are various methods for this.
- Cognitive Behavioral Therapy (CBT): This is a very popular and effective method. It teaches you how to identify and change the negative thought patterns that are causing your depression or anxiety.
- Interpersonal Therapy: This helps improve your social relationships and the way you communicate with others.
- Problem-solving Therapy: Develops skills in coping with life's problems and managing symptoms.
Medication
Depending on your symptoms, your doctor may prescribe medications that are effective for both depression and anxiety. The most commonly used medications are ``SSRIs'' and ``SNRIs.'' These medications may not work right away. It often takes a few weeks or months for you to start feeling better. Also, it can take some time to find the right medication and dosage for you. Therefore, it is very important to follow your doctor's instructions exactly and to be patient.
Don't forget to tell your doctor about any other medications, vitamins, Ayurvedic, or herbal products you are taking, as they can affect your treatment.
What lifestyle changes can be made?
Along with treatment, small changes in your lifestyle can make a big difference.
- Exercise: Do something like walking, running, or swimming for at least 30 minutes every day. Exercise is like a natural medicine that can boost your mood.
- Ways to calm your mind: Try things like yoga, meditation, and deep breathing exercises. Even just 5 minutes a day of meditating can help reduce your anxiety.
- Good diet: Eat a nutritious diet. Include more vegetables, fruits, nuts, and fish in your diet. Limit your intake of sugar, high-fat foods, processed foods, alcohol, and caffeine.
- Support: Talking about your problems with a trusted friend or family member can be a great relief. It can also be comforting to know that you are not alone.
In an emergency: If you or someone you know is having thoughts of harming themselves, please do not suffer alone. Go to the nearest hospital Emergency Unit (ETU) immediately. Alternatively, call Friends of Sri Lanka (0112692909) or the National Institute of Mental Health (NIMH) helpline number 1926. They are always ready to help you.
Take-Home Message
- It's normal to feel sad or scared from time to time. But if those feelings persist and interfere with your life, don't hesitate to ask for help.
- Although depression and anxiety are two different conditions, they can both occur together.
- These are not weaknesses, but treatable conditions.
- Talking honestly with your doctor about all of your symptoms is essential for proper treatment.
- In addition to medication, exercise, a good diet, and talking to supportive people can provide you with great relief.


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