Mixed anxiety-depressive disorder is a complex psychological condition in which the symptoms of anxiety and depression coexist and are significantly intertwined. Understanding the causes and symptoms of this disorder is essential for its diagnosis and effective treatment.

Causes of mixed anxiety-depressive disorder

The exact causes of mixed anxiety-depressive disorder are not completely clear, as they may be related to a combination of genetic, biological, psychological and environmental factors. Some of the possible triggers include:

1. Genetic factors

It has been observed that people with a family history of anxiety and depression disorders have a higher risk of developing a mixed anxiety-depressive disorder. This suggests the presence of a genetic predisposition that may influence a person's vulnerability to developing this type of disorder.

2. Chemical imbalances in the brain

Imbalances in certain neurotransmitters, such as serotonin, dopamine, and norepinephrine, may play a role in the development of mixed anxiety-depressive disorder. These brain chemicals are responsible for regulating mood, stress response and emotions, so any alteration in their function can contribute to the appearance of anxious and depressive symptoms.

3. Traumatic experiences

Traumatic events, such as abuse, significant loss, or extreme stress, can trigger the development of mixed anxiety-depressive disorder in some people. These experiences can cause changes in the way the brain processes information and regulates emotions, which contributes to the manifestation of anxious and depressive symptoms.

4. Environmental factors

Environmental factors, such as chronic stress, interpersonal conflict, work pressure or family problems, can influence the appearance and exacerbation of anxiety and depression symptoms in people with a genetic predisposition or emotional vulnerability.

Symptoms of mixed anxiety-depressive disorder

The symptoms of mixed anxiety-depressive disorder are usually more complex and severe than the symptoms of anxiety or depression alone , since they imply the interaction between both conditions. Some of the most common symptoms include:

1. Fluctuating mood

People with this disorder may experience rapid changes in their mood, alternating between periods of extreme sadness and hopelessness typical of depression, and episodes of intense anxiety, fear, and excessive worry that are characteristic of depression. of anxiety disorders.

2. Physical symptoms

Physical symptoms, such as headaches, stomach problems, muscle tension, heart palpitations, and shortness of breath, are common in people with mixed anxiety-depressive disorder. These symptoms may be related to the activation of the autonomic nervous system in response to stress and anxiety.

3. Obsessive worries

People with this disorder may experience obsessive thoughts and excessive worries about their health, safety, interpersonal relationships, or future. These worries usually generate a state of constant anxiety that is intertwined with the feeling of hopelessness and lack of interest typical of depression.

4. Difficulties falling asleep

Sleep disorders, such as insomnia or hypersomnia, are common in people with mixed anxiety-depressive disorder. Anxiety and constant worry can interfere with the quality of sleep, which in turn can contribute to the appearance of depressive symptoms and increase the risk of developing other mental health problems.

5. Feelings of guilt and self-criticism

People with this disorder often experience intense feelings of guilt, self-criticism and low self-esteem, which alternate with periods of irritability, anger and frustration. These negative feelings can influence one's perception of oneself, the way one relates to others, and one's ability to enjoy everyday activities.

Diagnosis and treatment of mixed anxiety-depressive disorder

Diagnosis of mixed anxiety-depressive disorder can be challenging due to the complexity of its symptoms and the overlap with other psychological disorders. It is important that people experiencing anxious and depressive symptoms seek professional help to receive an accurate diagnosis and an appropriate treatment plan.

1. Clinical evaluation

Mental health professionals often use clinical interviews, questionnaires, and psychological tests to evaluate the presence of anxious and depressive symptoms in a person, as well as to rule out other disorders that may be causing the same symptoms. . It is essential to provide detailed information about symptoms, their duration and their impact on daily life during the clinical evaluation.

2. Psychotherapeutic treatment

Psychotherapy, particularly cognitive-behavioral therapy and interpersonal therapy, may be beneficial for people with mixed anxiety-depressive disorder by helping them identify and modify dysfunctional patterns of thinking and behavior, learn strategies to manage anxiety and depression, and improve coping skills in stressful situations.

3. Pharmacological treatment

In some cases, pharmacological treatment may be recommended for mixed anxiety-depressive disorder, especially if the symptoms are severe or disabling. Antidepressants, anti-anxiety medications and other psychotropic medications may be prescribed by a psychiatrist to help control symptoms and improve the quality of life of the affected person.

4. Self-care strategies

In addition to psychotherapy and medication, it is important for people with mixed anxiety-depressive disorder to implement self-care strategies in their daily lives. These strategies may include regular exercise, healthy eating, meditation, yoga, socializing with loved ones, and participating in recreational and leisure activities that promote emotional and mental well-being.

In Conclusion, mixed anxiety-depressive disorder is a complex psychological condition that requires specialized care and treatment. Understanding the causes and symptoms of this disorder is essential to provide the necessary support to people who suffer from it and improve their quality of life. With proper diagnosis and treatment, people with mixed anxiety-depressive disorder can learn to manage their symptoms and regain emotional and mental well-being.