Depression and anxiety disorders are both mental illnesses with a high incidence rate in modern society. Many people may not understand the difference between the two and mistakenly think that depression is an anxiety disorder. In fact, depression and anxiety disorders are not the same A disease, and the difference between the two is still relatively large.
1, age of onset
Anxiety disorders generally occur in people over the age of 35, mostly in the elderly.
Depression occurs in all age groups and is now trending younger.
There are more and more people with depression in news reports. Many college students commit suicide and self-harm because of depression.
2, Pathological Causes
Anxiety disorder is a mental disease with increased brain function alertness. The patient is due to persistent anxiety, fear, tension and other emotions that cause brain nerve dysfunction. Patients are often accompanied by psychomotor agitation, worrying more about something than worrying, anticipatory anxiety, and avoidant behavior. Anxiety disorders are widely classified, including: place phobia , separation anxiety disorder, generalized anxiety disorder , panic disorder and so on.
Depression is an overall low mental function and inhibitory psychosis caused by insufficient biogenic amines in the brain. Depression is a neurological disease, such as mental depression caused by insomnia , fear, neuropathy , etc. .
3, symptoms
The clinical characteristics of patients with anxiety disorders are panic , nervous , unstable autonomic nervous system function, causing the patient to be anxious, easily cranky, easy to inexplicable fear, and dyspnea , frequent urination Urgent urination , panic , shortness of breath and other reactions.The clinical manifestations of
and depression patients are depression , loss of interest, anhedonia, and a series of somatic symptoms, sexual dysfunction, decreased libido, and autonomic dysfunction. Among them, the most characteristic is waking up early , and the most serious harm of depression is suicide.
4. Principles of treatment
Depression is mainly treated with antidepressants, and anti-anxiety and sleep aids play an auxiliary role.
For anxiety disorders, anxiolytics are used as the main drug, and antidepressants play an auxiliary role.
5. Attitudes towards things
Anxiety disorders generally show tension beyond normal emotions, excessive attention to the occurrence, process and results of things.
Depression, on the other hand, is more than normal calm about what is happening in the outside world, even turning a blind eye, and focusing on your inner world.
Although there is a difference between anxiety and depression, the two disorders can coexist. According to the survey, about 33%-95% of patients with depression in clinical practice also have anxiety disorders. And the symptoms of the two overlap, such as decreased appetite, sleep disturbance, cardiopulmonary and gastrointestinal discomfort, irritability, fatigue, etc. The two do have many similarities in pathogenesis, pathological manifestation and so on. However, the two must be identified and not confused. Because depression has a high suicide rate and is more harmful, when a patient has both depressive symptoms and anxiety symptoms, the diagnosis of depression is given priority. This principle is the result of many years of experience of many psychiatry doctors and specialists.
Although depression and anxiety are clinically regarded as two kinds of psychological problems, the coexistence of anxiety and depression is common in clinical treatment.Relevant surveys have found that the current comorbidity rate of anxiety disorders and depression accounts for about 20%, of which more than half of patients with depression have anxiety symptoms, and half of patients with anxiety disorders have depression symptoms. Compared with simple depression or anxiety disorder, patients with anxiety disorder and depression are not characterized by severe symptoms, chronic disease course, severe impairment of social function, high suicide rate and poor prognosis. Therefore, in terms of treatment difficulty, treatment time and treatment cost, it is not comparable to simple anxiety disorder and depression.
Therefore, when the patient is not sure whether it is anxiety disorder or depression, or a combination of the two diseases, they should seek professional help in time to carry out relevant inspections to identify them.
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