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WHAT EXACTLY ARE ANXIETY AND DEPRESSION?

By Michael Kimmel

03/18/2022
in Columns, Community Voices, Feature, Featured, Features, Life Beyond Therapy
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WHAT EXACTLY ARE ANXIETY AND DEPRESSION?
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As a psychotherapist, people often ask me about the difference between anxiety and depression; often they lump the two together, saying things like, “My doctor gave me pills for anxiety and depression”. I also hear anxiety thrown together with panic attacks and “being“ bi-polar.

I like to demystify psychobabble. Insurance companies are obsessed with “The Diagnostic and Statistical Manual of Mental Disorders”. This book is full of psychological terms they use to diagnose you.  But what do these diagnoses mean?

With a diagnosis of depression, you typically experience sadness, irritability and have less interest in the usual pleasures of life.  Other signs of depression include: low energy, a change in appetite or sleep and problems concentrating.  Depression may be caused by an imbalance of brain chemicals or it may be a reaction to a death, breakup, or losing your job/partner/home. At its most severe, depression can result in feeling hopeless and suicidal. If you have suicidal thoughts or feelings, don’t ignore them: get professional help. Call your doctor, therapist or the San Diego County’s 24-hour crisis line at 800-479-3339.

Anxiety is harder to quantify. We all experience “normal” anxiety; it’s part of life: it might appear as worry, obsessive negative thoughts, poor sleep and/or concentration. See how these symptoms overlap with those of depression? That’s why there is often confusion about the two.

 

There are many different “types” of anxiety. Let me give you the basics for each:

 

  • Social anxiety – an intense fear and/or embarrassment in social situations.

 

  • Panic disorder – sudden feelings of intense fear accompanied by physical symptoms that can seem like a heart attack, e.g., dizziness, nausea, rapid heart rate.

 

  • Generalized Anxiety Disorder – daily feelings of worry and anxiety that never go away and aren’t related to any specific event. You feel (mildly) worried all the time.

 

  • Obsessive Compulsive Disorder (OCD) – there are two ways that OCD plays out:
  1. as thoughts that you can’t stop thinking (“obsessions”) and
  2. actions you can’t stop doing (“compulsions”).

 

  • Post Traumatic Stress Disorder (PTSD) – a specific, intense kind of anxiety. It’s a reaction to trauma, like wartime combat, being raped or robbed at gunpoint.  Symptoms include flashbacks, nightmares or unwanted memories of the event.

 

Most of us experience periods of anxiety and depression throughout our lives. However, if anxiety or depression interferes with your ability to get through the day, your doctor may consider you “clinically depressed” or find that you meet the criteria for “generalized anxiety disorder”.  This is usually when doctors recommend anti-depressants or anti-anxiety medications.

If your depression or anxiety comes and goes relatively quickly, it probably wouldn’t be considered a psychological diagnosis.  For example, I like to organize my closet by color and type of garment (e.g., t-shirts together, jeans together), but I don’t spend much time worrying about it. It’s a bit obsessive, but I don’t have OCD. On the other hand, if I am so depressed that it’s hard for me to get out of bed or I stop seeing most of my friends, that’s probably “clinical” depression.

And what about that universally misunderstood phenomenon: bipolar disorder? Bipolar disorder used to be called “manic depression”. To meet the diagnostic criteria, you must experience both: (1) mania, intense/extreme moods and sleeplessness, and (2) depression. It’s not about dancing drunkenly at your favorite bar or occasionally buying something expensive at Nordstrom. True mania is an ongoing experience of staying up for days with racing thoughts, extreme (delusional) self-confidence, and repeatedly engaging in behavior that endangers you or others.

If you wonder if you’re “clinically” anxious or depressed, talk with a psychiatrist you trust.  I encourage you to be a mildly cynical patient (it’s good for your health) and to switch doctors if your doctor talks down to you.

It’s always wise to question whether “pills” are right for you or not.  For some people, medication is a real lifesaver, while for others, it’s not so helpful.

I hope I’ve demystified some psychobabble for you. If your doctor uses any of these words, ask her/him to explain them: not everyone uses these terms the same way. And please be wary about information you find on Internet sites: you can find anything out there, from one extreme to the other. Instead, quiz your doctor and trust yourself.

—Michael Kimmel is a licensed psychotherapist who specializes in helping LGBTQ clients achieve their goals and deal with anxiety, depression, grief, sexually addictive behavior, coming out, relationship challenges and homophobia. Contact him at 619-955-3311 or visit lifebeyondtherapy.com.

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Volume 4, Issue 9, February 2023

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AIDS Memorial Groundbreaking to be Held February 1 AIDS Memorial Groundbreaking to be Held February 10th!. For over 35 years, there has been a campaign for San Diego to join cities across North America to establish an AIDS Memorial honoring and remembering the over 8,500 men, women, and children who have died of AIDS. Read full story on the link below.

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The Devil is alive in the United States, and it li The Devil is alive in the United States, and it lives in right wing, Republican driven state legislators. According to an article written by Matt Loffman for PBS, the Human Rights Campaign has identified 30 state legislators who proposed more than 115 bills targeting Transgender, Gender Non-Conforming, and Non-Binary rights in their states. Everything from participation in sports to accessing medical care has been attacked. According to a poll conducted by PBS NewsHour/NPR/Marist fewer than 3 in 10 people support any anti-Trans legislation, yet the Republic legislators continue to introduce and vote for all of them. It is hard to understand why these Republicans are voted into office over and over when they obviously do not reflect the wishes of their constituents. click link to read more

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What started as a personal social media project vi What started as a personal social media project via Instagram during the pandemic, Hillcrest San Diego has become a 10K subscriber resource for news, history, memes, and all things Hillcrest. We caught up with Rick Cervantes the force behind the account to get to know more about the motivation behind it, the plans for the Instagram account and the upcoming inaugural #hillcrestsandiego Honors with its reception schedule for Monday February 6 at Uptown tavern to honor local community members and organizations.
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Our community has been built on the need for resou Our community has been built on the need for resources and support, and sectors in our community have also been called to create organizations that enrich and serve their own specific needs. One such organization is the San Diego LGBTQ Coalition.  Read full article on the link below
https://lgbtqsd.news/san-diego-black-lgbtq-coalition-a-stronger-front-for-the-betterment-of-the-community/
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