
Hope amidst the haze: overcoming mixed anxiety and depression one moment at a time. It’s hard to produce content that you guys would like to read, especially after the last Google change. I watched as my numbers dipped big time. I’m struggling to get the numbers back up. I’m working tirelessly day and night to figure it out. This causes some anxiety and depression. Anxious that I won’t bring the numbers back up and down, because the numbers are so low. But, I’m determined. I’m no quitter by far.
So, what is the true definition of mixed anxiety and depressive disorder? Mixed anxiety and depressive disorder (MADD) is a clinical condition where a person experiences symptoms of both anxiety and depression, but neither set of symptoms is severe enough to meet the criteria for a specific diagnosis:
- Symptoms emerge independently of stressful life events
- Symptoms are of limited and equal intensity
- Symptoms are accompanied by involuntary features
Mixed Anxiety and Depressed Mood Causes
Hope amidst the haze: overcoming mixed anxiety and depression by finding the causes. Mixed Anxiety and Depressed Mood can arise from various factors, including:
Genetic Inclination
A family history of anxiety or mood disorders can increase the likelihood of developing similar issues. My mother had mental health issues, so I guess I was predisposed to having them. Although, I had late-onset schizophrenia in my late forties.
Chronic Stress
Ongoing stress from work, relationships, or financial difficulties can lead to feelings of anxiety and depression.
Probably, like most middle class, I’m having difficulty with finances. Although, this blog is my lifeline, so I’m going to make sure I have enough money for this.
Health Conditions
Persistent illnesses, hormonal changes, or neurological disorders can affect mood and anxiety levels.
I have Parkinson’s, which is a neurological disorder. My anxiety is kept in check with the Klonopin I’m taking. Not that that is the only part of it. I’ve been meditating more, which helps keep me balanced.
Social Isolation
Lack of social support or loneliness can contribute to both anxiety and depressive symptoms. Isolating myself was what I thought was the perfect solution to anxiety. WRONG! Plus, there was the depression tagging along. I finally woke up, and am communicating more with others.
Sleep Disturbances
Poor sleep quality or sleep disorders can negatively impact mood and anxiety levels. I’m still having sleepless nights, but not as much. My concoction of medicines is somewhat working.

Cognitive Distortions
Negative thinking patterns and excessive worry can increase feelings of anxiety and depression. The negative thinking still exists, but I’m thinking more positively these days. So, the depression comes and goes, but doesn’t stay for very long.
Stress and mood disorders can cause brain fog. I feel like my head is in the clouds, because I’m having trouble writing these posts. All I do is sit and stare at the screen. I thought the relaxation from the Klonopin (no anxiety symptoms) at first was good, but now, it’s affecting my thought process. I’m stuck at a crossroads. Or, I also read Metformin (diabetes med) that I’m taking can cause brain fog.
Mixed Anxiety Depression Symptoms
Mixed Anxiety and Depressed Mood can present a variety of symptoms that may overlap between anxiety and depression. Common symptoms include:
- Persistent Worry: Ongoing feelings of anxiety or apprehension about various aspects of life.
- Sadness or Low Mood: Feelings of hopelessness, sadness, or emptiness that persist over time.
- Irritability: Increased irritability or frustration, often in response to stressors.
- Fatigue: A general sense of tiredness or lack of energy, even after adequate rest.
- Difficulty Concentrating: Trouble focusing on tasks or making decisions, often due to racing thoughts or overwhelming feelings.
- Sleep Disturbances: Insomnia, hypersomnia (excessive sleeping), or disrupted sleep patterns.
- Physical Symptoms:Bodily complaints such as headaches, stomachaches, or muscle tension, may not have a clear medical cause.
- Loss of Interest: Reduced interest or pleasure in activities that were once enjoyable.
- Restlessness: A feeling of being on edge or unable to relax.
- Changes in Appetite: Significant weight loss or gain, or changes in eating habits.
- Social Withdrawal: Avoidance of social situations or feelings of isolation.
- Feelings of Guilt or Worthlessness: Excessive self-blame or feelings of inadequacy.
I shouldn’t write these posts till after the Klonopin wears off, because of the brain fog. After it wears off, I’m fine.
Emotional Effects of Anxiety and Depression
Hope amidst the haze: overcoming mixed anxiety and depression by realizing the emotional effects you’re facing. The emotional effects of anxiety and depression can include feelings of overwhelming worry, constant nervousness, sadness, hopelessness, emptiness, irritability, frustration, and difficulty concentrating. Also, low self-esteem, guilt, dread, and a lack of pleasure in activities once enjoyed. This often significantly impacts daily life and social interactions. While anxiety tends to focus on future worries, depression often focuses on past regrets and negative self-perception.
Key points about the emotional effects of anxiety and depression:
- Anxiety:
- Excessive worry and ruminating thoughts
- Feeling on edge or tense
- Panic attacks with sudden intense fear
- Difficulty relaxing
- Avoidance behaviors to manage anxiety
- Feeling overwhelmed by everyday situations
- Depression:
- Persistent sadness and feelings of hopelessness
- Loss of interest in activities previously enjoyed
- Reduced energy levels and fatigue
- Difficulty concentrating and making decisions
- Feelings of worthlessness and guilt
- Thoughts of self-harm or suicide
Important Considerations:
Severity varies: The intensity of emotional symptoms can vary depending on the individual and the severity of their anxiety or depression.
Overlap in symptoms: Many people experience symptoms of both anxiety and depression simultaneously, making it crucial to seek professional diagnosis and treatment.
Impact on relationships: Both anxiety and depression can negatively affect personal relationships due to withdrawal, irritability, and difficulty communicating.
Mixed Anxiety and Depressive Disorder Treatment
Mental health support for anxiety
Mental health for anxiety is so important to at least live with it. I don’t believe it will ever disappear, but you can diminish it, so it’s not greatly affecting your life. If you don’t have all your marbles, it will hang on for the rest of your life. Like me with schizophrenia, as soon as that was under control, I dealt with the anxiety.
Dealing with the anxiety was difficult, because it thwarts you at every turn. You zig, it zags. Tricky little bugger. I never thought I would learn to co-exist with it, and I couldn’t be happier. I learned to stop making it the center of attention. The more attention you give it, the stronger it has over your life.

Depression and Worry Management
Hope amidst the haze: overcoming mixed anxiety and depression by managing them. To manage depression and worry, focus on lifestyle changes like regular exercise, a healthy diet, sufficient sleep, stress-reduction techniques like meditation or deep breathing. Make sure you build a supportive network of friends and family to help you cope with difficult emotions.
Important points to remember:
- Identify triggers: Recognize situations or thoughts that exacerbate your depression and worry to better manage them.
- Set realistic goals: Break down large tasks into smaller, manageable steps to avoid feeling overwhelmed.
- Practice self-compassion: Be kind to yourself and accept that you may have setbacks.
- Seek immediate help if needed: If you experience suicidal thoughts, reach out to a crisis hotline or seek emergency medical care.
CBT for Anxiety and Depression
Cognitive Behavioral Therapy (CBT) I believe is one of the best therapies out there. It ranks up there with Exposure Therapy, which is part of CBT. CBT is a type of counseling that focuses on the relationship between thoughts, feelings, and behaviors. It is based on the idea that negative thought patterns can contribute to emotional distress and malfunctioning behaviors. CBT aims to help individuals identify and challenge these negative thoughts and beliefs, ultimately leading to changes in feelings and behaviors.
Key components of CBT include:
- Identifying Negative Thoughts: Patients learn to recognize warped or unhelpful thinking patterns that contribute to their anxiety, depression, or other emotional issues.
- Challenging and Restructuring Thoughts: Once negative thoughts are identified, individuals are taught to challenge these thoughts and replace them with more balanced and realistic ones.
- Behavioral Activation: CBT encourages individuals to participate in activities that promote positive feelings and reduce avoidance behaviors.
- Skill Development: Patients learn coping strategies and problem-solving skills to manage stress and difficult situations more effectively.
- Goal Setting: CBT often involves setting specific, achievable goals to track progress and motivate change.
CBT is commonly used to treat a variety of mental health conditions, including anxiety disorders, depression, PTSD, and more. It is typically a structured, time-limited therapy, often involving weekly sessions over a few months.
Medication for mixed anxiety and depression
Hope amidst the haze: overcoming mixed anxiety and depression through meds. Medications commonly used to treat both anxiety and depression include selective serotonin reuptake inhibitors (SSRIs) and monoamine oxidase inhibitors (MAOIs):
- SSRIs. These are the most common medications prescribed to treat anxiety and depression. They work by increasing serotonin levels in the brain. Some examples include:
- Fluoxetine (Prozac)
- Sertraline (Zoloft)
- Paroxetine (Paxil)
- Fluvoxamine (Luvox)
- Citalopram (Celexa)
- Escitalopram (Lexapro)
- MAOIs. These were among the first antidepressants developed, and are sometimes used to treat depression resistant to other treatments, or specific anxiety disorders.
Social support for mental health struggles
Social support for mental health struggle is so important. Whether it’s from family or friends, or from social media, it’s a good building block to start your journey back to healthier times. If you don’t have support, it makes it so much harder to bounce back, which I found out.
The depression was with me a lot longer than the anxiety. I was diagnosed with depression when I was sixteen. I was up and down and all over the place. The years slipped away, and here I am now, mostly depression free. How did I do it? Hard work with a therapist, a positive mindset, and I believe meds helped.
The anxiety started about ten years ago. To me, anxiety is worse than depression. Always being on edge, never able to sit still for one second. Your mind is racing, and you keep having intrusive thoughts. How do you fix that? For example: driving. I was afraid to drive for the longest time. So, I used exposure therapy to slowly drive again. First, I got behind the wheel, but didn’t drive. Then I drove around the neighborhood. And then I proceeded to the main streets. I’m driving again today.

Therapy for anxiety and depression
Therapy for anxiety and depression is essential. A therapist can teach you valuable tools like CBT and exposure therapy. Plus, as you know, they’re a good sounding board without judgment. Sometimes, inadvertently with family and friends, you might get a little judgment. Maybe they don’t mean it, but it may come across as that. That’s only because they care about you and your well-being.
Holistic mental health approaches
Hope amidst the haze: overcoming mixed anxiety and depression through a holistic approach. Your doctor doesn’t always approve holistic mental health approaches. Most of the time, they only approve of “Big Pharma” medicines and all their side effects. Can you tell which direction I’m heading in? I want to get into holistic meds once I gain more money. Plus, I want to become a practitioner. I already have a few books on all holistic meds and their uses. No side effects, that’s what I’m aiming for!
Mindfulness for anxiety and depression
Mindfulness for anxiety and depression has been a cornerstone for me. Meditation was the catalyst that helped me climb over the ledge to better mental health. It has helped me in so many ways. It relaxed me and helped me control my breathing during panic attacks.
The depression is gone. I mean, I may have bad days, but nothing like I used to have. Basically, I’m not suicidal. That’s the most important factor. I’m grateful for everyday I have on this earth. Also, I’m starting to sleep much better. So, it’s slowly coming together. The world isn’t so square with sharp edges anymore. It’s perfectly round, the way it should be.
Coping with Anxiety and Depression
Coping with anxiety and depression is doable. Stop trying to fight them, and learn to live with them. Life gets a lot easier then.
- Stress Management Techniques: Practice relaxation techniques like meditation, deep breathing exercises, yoga, or progressive muscle relaxation.
- Social Connection: Maintain relationships with supportive friends and family, reach out when you’re feeling down, and consider joining social groups.
Important Considerations:
- Identify triggers: Recognizing situations or thoughts that exacerbate your depression and anxiety can help you manage them better.
- Be patient: Managing depression and anxiety takes time and consistent effort.
- Seek emergency care: If you are experiencing suicidal thoughts, reach out to a crisis hotline or seek immediate medical attention.
Managing anxious thoughts and sadness is incredibility rewarding in its own right. So you see, living with anxiety and depression is very much doable. When you come to that point in the road, choose a path that feels right to you. That path will be your salvation. Your destiny in life.
Sum It All Up
Hope amidst the haze: overcoming mixed anxiety and depression is your own choosing. Every human has experienced coping with feelings of overwhelm. How you choose to react is individual to you. Not everyone will react the same way, right? If you choose a path of anxiety and depression, you’re going to experience a whole lot of heartache.
It doesn’t feel like there is anyway out. Aww…but there is my friend. You just have to pave a detour to get on the right path for you. Once you are willing to pave that detour, you must consistently push away all the “garbage” that anxiety and depression puts in your way. Now you’re finally on the right path. Every once in a while, you’ll have to dodge obstacles, but you’ve got this. Peace and always love. Until next time…

Articles About Mixed Anxiety and Depressive Disorder
Mixed Anxiety and Depression: Know The Signs
Depression and Anxiety: Signs, Symptoms, and 8 Ways to Cope
Depression and anxiety: Exercise eases symptoms
Have a Good One,
Cindee Murphy
“One Voice Struggling With Anxiety and Depression”
“Having anxiety and depression is like being scared and tired at the same time,”
“It’s the fear of failure, coupled with no urge to be productive.”
“It’s wanting friends but hating socializing. Hence, It’s wanting to be alone but not wanting to be lonely.”
“Depression is living in a body that fights to survive, with a mind that tries to die.”

“If you want to make your dreams come true, the first thing you have to do is wake up.”
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