Depression and anxiety - these two concepts are closely intertwined with each other and often without each other do not exist. Anxiety is a significant sign of depression. Anxiety is characterized by increased anxiety and fear. Anxiety arises, as in certain situations, and is able to be present constantly. Therefore, anxiety is distinguished as a situational response, as well as a person’s personality trait. Anxiety, as a personality trait, acts as a disproportionate reaction to danger or is a reaction to an imaginary danger, which provokes temporary emotional exhaustion, psychosomatic illnesses and dissatisfaction with oneself.
The terms depression and anxiety are often used, both in medicine and in everyday speech. Even in everyday life often use the expression "depressed person." This applies to people who are highly susceptible to depression and anxiety. Scientists note a family predisposition to mild forms of depression and anxiety. When a patient comes to a doctor, he has a personal understanding of the causes of his problems, which are often associated with adverse life events.
Depression and anxiety are difficult to distinguish concepts, and at the moment there are no laboratory or instrumental methods to diagnose them. Scientific studies have evidence that the depressive state is accompanied by elevated levels of cortisol in the blood plasma, and anxiety is aggravated by blood flow in the forearms of the vessels. However, the practical significance of all these indicators is small, and a thorough psychiatric examination involves a lot of time and is often an impossible condition of ordinary medical practice. Standardized questionnaire questionnaires provide significant assistance in such cases, but in order to understand the patient well it is necessary to personally talk with him.
If there is a suspicion of a mental disorder, it is necessary to ask the immediate environment about the nature, characteristics of the life of the sick. The main question in this case is: “has the person changed?”. In other words, it is necessary to find out the psychological status, namely whether a person has become socially passive, dependent on others, helpless, whether his interests have changed, how he has spoken, the topics of conversations. For specialists, significant and important are such signs as sleep disturbance, loss of concentration, and difficulties in performing usual work.
It is also important to consider that the symptoms of depression and anxiety change over time. The symptoms of depression that have been observed in the past can change and become the classic signs of anxiety disorder, and later become symptoms of panic or obsessive-compulsive disorder. The term “depressive personality” is often used in everyday life. This applies to people who are more susceptible to depression and anxiety. Scientists note a family predisposition to mild forms of depression and anxiety. When a patient comes to a doctor, he has a personal understanding of the causes of his problems, which are often associated with adverse life events.
Depression and anxiety are often accompanied by delusions. Anxious depression involves self-incrimination as well as accusations. The sick are convinced that children will suffer and suffer for all the "crimes" committed by them. At the same time, people admit their guilt, but contrived punishment significantly exceeds its measure. This character of delirium is not the primary sign of depression, but is determined by the level of anxiety, which changes throughout the entire period of the disease.
Crazy ideas that encompass a person are: "I am guilty," "I deserve punishment," and so on. Anxiety in these cases is involved in the occurrence of depressive ideas that are filled with low value and culpability. This is indicated by cases of improper selection of antidepressant therapy, which leads to a sharp increase in anxiety. This happens when prescribing antidepressants such as Desipramine (Petilil), Transamin, Nuredal, or psychostimulants Sidnokarb, Sidnofen, etc. It has long been noticed that due to increased anxiety, depression is worsening.
In elderly patients, depression and anxiety sharpens personality changes inherent in old age. As a result, the emerging feeling of insecurity, helplessness, and hopelessness forms the ideas of impoverishment. Older people experience the horror of the future, darkness in the soul and constant anxiety. Anxiety and depression probably have a significant role in the origin of the ideas of impoverishment. Patients acutely feel their helplessness, but real problems do not sound in the ideas of self-incrimination. The only thing they fear is the consequences of a conflict with the police. It is assumed that the subconscious motive of self-accusation is the desire to repent in advance, as well as the desire to get away from the intractable, real problems that arise from past misconduct.
Depression and anxiety are characterized by suicidal ideas, statements of guilt, manic mania.
Initially, the patient is accompanied by periods of mania, then there are bright gaps, accompanied by offenses, the use of alcohol. Patients are characterized by slow movements, stiff facial expressions, intense and slow speech with long pauses. Patients complain of melancholy in the first half of the day, as well as increased alarm in the evening. So, self-accusation is based on fear, anxiety, helplessness, a sense of insolvency, and, of course, painful anguish.