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Saturday, August 24, 2019

Problems Which are Commonly Related to Depression

Commonly Related Problems:

Perhaps you are battling with some other type of problem along with depression. Perhaps you may be battling with anxiety, alcohol or somethng else. There are many related problems to depression. What is one of the most common problems that co-exists with depression? Anxiety. It is very common to suffer anxiety problems and often in the form of anxiety disorders while suffering depression. Comorbidity, or having more than one disorder is common. Anxiety and depression can very much go hand-in-hand.
  •  Around 80-90% of individuals with a major depressive disorder also have anxiety problems (for example, obsessive preoccupations, panic attacks, phobias or other).
  • About one third of individuals with a major depressive disorder also have a full-blown anxiety disorder (for example, panic disorder, obsessive compulsive disorder and others).
  • Individuals with anorexia or bulimia often develop major depressive disorder.
  • Some people who have a major depressive disorder may have mood congruent delusions or hallucinations.
  • Depression may also be a consequence of drug and alcohol withdrawal.
  • Around 25% of people with a severe, chronic medical illness (eg. diabetes) develop depression.
  • Lifetime risk, or prevalence for major depressive disorder is around 10-25% for women, and from 5% to 12% for men.
  • The average age onset for major depressive disorder is 25.
  • An average episode of depression lasts around 9 months.
  • Stress appears to play a prominent role in triggering the first one or two episodes, but not so much in subsequent episodes (Ref. P.E.M.H.).
Depression and anxiety disorders are not uncommon by any means and studies reveal statistics on the prevalence of depression and anxiety. One such organisation who has conducted large-scale studies is the World Health Organisation (WHO).

Anxiety often plagues a person who has depression. Severe depression can be a ‘feeling’ or an ‘existence’ of nothingness, yet anxiety often plays such a significant part in the person feeling ‘down-and-out’. A common question asked then is “does anxiety lead to depression or does depression lead to anxiety?” There does seem some debate about this, however many people have a belief that anxiety occurs before depression generally more than depression occurring before anxiety (speaking in clinical diagnostic terms). Speaking for myself, I experienced many years of an anxiety disorder before I developed a major depressive episode and I too think that it makes sense to recognise that anxiety quite often exists primarily before any onset of depression (and speaking in terms of comorbidity or having both depression and an anxiety disorder). Whatever the case, depression and anxiety disorders do commonly coincide with each other.

As it is well recognised, depression commonly exists with other disorders or problems such as physical illness and very much so with anxiety. For example, speaking about depression and anxiety, let’s take Obsessive-Compulsive Disorder and that we already know how it can strongly relate or coincide with depression. It doesn’t stop there of course. Many other disorders with a diagnosis of say, Obsessive-Compulsive Disorder can co-exist with other disorders such as social phobias. Many people with OCD will also have panic disorder (Ref. P.E.M.H.). All this can tie together with not only depressive symptoms, but cal also coincide with other disorders such as personality disorders. An example could be that it is possible for a person not only to have obsessive compulsive disorder, but also obsessive compulsive personality disorder (OCPD). But, one may have OCPD but not OCD. These can all combine with a diagnosis of depression as it is certainly not out of the ordinary for anyone with depression to be battling another (or more than one other) disorder.

Comorbidity (more than one diagnosed disorder or illness at any one given time) in psychiatric disorders is quite common and basically if a person suffers depression and/or anxiety, there is certainly a realistic chance of another psychiatric diagnosis occurring at some stage. Depression can be a common occurrence for people suffering an eating disorder and so-forth (Ref. A.A.I.), so it quite clear that depression and anxiety is highly inter-twined.

So many manifestations of depression may arise through the battle of this cruel yet surmountable disorder. A feeling of guilt can play a large part in other problems that may (or may not) coincide with depression. If a person is struggling with issues of guilt (such as feeling guilty because they may think they are useless and so-forth), this guilt may also wax-and-wane a little too in that one week a person might feel very guilty and the next another thought or feeling may become more prominent, but the following again, they may find themselves thinking and feeling much the same guilt as they previously had. There can be a lot of fluctuation sometimes and we need to acknowledge that this can be part-and-parcel of living with depression and/or other mental health disorders.

Just assume a person is feeling depressed. Perhaps some of the awful thoughts and feelings that this person may have could be intense thoughts of inappropriate guilt. This ‘guilty’ feeling can then play a part in other problems or behaviours such as self-harm. Personality disorders can be attributed to self-harming behaviours, but as depression is complex, there are many destructive thoughts and feelings that can exist with depression and one of these being a feeling of guilt. Feelings such as these may then entwine with other problems (for example Borderline Personality Disorder, or a predisposition to it) which may contribute to such self-destructive behaviours along with many other possible problems.

A Brief Recap :

Some problems commonly associated with depression are:
* Anxiety and stress.
* Anxiety disorders such as panic disorder.
* Eating disorders such as anorexia.
* Drug and alcohol withdrawal.
* Medical illness.

There are particularly high rates of depression among particular other disorders including alcohol-related disorders, Schizophrenia and somatoform disorders which basically are disorders where a person exhibits physical symptoms of an illness (or illnesses), but it is not explained by a general medical condition or direct associations or influences of drugs, or another mental disorder (Ref. P.E.M.H.). Plain to see is that depression so commonly exists with so many other problems and disorders/illnesses with particularly high occurrences of depression and anxiety disorders. So, from anxiety to eating disorders right through to Schizophrenia, depression can reveal itself and be problematic as depression is well recognised to be a feature (or co-existing problem) with virtually any psychiatric disorder. The list of related problems to depression would be very extensive therefore attention here will be paid to particular common problems such as:

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