Anxiety and Depression: Are They Connected?

November 23, 2023

A man sits outside and asks himself: does anxiety cause depression?

Depression and anxiety, while distinct, often coexist and share similar treatment approaches.

While it’s normal to feel down or anxious at times, persistent or intense feelings of depression and anxiety might indicate an underlying mental health condition.

Anxiety can manifest as a symptom of clinical depression (major depressive disorder), and conversely, depression can be triggered by an anxiety disorder, such as generalized anxiety disorder, panic disorder, or separation anxiety disorder. It’s not uncommon for individuals to receive a dual diagnosis of both an anxiety disorder and clinical depression.

Treatment for these conditions normally involves a combination of psychological counseling (psychotherapy), medications such as antidepressants, or a blend of both. Lifestyle adjustments, including optimizing sleep patterns, cultivating a strong support network, practicing stress-reduction techniques, and engaging in regular exercise, can also be beneficial. Individuals with these conditions should refrain from consuming alcohol, smoking, or using recreational drugs, as these substances can exacerbate symptoms and impede the effectiveness of treatment.

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The Link Between Anxiety and Depression

Coping with the impact of anxiety can sometimes lead to depression due to avoidance behaviors, fluctuations in self-esteem, and a heightened state of vigilance.

Individuals living with an anxiety disorder may have encountered concurrent experiences of depression. While it doesn’t necessarily indicate a causal relationship, the co-occurrence of these conditions is possible.

Anxiety might manifest as a temporary emotional reaction to stress or as an enduring mental health condition, such as GAD (generalized anxiety disorder). In the case of GAD or other anxiety disorders, the likelihood of experiencing symptoms of depression can be heightened.

Although these shared symptoms can be challenging, they can be effectively managed with appropriate treatment. Gaining an understanding of why anxiety can sometimes lead to symptoms of depression can also be beneficial.

How Does Anxiety Cause Depression?

The likelihood of anxiety leading to symptoms of depression varies depending on the nature of your anxiety. Temporary emotional responses do not normally give rise to depressive symptoms. That said, if your experiences with anxiety persist and become recurring, it’s possible that you might be dealing with an anxiety disorder, which can subsequently trigger or inflame the symptoms of depression.

Here are three ways in which untreated anxiety can potentially contribute to the development of depression symptoms:

1) Avoidant behaviors

Anxiety triggers the stress response, keeping the brain in a heightened state of alertness. Consequently, the brain may prompt you to avoid situations that elicit intense feelings of nervousness or anxiety. For instance, individuals experiencing anxiety about public speaking might actively evade presentations at work, ultimately limiting their experiences and opportunities for growth. This pattern of avoidance can lead to a reduction in the overall enjoyment of life, potentially contributing to the onset of depression.

2) Changes in self-perception

Persistent anxiety may impede your ability to initiate or follow through with tasks, leading to a shift in your self-perception and confidence. Continuously grappling with a sense of helplessness or incapacity can alter your self-image and make you more vulnerable to developing depressive symptoms. The cycle of anxiety-induced self-criticism stemming from missed opportunities can perpetuate feelings of worthlessness, ultimately contributing to depressive feelings.

3) Depletion of resources

The release of adrenaline triggered by fear can deplete the body’s stress hormones, resulting in a state of hypervigilance. This heightened state can disrupt essential bodily functions like sleep and appetite, leading to a compromised mood and an increased susceptibility to depressive symptoms.

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How to Deal with Anxiety and Depression

Here are some practical methods for coping with anxiety and depression:

  • Seek professional help: Reaching out to a mental health professional can provide you with a personalized treatment plan tailored to your specific needs.
  • Practice relaxation techniques: Engage in activities that promote relaxation and stress reduction, such as meditation, deep breathing exercises, or yoga. These practices can help calm the mind and alleviate symptoms of anxiety and depression.
  • Regular exercise: Physical activity can have a significant impact on mood regulation. Regular exercise not only boosts endorphin levels but also promotes overall well-being and can serve as a constructive outlet for pent-up emotions.
  • Establish a support system: Surround yourself with a strong support network of friends, family, or support groups. Sharing your feelings and experiences with others who understand what you’re going through can provide comfort and reassurance.
  • Adopt a healthy lifestyle: Focus on maintaining a balanced diet, getting sufficient sleep, and minimizing the consumption of alcohol and caffeine. These lifestyle adjustments can contribute to improved overall well-being and mental health.
  • Set achievable goals: Break down your tasks into smaller, manageable steps to avoid feeling overwhelmed. Accomplishing these goals can boost your self-esteem and provide a sense of accomplishment.
  • Challenge negative thoughts: Practice reframing negative thoughts into more positive and constructive ones. This cognitive restructuring technique can help shift your perspective and alleviate some of the distress associated with anxiety and depression.
  • Engage in enjoyable activities: Participate in activities that bring you joy and fulfillment, whether it’s pursuing a hobby, spending time in nature, or engaging in creative outlets. Investing in activities that promote happiness and fulfillment can significantly improve your mood and overall well-being.

Remember that dealing with anxiety and depression is a gradual process, and it’s essential to be patient with yourself as you navigate your path to recovery.

Anxiety and Depression Treatment

The treatment for anxiety and depression often involves a combination of therapy, medication, and lifestyle changes. Here are some common treatment options for managing co-occurring anxiety and depression:


Psychotherapy, such as CBT (cognitive behavioral therapy), is frequently used to help people understand and manage their thoughts and behaviors. This form of therapy can assist in identifying and modifying negative thought patterns and behaviors that contribute to anxiety and depression.


Antidepressants and anti-anxiety medications are commonly prescribed to help alleviate the symptoms of anxiety and depression. These medications help to balance neurotransmitters in the brain and can significantly improve mood and overall well-being.

Lifestyle changes

Making lifestyle adjustments can have a positive impact on mental health. Engaging in regular exercise, adopting a healthy diet, getting adequate sleep, and avoiding substances like alcohol and drugs can help manage symptoms and promote overall well-being.

Support groups

Participating in support groups or group therapy sessions can provide people with the opportunity to connect with others who are experiencing similar challenges. Sharing experiences and coping strategies in a safe space can offer a sense of validation and understanding.

Alternative therapies

Many people find relief from anxiety and depression through alternative therapies such as acupuncture, yoga, meditation, and mindfulness practices. These therapies can help promote relaxation, reduce stress, and improve overall emotional well-being.

Self-help strategies

Engaging in self-help strategies such as practicing relaxation techniques, setting realistic goals, maintaining a positive mindset, and participating in activities that bring joy and fulfillment can significantly contribute to managing anxiety and depression.

Consult with a mental health professional to determine the most effective treatment plan for your specific needs. Every individual’s experience with anxiety and depression is unique, and a tailored approach to treatment can yield the most successful outcomes.


Does anxiety cause depression or vice versa?

Anxiety and depression often coexist, with one condition frequently exacerbating the other. While anxiety can lead to changes in brain chemistry that contribute to depression, the cyclical relationship between the two can make it challenging to pinpoint a definitive causal direction.

Why does anxiety cause depression?

The intricate relationship between anxiety and depression involves complex neurological and psychological processes. Anxiety can contribute to depression through various mechanisms, such as chronic stress, altered neurotransmitter levels, and negative thought patterns, creating a vicious cycle that perpetuates both conditions.

Does social anxiety cause depression?

Social anxiety can act as a significant trigger for depression, especially when individuals experience persistent feelings of isolation, low self-esteem, and a sense of being misunderstood or rejected. The chronic stress associated with social anxiety can potentially disrupt various aspects of life, contributing to the development of depressive symptoms.

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Get Treatment for Anxiety and Depression at Connections

If you have depression that won’t go away, consider engaging with professional treatment. We can help you live unconstrained by anxiety and depression at Connections Mental Health in Southern California.

At our luxury beachside treatment center, you can address mental health issues with a small group of peers undergoing similar challenges. A team of mental health specialists will help you address the underlying causes of depression or anxiety. They will also help you develop healthy coping mechanisms so you can restore functioning and improve overall well-being.

Whether you or a loved one is battling episodes of depression or anxiety, call 844-413-0009 for immediate assistance.

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