Can Anxiety Make You Depressed (or Vice Versa)?

Our Editorial Standards

Reviewed for Accuracy
Up-to-date Research
Credible References
Anxiety Disorder
Read Time: 2 Minutes
Written by:Dr. Samantha Rodman, PsyD

Published On: October 4, 2018

Medically reviewed by: Bisma Anwar, MA, MSc, LMHC

Reviewed On: October 4, 2018

Updated On: July 2, 2024

Overview

Anxiety and depression are intricately linked, which is why the same types of therapy and the same classes of medications are often used to treat both disorders.

In my practice, I have noticed that many clients that have self-diagnosed as depressed are actually experiencing anxiety. Similarly, many clients who identify as anxious are often depressed. Here, I will explain the connections between anxiety and depression, and why one can lead to the other.

Shared Traits and Symptoms of Anxiety and Depression

Nervous Energy

When you are anxious, your predominant feeling is that of worry, and being wound too tightly. You feel like you can’t relax, and that danger is everywhere in some form or another. However, the irritability associated with depression gives you a similar wound up feeling. Often, the overlap between the two can be difficult to tease apart.

Avoidance or Retreat

Anxiety makes people retreat from situations, out of fear that they will be evaluated poorly, or that some danger will befall them. Depression also leads to retreat from the world, since you feel so negatively about yourself and others that you can’t imagine a reason to purposefully put yourself into contact with other people.

Negative Thinking

When you are depressed, you see the worst in every situation. The depressive cognitive triad includes negative thoughts about yourself, the world, and the future. For example, going to a party, you may think, “nobody will like me, I’m not going to make any friends.” There may in fact be a strong likelihood of this outcome coming to pass, since when you’re depressed, you don’t act as outgoing, engaged, or responsive.

However, if you focus on these negative thoughts about others, you may end up diagnosing yourself as socially anxious, and not recognizing the major impact that your depression has on your thinking.

Behavioral Changes

Additionally, both anxiety and depression can result in changes in your behavior.

Anxiety and depression can both prompt people to withdraw from social situations, for different reasons. However, let’s say you withdraw from parties due to fatigue and apathy. Eventually when you’re out of practice at socializing, you will in fact have raised your chances for developing social anxiety, as any anxiety deepens with avoidance of the feared situation.

It’s much the same when you stop engaging in world-expanding behaviors, like driving, flying, or even leaving the house, due to anxiety. Over time, your world will shrink and you may become depressed thinking about all of your missed opportunities.

Online therapy for anxiety

Get support for anxiety fast and reach a calmer mindset. Therapy for anxiety is covered by most insurance plans.

No Matter the Challenge, Therapy Can Help

Whether you’re anxious, depressed, or (sometimes) both, therapy can help you get yourself back on track. A good therapist can help you identify what you’re feeling, and work to treat the exact issues you are struggling with.

There is no shame in getting help and support from a trained professional. Once you and your therapist figure out how your anxiety or depression, or both, is manifesting in your life, you can both figure out next steps to take to create a life that makes you feel happy and fulfilled.

Dr. Samantha Rodman

Dr. Samantha Rodman Whiten, PsyD, is originally from Brooklyn, New York and now lives in Potomac, Maryland with her husband and three children. She attended Columbia University for her BA, and received her PhD in Clinical Psychology from the University of Maryland at College Park. Dr. Whiten is a licensed psychologist seeing clients via phone and video. She has been working with individuals, couples, and families in her private practice since 2009.

Effective and affordable mental health treatment

Get Started

Related Articles About Anxiety Disorder

View all articles
Featured Image
Anxiety Disorder December 4, 2024

How to Overcome Anxiety About Your Cancer Diagnosis

Featured Image
Anxiety Disorder October 23, 2024

Overcoming Anxiety in the Military

Featured Image
Anxiety Disorder September 18, 2024

Overcoming Parental Anxiety: Strategies for a Calmer Mind

Featured Image
Anxiety Disorder August 26, 2024

15 Effective Coping Skills for Anxiety

Featured Image
Anxiety Disorder July 24, 2024

Acupuncture for Anxiety: Does it Work?

Featured Image
Anxiety Disorder June 18, 2024

13 Best Jobs for People with Social Anxiety

Effective and affordable mental health treatment

Get Started