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No anxiety, no fear, no insomnia, feel your calm

Mixed Anxiety–Depressive Disorder

Mixed Anxiety–Depressive Disorder

Mixed anxiety disorder and depression disorder refer to the existence of both anxiety and depressive symptoms, but neither of which, when considered separately, is sufficient to make a diagnosis, and there are some persistent or intermittent plant psychosis symptoms.The overlap was greatest when the symptoms were mild and least when the symptoms were severe enough to be diagnosed as a mental disorder.Similar results were obtained in community epidemiological studies of people who met diagnostic criteria for anxiety disorders, with 28 percent of cases meeting criteria for mild depression and 21 percent for major depression.


1. There may be the same susceptibility reasons.

2. Some stress events occur at the same time and can be lost at the same time, with certain risks.

3. Persistent anxiety can lead to secondary depression.

Clinical manifestations

1. Sleep disorder

Difficulty in falling asleep, waking up early, shallow sleep with many dreams and no sense of recovery after waking up.

2. Anxiety symptoms

Often inexplicably nervous, restless, upset, irritable; Fear, overthinking.

3. Depressive state

Easy to fatigue, weakness;Emotional, often crying or feeling depressed;Loss of interest or pleasure in daily life;Inattention and memory loss;Low self-evaluation, self-blame, or feelings of guilt;In severe cases, death thoughts or suicidal behavior are repeated.

4. Somatic symptoms

(1) nervous system: headache, dizziness, ringing in the head, tinnitus, facial, lip or hand and foot numbness, throat tight or foreign body sensation.

(2) Respiratory system: difficulty breathing or feeling choked, excessive ventilation.

(3) gastrointestinal symptoms: abdominal pain, abdominal distension, constipation, diarrhea, loss of appetite, weight loss.

(4) Physical pain or discomfort: head, neck, back and limbs.

(5) Genitourinary system: frequent urine, acute urine, decreased libido.

(6) Cardiovascular system: chest tightness, palpitations, intermittent hypertension, tachycardia, arrhythmia, and even near-death feeling.

(7) Sympathetic symptoms: dry mouth, sweating, body chills or fever.


1. Symptom criteria

The patient must show two symptoms of depression and anxiety at the same time: inattention or brain blank, sleep disturbances, fatigue or fatigue, irritability, worry, tears, increased alertness, a premonition that something bad is going to happen, hopelessness, inferiority and worthlessness.

2. Duration criteria

Persistent or recurrent episodes of restlessness for at least 1 month.

3. Severity criteria

There is significant damage of ​social, professional, or other important functions.

4. Exclusion criteria

(1) Symptoms are directly caused by substance dependence or common medical diseases;

(2) a history of diagnosis of depression, dysthymia, panic disorder or generalized anxiety;

(3) Some anxiety or depression disorder in partial remission.

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