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The symptoms of anxiety and depression disorders can be very similar. A diagnosis of mixed anxiety–depressive disorder as opposed to a diagnosis of depression or an anxiety disorder can be difficult. Due to this, it has long been a struggle to find a singular set of criteria to use in the diagnosis of mixed-anxiety depressive disorder. [3]
Watson and Clark (1991) proposed the Tripartite Model of Anxiety and Depression to help explain the comorbidity between anxious and depressive symptoms and disorders. [1] This model divides the symptoms of anxiety and depression into three groups: negative affect, positive affect and physiological hyperarousal.
Common symptoms include hypervigilance, flashbacks, avoidant behaviors, anxiety, anger, and depression. [34] In addition, individuals may experience sleep disturbances. [35] People who have PTSD often try to detach themselves from their friends and family and have difficulty maintaining these close relationships.
A meta-analysis showed that a high level of neuroticism is a risk factor for development of anxiety symptoms and disorders. [59] Such anxiety may be conscious or unconscious. [60] Personality can also be a trait leading to anxiety and depression and their persistence. [11]
Beyond depression and anxiety, it’s also occasionally prescribed off-label to help treat symptoms of premenstrual dysphoric disorder syndrome. Like many SSRIs, escitalopram is meant for daily use.
The Beck Depression Inventory is a self-report scale that helps a therapist identify the patterns of depression symptoms and monitor recovery. The responses on this scale can be discussed in therapy to devise interventions for the most distressing symptoms of depression. [6]
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