anxiety vs depression

Anxiety and depression are serious emotional disturbances that affect millions of lives and shouldn’t be overlooked. While they share similarities, understanding their key differences is crucial for effective treatment and management. This blog aims to clarify these distinctions, providing insights and examples to help you discern whether you’re experiencing anxiety, depression, or both, and how to make informed decisions about seeking therapy.

Problem Statement: How Do I Know If I Have Anxiety or Depression?

Many people grapple with the question, “How do I know if I have anxiety or depression?”,  “What is the difference, and how do I deal with each condition differently?” This confusion is understandable, given the overlap in symptoms. 

 

However, recognizing the distinct themes and triggers associated with each condition is essential for targeted interventions.

What is the Difference between Anxiety and Depression?

The key to differentiating between anxiety and depression lies in understanding the meanings we attach to negative situations and the underlying themes associated with each.

 

Anxiety 

When we feel anxious, we often perceive danger or threat that may or may not be happening in reality (anticipated threat). This threat can be directed at oneself, such as concerns about approval, achievement, or recognition, or it can involve threats related to comfort, control, or safety.

 

Depression

In contrast, when we feel depressed, it is often in response to lack (e.g. I am not as intelligent as someone else), loss (e.g. loss of people, property, fame, etc.), undeserved plight (e.g. a sense that I didn’t get what I deserved or got what I didn’t deserve), or failure (e.g.in goals and relationships).

Basic attitudes significantly shape how individuals perceive adversities. These attitudes act as a filter, influencing our specific emotional responses. For example:

 

  • Rigid attitude: A demand for advanced certainty that the threat/danger won’t happen or once it’s happened, it won’t repeat.

 

  • Awfulizing: An attitude of “awfulizing,” where one believes “it’s the worst thing ever if I am judged negatively,” can amplify the perceived horror of potential negative judgments, fueling anxiety.

 

  • Self-Berating: A self-berating attitude, such as “If I am judged negatively, I am a worthless person,” can lead to hopelessness, self-blame, and resignation, contributing to depression.

Real-Life Example For Anxiety & Depression

Consider X, who recently started a new job. She felt anxious about how her new colleagues would perceive her, fearing they wouldn’t like or accept her. Every morning, she found reasons to avoid going to work. One day, she made a mistake, and her boss reprimanded her in front of her peers. She felt shame about this, eventually leading to feelings of depression.

 

As this example illustrates, X experienced anxiety in anticipation of adversity (negative judgment) and depression after the adverse situation occurred. This sequence—anxiety in anticipation and depression following the event—is a common presentation.

Intervention: Changing Unhealthy Thought Patterns

A structured approach like REBT can help people with anxiety and depression by offering tools and techniques to work towards holistic changes in thoughts, feelings and behaviours.

 

  • Anxiety: In order to transform unhealthy anxiety about being judged into a healthy concern, individuals can learn to remove the “horror” from potentially negative situations. This involves accepting the possibility of negative judgment without catastrophizing and taking calculated risks to face the adversity.
  • Depression: Overcoming depression involves accepting oneself as a mistake-making human who may face negative judgments at times. It’s crucial to avoid self-berating and recognize one’s worth, regardless of external evaluations.

Conclusion

Distinguishing between anxiety and depression is a critical step toward receiving appropriate care. By understanding the distinct themes, triggers, and thought patterns associated with each condition, individuals can make informed decisions about seeking therapy and implementing targeted interventions. If you’re struggling with symptoms of anxiety or depression, consulting with a mental health professional can provide personalized support and guidance.

About Author – 

Swati Khanolkar – 

Director of In Vivo and  AEI Certified REBT Supervisor & Faculty

Swati Khanolkar, a trained clinical psychologist, is an accomplished REBT practitioner. She is an Associate Fellow and Supervisor of the Albert Ellis Institute, New York. She has taught psychology at both Graduate and Post graduate levels at SNDT University, Mumbai and affiliated colleges. She has conducted training programs for various corporates and has also been invited as a guest lecturer for several organizations and colleges in Mumbai. She is the Director of ‘In Vivo- The Mumbai Centre for REBT’ under which she conducts regular REBT training programs for students and professionals in psychology. She also conducts self-help group therapy and individual counselling, an initiative that has helped her clients make a remarkable positive difference in their lives.