Diagnosis of MIXED ANXIETY AND DEPRESSION
- The patient presents with variety of symptoms of anxiety and depression,
none sufficient to warrant a diagnosis but together resulting in disability..
- The patient may present initially with one or more physical symptoms (fatigue,
pain). Further inquiry will reveal depressed mood and anxiety.
(insufficient to satisfy a separate anxiety or depressive diagnosis)
- Low or sad mood
- Loss of interest or pleasure
- Prominent anxiety or worry
- Associate symptoms are frequently present:
- Disturbed sleep
- Fatigue or loss of energy
- Poor concentration
- Disturbed appetite
- Dry mouth
- Suicidal thoughts or acts
- loss of libido
- tension and restlessness
- If severe enough to get a diagnosis of depression or anxiety alone, do not
use this diagnosis, see section on Depression,
Panic, Phobias and Generalized
- If somatic symptoms predominate, see Unexplained
- If hallucinations (hearing voices, seeing visions) or delusions (strange
or unusual beliefs) are present, see also section on Acute
Psychotic Disorders about management of these problems. If possible, consider
consultation about management.
- If history of manic episode (excitement, elevated mood, rapid speech) is
present, see section on Bipolar Disorder.
- If heavy alcohol or drug use is present, see sections on Alcohol
Use Disorders, or Drug Use Disorders.
Edited by Gavin Andrews MD, UNSW, Jan 03
© 2003 CRUfAD