Tag Archive | "depression"


The Brain Warrior’s Way Podcast – Depression and Anxiety

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Lady Gaga Reveals Her Struggle with Depression and Anxiety


I said this earlier and I'll say it again, I invented myself Lady Gaga and I've curated my life to be an expression of my pain, this is how I overcame my depression. It's by creating somebody that I felt was stronger than me but, once I went through all sorts of changes my career taking off becoming more isolated you know nothing was able to fix how I was genetically made. I was born this way so how do we now, knowing all of that no matter how much success you have, no matter how many opportunities of fame and fortune, no matter how many people accept you to your face, the person that really needs to accept you is you.

 I have some sort of anxiety depression something that's changed my whole life.  I take antidepressant medication for it and I have tried to get off of them but, the doctor always tells me not to do that it's not safe.  Whenever I've tried to get off my meds I seem to get very neurotic, so I have had to study all different types of ways and dig into all these different areas to figure out how to function. As a public figure, it's not possible that I have the resources that other kids have so this is not fair. I started looking into Ayurvedic medicine, I started looking into mindfulness and meditation, I started looking into a mantra and I pray sometimes. I make music, write poetry and I am an actress now which helped me a lot, so these are the things that I started to do. What really helped me the most that I want to impress upon all of you is that I realize that part of my identity is saying no to things I don't want to do. You are all in school and you all have a lot of teachers and a lot of people around you that tell you all day what you have to do.

It is your right to choose what you do and don't do. It is your right to choose what you believe in and what you don't believe in. It is your right to curate your life and your own perspective, you are not here to be a puppet for you that's not what they want. Am I wrong to make decisions like why am I unhappy? Stephanie Gaga, why are you unhappy? Why is it that you want to quit music a couple years ago? That's like well I really don't like selling these you know fragrances perfumes, I don't like wasting my time spending days just shaking people's hands and smiling and taking selfies. I feel shallow to my existence and I have a lot more to offer than my image. I don't like being used to make people money, I feel sad when I'm overworked and that I've just become a money-making machine and that my passion and my creativity takes a backseat, that makes me unhappy. So I started to say no I'm not doing that, I'm not taking that picture, I'm not going to that event, I'm not standing by that because that's not what I stand for.

Then slowly but surely I remembered Who I am and then you go home and you look in the mirror and you're like yes I can go to bed with you every night because that person I know, that person has balls, that person has integrity, that person has an opinion, that person doesn't say yes, that person doesn't get a text from somebody and say oh my god they wrote this and they sent this emoji should I write this back. Do you think it's okay to say are they going to like me if I say something different? This is the age that we live in, we're not actually communicating with each other we are unconsciously communicating lives, so when I check in with myself throughout the day and I say do I really want to do this and if the answer is no, I don't do it and you shouldn't either

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Battling Depression Disorder (and winning!)

Hey yo, so I know it's been a very long time since I've made a video. I believe the last one I made was back in March, that was like six seven months ago and I just want to thank my subscribers (everybody) who have emailed me and sent me messages on Facebook and checking up on me making sure I'm okay. In the beginning of this year uh I dealt with a lot of crap very severe depression and I just had to take a step back. I didn't realize I would take such a long time away from YouTube, but I'm just going to go ahead and get this out of the way so I can start making videos again. After I started to feel better you know I sought treatment, got help which is very important.

Free Depression Test

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2 Minute Self Diagnosis Depression Test

Depression Test

If there was just a simple depression test you could take in order to figure out whether or not you’re depressed. It would be nice to go in, have some blood taken and get your results back the following week, but it doesn’t exactly work like that. Depression is a mental illness that is taking over many people …

Depression Isn’t Uncommon

Recent years have seen a shift in the consciousness surrounding mental health. People have become more aware of the different issues regarding mental illness, and have become more attuned to the presence of these illnesses in society. Though stigma hasn’t completely been eradicated, rising levels of acceptance have come to the forefront to battle the negative effects of discrimination and ridicule.
In light of the rising rates of mental illness sweeping the globe, it’s vital that we educate ourselves and make ourselves aware of the struggles many people have begun to face in order to be able to help those who are too afraid to speak out about their experiences.
These days, it is no longer uncommon to know someone, be related to someone, or to be someone struggling with depression. Knowledge about the condition is extremely important in helping yourself and others cope with and recover from the condition.

What is Depression?

In the past, it was enough for people to chalk depression up to hormones, or to describe it simply as being sad. Today, however, these simplistic ideas about the condition aren’t nearly enough anymore. Misconceptions regarding the condition can actually be harmful, so we always need to be cautious when faced with different ideas presented as the “truth” particularly exaggerated representations of mental illness that are prevalent in popular culture.
Life can be difficult, and we all go through different challenges that can make us feel down or sad. We aren’t always going to be happy, and that’s completely normal. Feeling upset because of the different problems life present isn’t depression. But, if this sadness persists day after day, week after or week, or even months on end, then depression may actually be at play.

How Do They Diagnose Depression?

Since there is no depression test, exactly how do they diagnose depression? Depression is officially described as sadness or low mood levels lasting for at least two weeks, accompanied by other distinct symptoms.
Further, depression is much more severe than having the blues; the condition is disruptive and can impede an individual from performing daily tasks and activities.
There are different diagnostic parameters, all of which can be found in a manual (the Diagnostic and Statistical Manual of Mental Disorders) used by mental health professionals to diagnose different mental illnesses.
In the DSM-IV, depression is said to be present when the individual experiences at least 5 of the following symptoms:

• Low moods, at least (especially in the morning)
• Persistent fatigue
• Feelings of worthlessness or guilt on almost a daily basis
• Difficulties in concentration, sleep (lack of sleep or sleeping excessively), and decision making
• Lack of interest and pleasure in activities an individual used to find interesting (on almost a daily basis)
• Suicidal thoughts or engaging in risky behavior that is destructive/life-threatening
• Restlessness/Laziness
• Significant weight changes (loss or gain)

The manual also states that aside from these symptoms being present, these must not be caused by any ingested medicine, substance, or physical illness.
Further, when these symptoms occur within two months of losing a loved one, they are not considered indications of depression but rather normal reactions to a tragic event.


Unfortunately, unlike most illnesses, depression can’t be diagnosed by specialized blood or laboratory tests. Therefore, mental health care professionals have developed ways to diagnose the conditions via in-depth interviews and written tests. Interviews are considered the most useful tool for diagnosis, given that these give the psychiatrist great insight into the patient’s state of health, their specific experiences involving the symptoms of the condition, their personality, and other relevant details. Furthermore, there are many things that can be revealed during an interview that won’t come out on a test; like verbal reports on a patient’s daily moods, routines, and lifestyle.

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Depression – Are You Really Depressed?

Depression Comes and Life Goes?

Depression bites. We’re sorry, but there is no other way to put it. It's a gross, heavy, disgusting monster that feels like a parasite that saps all of your life energy to sustain itself. If you are living with depression, you can probably admit you are in a vicious cycle. You want to crawl out of your depressed state, but most of the things that would possibly help just take too much energy and motivation, which you have none of because you are... well, depressed.

Then you feel guilty about not doing those things that seem so easy for other people, which zaps you even more and drives you deeper into depression. It is not fun one bit, nothing about it is fun and we understand that it probably makes you feel pretty frustrated.   That's okay. Right now, you don't need to feel confident or hopeful. We will be confident in you right now and you can pick up the reigns later. We know that you can get through this. My confidence in you is not misplaced or unfounded.

You're a brilliant human being and we hope you give us the chance to prove it to you. Consider this: you are exhausted, right? Feeling like every single thing you do takes 1000% more effort because you have this annoying personal black cloud over your head as well as a backpack full of 100 heavy bricks that you carry around all day?

When Depression brings its host of effects?

Alright, so, many of you are probably not sure whether or not the crappy feelings you are having qualify as a depression. We tend to throw around the term depression pretty casually here in the USA.

You might hear someone say that they are depressed when their sports team blows it or when their favorite musical group loses a member. This points to one of the annoying things about depression: it is an emotion and it is also the name of a disorder.

What we mean is, you can feel depressed without having depression. Throw in the fact that depression does not look the same for everyone and this shit can get really confusing.

Let’s try to clear it up a bit.   Have you ever lost a family member or favorite pet? Have you ever completely bombed a test that you needed to do well on in order to get the grade you wanted in a class? Have you broken up with a significant other? I could keep going, but what I am trying to get at is the fact that we have all encountered periods of sadness in our lives. What is distinct about the sadness that follows these sorts of events is that it is “reactional” in nature.

That means you have gone through some shit and your heart is really heavy as a result. You might even have been more than “just a little sad.” Maybe you were having a hard time eating, crying almost constantly, and feeling completely drained of your energy. It is common for difficult circumstances to throw you into a sort of temporary depression.

This is a good thing. It means that you are a good human and that you cared about the issue in the first place. We run into trouble when our overwhelming feelings of sadness extend beyond the immediate situation. If the situation resolves and you still find yourself in the throes of these feelings, you might need to take a step back and evaluate whether you might be depressed.

Of course, many of you are probably here because you are in a similar emotional state, seemingly for no reason. Nobody died, and objectively things are not all that bad, but you just can’t seem to stop feeling like garbage. In fact, that probably fuels the depressive fire even more. That knowledge that things could be worse.

Depending on your circumstances and who you ask, there very well may be a reason for this depressed state you find yourself in … it just might take some digging to find it.

Even if you feel you have no reason to be in such bad shape, it is important, to be honest with yourself and consider the possibility that something clinically significant might be going on here.    And we can’t neglect to mention the people who have an easily identifiable reason for their depression. Trauma, abusive relationships, extreme poverty, a never ending series of tragedies… all of these things are good reasons to feel depressed. It’s tough because these circumstances are not really “your fault.”


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Depression Treatment – What’s Available?

Before anything, a psychiatrist should first be contacted prior to taking any other steps. This mental health professional helps the patient work through their experiences, identify the type of depression present, and to choose and modify a treatment plan to cater to the needs of the patient.

Here are some treatment options that are currently being used to alleviate depression:

#1: Antidepressants: Given that mental illnesses can likely be the effect of chemical imbalances in the brain, antidepressant medicines are often given to complement therapy and to counter these chemical abnormalities.

There are three known chemicals in the brain (called neurotransmitters) that function to regulate mood. These are norepinephrine, serotonin, and dopamine. In people struggling with depression, these neurotransmitters may be abnormally high or abnormally low.

Different types of antidepressants function to normalize these levels in the brain.

-Selective serotonin reuptake inhibitors, or SSRIs, are the most common type of antidepressants used for treatment. You may have heard of some of these, such as Celexa, Lexapro, Paxil, or Zoloft. The side effects associated with SSRIs are mild to moderate, depending on the person. Serotonin and norepinephrine reuptake inhibitors, or SNRIs, are a newer class of antidepressant that function in a way similar to SSRIs. Examples include Effexor, Cymbalta, and Pristiq.

-Tricyclic antidepressants, or TCAs, were among the first types of medication used to treat depression, and are still being used today. Examples of these include Elavil, Adapin, Sinequan, Tofranil, Pamelor, Vivactil, and Surmontil.

-Monoamin oxidase inhibitors, or MAOIs, were also among the first types of medication for depression, and are still being used today. These block an enzyme called monoamine oxidase, a chemical associated with a number of neurological and psychiatric conditions. Examples of MAOIs include Nardil, Parnate, and Marplan.

-Buproprion, like Wellbutrin and Aplenzin, functions to alter abnormal levels of norepinephrine and dopamine. These have mild to moderate side effects and are found to be at lower risk of causing sexual side effects.

-Vortiexone, more commonly known as Brintellix, was approved by the FDA in 2013 and is now the newest antidepressant used to regulate serotonin receptors that consequently affect other important neurotransmitter systems. Currently, this type of medication has been found to have minimal side effects and benefits that help address the cognitive symptoms associated with depression.

#2: Antipsychotics Aside from antidepressants, antipsychotics may be described in order to aid treatment. Antipsychotics have been found to be particularly helpful in the patient who struggles with resistant depression. Examples of antipsychotic medications include Abiligy, Seroquel, Symbyax, and Zyprexa.

#3: Psychotherapy & Behavioral Therapy Medication alone won’t work to battle depression, so taking antidepressants usually goes hand in hand with therapy. The purpose of both therapies is to help the individual develop and adapt feasible coping strategies to effectively deal with depression. It also helps the individual get replace negative attitudes and outlooks shaped by depression with positive ways of thinking. All of these serve not only to decrease stress, but also to enhance the efficacy of any medication being taken.

#4: Electroconvulsive Therapy (ECT) Electroconvulsive therapy (ECT) is one option available for the treatment of severe depression. This procedure entails the application of a brief electric current to the brain via electrodes attached to the scalp while the patient is under sedation. Despite its effectiveness, ECT is only used to treat severe depression that has proven unresponsive to other forms of treatment, or when patients struggling with severe depression become threats to themselves or other people.

#5: Transcranial Magnetic Stimulation (TMS) Device This is a device used for patients struggling with major depression that is unresponsive to medication. This method is considered the least invasive form of treatment for resistant depression. TMS differs from ECT in that it uses a magnetic field rather than an electric shock, and this magnetic field targets a specific part of the brain. The device is placed on the scalp, where it then sends pulses to stimulate nerve cells that are in charge of regulating moods. This method is considered safer but less effective than ECT.

#6: Vagus Nerve Stimulation (VNS) This method is also used to treat individuals struggling with resistant depression. Unlike ECT and TMS, this is considered an invasive form of treatment. A device the size of the wrist watch is implanted into the patient’s chest, with its wires leading to the left vagus nerve. Electrical impulses are then coursed through the wires to this nerve, which is responsible for the passage of information between the brain and the body.

These are the most common modes of treatment used to alleviate depression. Aside from these formal treatment options, there are also other steps that can be taken in order to get the most out of them.

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Depression Treatment Options

Mostly Depression is a form of mental illness that can be extremely dangerous if not well-taken care of. It presents itself in form of sadness that comes as a result of a misfortune or things happening contrary to your expectations. The main causes of such mental conditions are mainly anxiety, stress or fatigue and any other factor that may affect the state of your mind. Unfortunately, most people never seem to take depression seriously and that is the reason for the increased health problems that come as a result of depression and also increased cases of people succumbing to depression. The good news is that we have a lot of proven depression treatment options that you can always use to at least try and reduce the effects of depression gradually. This article will take you through some of the depression treatment options and the best way to go about the healing process.

The best way to eliminate any form of threat is to identify its causes, the same applies to depression; you do not just assume the root of your problems, you have to be certain for you to take the right treatment measures. The best way to go about this is to visit your physicians and make sure that you tell them everything they may need to know about the problem at hand.Some of the common signs and symptoms of depressions include insomnia, feeling worthless and the urge to commit suicide, feeling so anxious and helpless, spending some sleepless nights, feeling weak and fatigue, constant headache among others. It's so unfortunate that a majority of depression victims may not know they are depressed until it's too late when very little can be done to save the situations.

The first depression treatment option that you have is through medication. Luckily, in the modern days, we have doctors that have been specifically trained to deal with any depression-related problems.The doctor can either prescribe to you some anti-depressant drugs, refer you to a physiotherapist or start depression management program that does not necessarily involve any medication. This will depend on the extent and the cause of your depression. Most physicians advise that you visit your doctor soonest possible for you to stand a perfect chance of neutralizing the situation before it goes out of hand. About medication, there are also some herbs that are believed to be very effective in treating depression. However, if you have to use them, make sure that you have done adequate research or you use them with the help of an expert in herbal medicine.

Secondly, work on your lifestyle: Available research indicates that one of the major causes of depression is the type of food you eat, the kind of life you live, the type of people you associate with and your daily routine. Normally, such type of depression can hardly be neutralized through medication, the only option is to work on your lifestyle, know what is working for you and against you. There are certain diets that you can use in depression treatment process. You may need the help of an expert in determining the best meals that will help you manage such form of depression. Apart from that, one of the common mistakes that most people do is bringing their office problems to their family and vice versa. You need to work on your self-control and your priority if you are to eliminate such form of stress in your life.

The third depression treatment option that you can turn to is regular workouts. One of the common exercises in depression management is yoga exercise. The last thing that you need is to engage in an activity that will bring you more anxiety, fatigue and body pains. Yoga allows your body muscles to flex freely and in a small motion releasing any pressure that maybe in your mind, be it anxiety or some disturbing thoughts. You may, therefore, need a yoga coach to help you along the way. The good thing is that the internet has simplified things as you can now get yoga related content and videos on the internet that maybe of great help. Alternatively, you may enroll for online yoga classes which have become so common and highly reliable as you can do them at your home or during your free/leisure time. Note that depression treatment is not a one-day activity, it needs patience and commitment for it to be effective.

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Depression Definition: Pain, Anxiety, and Depression

What experts are not telling you about depression definition

Depression definition implies that the nervous system is not functioning properly because of stimulation of the neurotransmitters. Using the insufficiency serotonin and adrenalin, the nerve skin cells send impulses to the other nerve skin cells, reduces activity in the mind that triggers slowness using parts of the mind, and this causes depression.

The depression relates to the deficiency of gamma-amino butyric acid or GABA. When there is a reduced amount or lack of GABA in the brain, there is a slow response to some nerve impulses that result in anxiety and panic response. There are also other different types of depressive mechanisms that are involved in the process. They differ from one person to person, and they also influence the nature and the severity of depression.

The depression and its effects should be addressed at the earliest when the symptoms are encountered in a person. A depressed person does not have an interest in normal activities and tends to shun all kinds of social interaction.

There is a tendency to feel that the person is hopeless and does not have the desire to live. The depression definition also can induce a person to self-injury and suicide. There are both natural and medical cures and remedies for depression, and once a person falls prey to it, he/she should report to them immediately.

Depression definition is also an array of abnormal variation in the mood of a person. It is a condition that involves the chemicals in the brain. Depression is more than simply a feeling of being sad or blue. A depressed person normally shows attitudes of guilt, loss of pleasure or interest, depressed mood, low self-worth, loss of appetite, and low energy.

The Different Forms of Depression

Here are the several forms of the depressive disorder and the corresponding depression definition:

* Major depression disorder.

The main depressive disorder is also called as major depression. This type of depression is characterized by a group of symptoms that intervene with an individual's study, sleep, work, activity, including the relationship with others. This form of depression is disabling and usually affects the person's normal functioning.

* Dysthymic disorder.

Dysthymic disorder, or otherwise known as dysthymia, is characterized by less severe symptoms that may not be disabling to a person but can prevent him or her from feeling well or functioning normally. This type of depression normally affects an individual for 2 years or more. Individuals who are affected with this type of depression may also encounter one or more occurrences of major depression at some point in their lifetimes.

* Psychotic depression.

This is the kind of depression which occurs together with psychosis. A person suffering from psychotic depression encounters delusions and illusions.

* Postpartum depression.

Postpartum depression can be observed in some women who just gave birth. This is common within a month after delivery, although not all women experience postpartum depression. Approximately 10-15% of women who just gave birth experience this type of depression.

* Seasonal affective disorder or SAD.

From the term itself, this type of disorder only occurs in a certain season, usually during winter, when there is lesser sunlight. During summer and also spring, the depression normally subsides. The usual treatment for this type of depression is light therapy. However, in some cases, psychotherapy and antidepressant medications are needed since not all people respond light treatment.

* Bipolar disorder.

Bipolar dysfunction is before termed as manic depression. This disorder is characterized by alternating periods of extremely elevated mood (mania) and depressed mood.depression definition can also be a mental state characterized by the attitude which is pessimistic and melancholic with a deficit of mental and physical activity.

Knowing the nature and the different depression definitions are not sufficient to stop depression. For you want to live a normal life again that is free from the harmful effects of depression; you should look for the right treatment which is 100% safe to use, fast acting.

However, during economic depressions, large portions of society may become unemployed. As a result, social services provided by the government can be put under severe pressure. Also, as many more people depend upon social services for their needs, a government's ability to provide those services becomes much more difficult. This is due to a drop in tax revenues provided by now existing businesses, as well as the employees of the government. As one can see, a severe economic depression is not good for anybody.



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Depressed Test: Why Depression Will Change Your Life

A depressed test is beneficial when you are experiencing depression symptoms and be worried if you might have a form of clinical depression. There are many forms of depressed tests online. However, when you decide to have one, it is imperative to make sure that it is legitimate and reliable.

Each year, millions of people are affected by depression at one point or even several points during their lives, often with detrimental effects. Depression is a psychological disorder that is so common in our lives that it has been named the common cold of mental illness. According to estimates from the National Institute of Mental Health, about 10% of the world population is suffering from a certain psychological depression disorder at any particular time. Taking a depressed test is a sure way of not only getting to know whether you are suffering from depression but also dealing with the condition.

Surprisingly, as much as the rate of people getting affected by depression is high, the cure rate for the psychological disorder is similarly high. There are various effective interventions to help affected people regain control of their lives. However, the tragic news is that a very significant number of individuals who are suffering from the condition are not aware that they are suffering from depression.

In fact, a majority of the affected people do not go for diagnosis as well as seek the diagnosis. In addition, most people do not know where to begin, and a self-test is one of the simple ways you can get a depression diagnosis for the condition without going to your doctor. A depressed test is an effective tool which may be used to help in determining if you have symptoms of depression, and eventually seek help. However, it is important to take note of the fact that only a qualified and licensed mental health professional is able to undertake a depression diagnosis.

There are several types of depression, and the psychological disorder is classified in several ways, and there are several depressed tests that are conducted to diagnose each type. The most depressed test is designed to diagnose cases such as major depression, dysthymia or otherwise known as chronic depression, bipolar disorder, postpartum depression, and cyclothymia or otherwise known as a mild bipolar disorder, as and SAD or seasonal affective disorder.

Each one of these depressive disorders presents a variety of symptoms, and each one of them represents a specific diagnostic procedure. In order for you to gain a more in-depth insight into each of the different types of depression, you need to take one test and examine the results. It is also worthwhile to note that there are other varieties of depression do not have a particular test for diagnosing the condition.

Another cause of the symptoms of depression is low levels of important vitamins and minerals in your body. Magnesium, Calcium, the B-complex vitamins, as well as folic acid need to be a big part of your body, and not having enough can make you feel run down, lethargic and not wanting to do everyday routines.

Some diseases can cause symptoms of depression that you wouldn't even consider. Lyme disease, caused by the bite of the common deer tick, can cause some of these same symptoms. You may get bitten by one during the Summer, not notice it in the first stages, and by the time Winter starts, you're feeling lethargic, run down, and have chronic pain, all the signs of depression, but what actually is the second and third stages of Lyme disease.

To sum it up, it is a widely-known fact that at a certain moment in our lives, every person gets to a point where they feel that they are depressed or in the dumps. However, if you feel that life is constantly making you feel that you are down, and the lows make you feel as if you cannot function normally, then you may be suffering from a certain form of depression. In order to establish whether the emotional slumps you are experiencing are serious, you need to take a depressed test. The test is not only designed to establish whether you are currently suffering from depression but also designed to determine if you may be at risk of experiencing depression.

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Anxiety Depression Syndrome

There is no escaping anxiety depression syndrome by way of gender, age, or race. It can strike anyone, anytime, anywhere. Of course, there are a few lifestyle choices an individual can make to greatly decrease their chances of being afflicted. But for the public at large, everyone is fair game. This article will discuss a few interesting facts about anxiety depression syndrome that everyone should be aware of. This will help you understand the condition better, and may provide you with something that can help if you're already suffering from chronic anxiety and/or depression.

Q: What is the worst thing a person can do if they think they may be afflicted with anxiety?
A: Nothing.

An alarming number of individuals, knowing full well that something isn't right, will go on attempting to live their lives normally. Ignoring the feelings and symptoms associated with this condition can be incredibly dangerous. For starters, this disorder has claimed lives. Left untreated, there have been many cases of individuals who simply couldn't take their internal turmoil and resorted to suicide as a means of escape. This is not to suggest that you would personally go this route, but it has happened.

The two primary things that generally separate individuals with normal, healthy amounts of anxiety or depression from people with a debilitating condition are the severity of the symptoms coupled with their persistence and duration. Obviously, the severity is important, but not everyone has anxiety so intense that they can't interact with others or face the real world. However, it may be wearing them down slowly because it just won't let up. Kind of like being “softly” punched in one area of your body over and over and over again.

Of course, no matter how extreme or persistent the anxiety depression syndrome may be, there are still countless individuals who fail to seek professional help, either medical treatment or psychological support. I would assert that this is because the condition itself prevents them from doing so. They are literally too anxious and depressed to go get help for their anxiety and depression. It truly is a catch 22.

There are things that an individual with this affliction can do to improve their symptoms at least enough to be able to follow through with seeking out professional help. And what tops the list of effective anxiety and depression treatments? Exercise! When you work up a nice sweat, either with aerobics, weights, or a combination of these, you get your endorphins flowing, your muscular tension absolved, and your overall stress lowered dramatically.

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Treat Anxiety Depression and Panic Attacks