Anxiety and Depressive Disorders
Did you know, for people under the age of 60, depression is the most common disability in the world?
Anxiety and depression are two unique syndromes, yet have overlapping symptoms. Symptoms can present in shorter, more intense ‘episodes,’ or interfere to some degree most of the time. Anxious and depressive symptoms can impact mood and functioning, both mentally and physically. We continue to learn more, although it seems that a combination of biological, psychological and social/ environmental factors contribute to the likelihood one may experience anxiety or depression. Trauma exposure, medical conditions, certain medications, sleep quality, stress and use of substances can play roles.
So what can we do? Medications targeting one or more neurotransmitter systems- including serotonin, norepinephrine, dopamine, glutamate, gaba and others- may be recommended based on an individual's symptoms and preferences. Genetic testing, covered by some insurance plans, can also play a role in guiding medication selection. For treatment resistant depression, referral for Spravato (intranasal esketamine) may be an option.

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