Is It Depression, or Is It Anxiety?

High rates of overlap and similar symptoms make diagnoses difficult. But in the future, that might not matter.

Erman Misirlisoy, PhD
Elemental

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Illustration: Miju Lee

Where does anxiety end and depression begin?

In 2017, the World Health Organization estimated that 4.4% of the global population — more than 300 million people — suffer from depression, and that 3.6% of the global population — more than 250 million people — suffer from an anxiety disorder. But one fact complicates this picture: Many of the people who suffer from depression symptoms also suffer from anxiety symptoms, and vice versa. This can make it difficult to reliably and consistently diagnose each disorder.

The current mainstream approach to diagnosing mental health problems is to use a checklist system, such as the most recent version of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5). A clinician works through a symptom list, comparing it against a person’s reported experiences. A person can be diagnosed with major depressive disorder if they persistently experience symptoms such as depressed mood and feelings of worthlessness. For a diagnosis of generalized anxiety disorder, people typically experience persistent worry and irritability. But when looking through all the criteria for each disorder, the commonalities are obvious…

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