Depression & Anxiety

depressed woman

Depression & Anxiety

Depression and anxiety disorders are different, but people with depression often experience symptoms similar to those of an anxiety disorder, such as nervousness, irritability, and problems sleeping and concentrating. Each disorder has its own causes and its own emotional and behavioral symptoms.


Most likely, depression is caused by a combination of genetic, biological, environmental, and psychological factors. It is also known that many people who develop depression have a history of an anxiety disorder earlier in life.  There is no evidence that one disorder causes the other, but there is clear evidence that many people suffer from both disorders. If you are feeling symptoms of depression or anxiety, contact our office to schedule an appointment with Dr. Miller.

Signs & Symptoms

People with depressive illnesses do not all experience the same symptoms. The severity, frequency, and duration of symptoms vary depending on the individual and his or her particular illness.

Signs & Symptoms include

  • Persistent sad, anxious, or “empty” feelings
  • Feelings of hopelessness or pessimism
  • Feelings of guilt, worthlessness, or helplessness
  • Irritability, restlessness
  • Loss of interest in activities or hobbies once pleasurable, including sex
  • Fatigue and decreased energy
  • Difficulty concentrating, remembering details, and making decisions
  • Overeating, or appetite loss
  • Thoughts of suicide, suicide attempts


Depression, even the most severe cases, can be effectively treated. The earlier that treatment can begin, the more effective it is. The first step to getting appropriate treatment is to visit a doctor or mental health specialist. Your doctor can provide you with a physical exam, interview, or lab tests to determine if there are any medical conditions that may be causing your symptoms. If your doctor can find no medical condition that may be causing the depression, the next step is a psychological evaluation.

Once diagnosed, a person with depression can be treated in several ways. The most common treatments are medication and psychotherapy. Medication includes antidepressants which primarily work on brain chemicals called neurotransmitters, especially serotonin and norepinephrine. Other antidepressants work on the neurotransmitter dopamine. Scientists have found that these particular chemicals are involved in regulating mood.

For mild to moderate depression, psychotherapy may be the best option. However, for severe depression or for certain people, psychotherapy may not be enough. A combination of medication and psychotherapy may be the most effective approach to treating major depression and reducing the chances of it coming back.

Contact Us Today

Take control of your life with the help of Dr. Miller and contact our office today at 201-977-2889.