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February 11, 2025 30 mins
Anxiety and depression often go hand in hand, creating a cycle that feels impossible to escape. In this episode, we break down the science behind their connection, how they impact the brain and body, and why they feed into each other. More importantly, we explore practical strategies to manage both—therapy, self-care, mindfulness, humor, and small daily actions that can make a real difference. If you’ve ever felt stuck between anxiety’s overdrive and depression’s shutdown, this episode is for you. Plus, a sneak peek at next week’s topic: how childhood trauma shapes adult relationships.



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Episode Transcript

Available transcripts are automatically generated. Complete accuracy is not guaranteed.
Speaker 1 (00:00):
Welcome back to Anxiety. Let's work this shit out. My
name is Fabian, and today we're diving into a topic
that so many people struggle with, the connection between anxiety
and depression. If you've ever felt like your anxiety and
depression feed off each other, you're not alone. These two
conditions often go hand in hand, making it difficult to

(00:21):
untangle where one ends and the other begins. But here's
the thing. You can understand this relationship better and you
can take steps to manage it. In this episode, we'll
break down what makes anxiety and depression similar, what sets
them apart, and why they so often coexist. We'll explore
how they affect your brain and body, what it feels

(00:43):
like to live with both, and most importantly, how you
can take control and start feeling better. Whether you're currently
dealing with one or both of these conditions, or you
just want to understand them more deeply, this episode will
give you the insights and tools you need. Anxiety and
depression are two of the most common mental health conditions,

(01:05):
affecting millions of people worldwide, but despite how widespread they are,
they're still misunderstood both by those who suffer from them
and by the people around them. Society often treats them
as completely separate issues, but research shows that they're more
connected than we once thought. Maybe you've noticed that your
anxiety leaves you feeling drained, hopeless, or unmotivated. Or perhaps

(01:29):
your depression has a sneaky way of turning into overthinking, panic,
or restlessness. It's frustrating, isn't it. It can feel like
a never ending cycle. Anxiety keeps you on edge, and
then exhaustion from being on edge leads to depression. The
depression then makes it harder to function, which increases stress
and triggers more anxiety. It's like a toxic loop that

(01:52):
keeps you stuck. We'll be discussing why this happens, and
more importantly, how you can break that cycle. There is
a way to find balance. It takes time, effort, and
self compassion, but you don't have to live in this
cycle forever. This episode isn't about throwing a bunch of
medical jargon at you or making you feel like your
struggles are just a bunch of textbook symptoms. It's about

(02:15):
making sense of your experience. We're going to keep it real, relatable,
and as always a little bit lighthearted. Where we can,
because if there's one thing we know, it's that humor
can be a great coping tool when dealing with heavy topics.
By the end of this episode, you'll have a clearer
understanding of how anxiety and depression are connected, why they

(02:38):
often show up together, and what you can do about it.
We'll talk about therapy options, self care techniques, and some
resources you can turn to if you need extra support
before we get started. If you're struggling, you're not alone.
There are ways to get help, and we'll be sharing
some resources later in the episode. And if you want

(02:58):
to support this podcast and get access to exclusive content,
you can join our Supporters Club for three dollars a month.
The details are in the episode description wherever you get
your podcasts. All right, let's get into it. Anxiety and depression,
how do they overlap and what can we do about it?
Anxiety and depression don't just exist as abstract mental health terms.

(03:22):
They show up in real life in ways that can
be exhausting, frustrating, and at times even debilitating. If you've
ever found yourself stuck in that loop where anxiety has
you spiraling overthinking every possible scenario, and then the exhaustion
from that mental overload leaves you feeling drained and hopeless.
You know exactly what I'm talking about. It's like running

(03:45):
on a treadmill you never meant to step onto, and
no matter how hard you try to slow it down,
the pace just keeps increasing. Maybe you've had nights where
your mind won't let you rest. You're lying there, staring
at the ceiling, feeling your heart race as your brain
cycles through every mistake you've ever made, every embarrassing moment,

(04:06):
every possibility of something going wrong, and then when morning comes,
the exhaustion hits you like a weight pressing down on
your chest. Everything feels too heavy, too overwhelming. The simplest
tasks getting out of bed, making a cup of coffee,
answering a text feel impossible. It's like your body and

(04:26):
mind can't agree on anything. Your anxiety is screaming at
you to do something, fix something, prepare for the worst,
and your depression is telling you what's the point? Why bother?
For so many people, this struggle isn't just occasional, it's daily,
And the hardest part is that it can feel invisible
to the outside world. You might seem fine. Maybe you

(04:48):
show up to work, make small talk, even laugh at jokes,
but inside you're exhausted. It's like carrying a weight no
one else can see. And because these two conditions overlap
so much, it's easy to feel stuck. You might start
to believe that this is just how life is going
to be, that feeling better is out of reach. But
here's the truth. Anxiety and depression are powerful, but they

(05:11):
aren't unbeatable. You don't have to accept them as permanent
fixtures in your life. There are ways to ease the burden,
to quiet the noise in your head, to regain energy
and motivation. But first it helps to understand why these
conditions are so closely connected. Why does anxiety so often
lead to depression, and why does depression sometimes trigger anxiety.

(05:34):
That's exactly what we're going to unpack next. Anxiety and
depression don't just exist as abstract mental health terms. They
show up in real life in ways that can be exhausting, frustrating,
and at times even debilitating. If you've ever found yourself
stuck in that loop where anxiety has you spiraling overthinking
every possible scenario, and then the exhaustion from that mental

(05:57):
overload leaves you feeling drained, and hopeless. You know exactly
what I'm talking about. It's like running on a treadmill
you never meant to step onto, and no matter how
hard you try to slow it down, the pace just
keeps increasing. Maybe you've had nights where your mind won't
let you rest. You're lying there, staring at the ceiling,
feeling your heart race as your brain cycles through every

(06:20):
mistake you've ever made, every embarrassing moment, every possibility of
something going wrong, And then when morning comes, the exhaustion
hits you like a weight pressing down on your chest.
Everything feels too heavy, too overwhelming. The simplest tasks getting
out of bed, making a cup of coffee, answering a

(06:40):
text feel impossible. It's like your body and mind can't
agree on anything. Your anxiety is screaming at you to
do something, fix something, prepare for the worst, and your
depression is telling you what's the point why bother? For
so many people, this struggle isn't just occasional, it's daily.
The hardest part is that it can feel invisible to

(07:02):
the outside world. You might seem fine, maybe you show
up to work, make small talk, even laugh at jokes,
but inside you're exhausted. It's like carrying a weight no
one else can see. And because these two conditions overlap
so much, it's easy to feel stuck. You might start
to believe that this is just how life is going
to be, that feeling better is out of reach. One

(07:25):
of the most frustrating parts of dealing with both anxiety
and depression is how they contradict each other. Anxiety makes
your brain race. It makes you hyper aware of everything,
over analyzing every tiny detail, predicting the worst case scenario
in every situation. It's like your brain is constantly scanning
for danger, convinced that if you don't stay alert, something

(07:48):
bad will happen. Meanwhile, depression slows everything down. It drains
your energy, makes you feel numb, and turns even simple
tasks into overwhelming challenges, pressing the gas in the break.
At the same time, you're stuck in this exhausting battle
between panic and paralysis. And when people don't understand this,
they offer well meaning but completely unhelpful advice. They might say,

(08:13):
just calm down, stop worrying so much as if anxiety
is a choice, or they'll tell you just get up
and do something, go for a walk, be productive as
if depression is just laziness, they don't see the battle
happening inside your head. The way anxiety pushes you to
overthink and obsess, while depression makes you want to give

(08:33):
up entirely. The way you can feel completely overwhelmed and
yet totally empty at the same time. If you've ever
had a moment where you sat in silence, staring into space,
feeling nothing at all, but knowing deep down that something
is very wrong, you know this feeling. If you've ever
panicked over an upcoming event, only to cancel last minute

(08:56):
because the weight of leaving the house feels unbearable, you've
lived experience. If you've ever forced yourself to smile in
a conversation while internally spiraling, you understand how exhausting it
can be to pretend you're okay when you're absolutely not.
Maybe you've had days where even brushing your teeth feels
like climbing a mountain, or nights where you're wide awake,

(09:18):
your mind racing with everything you're afraid of, only to
crash into an exhaustion so heavy that you can barely
function the next day. It's a cycle that feels impossible
to break. Anxiety and depression feed off each other, each
one making the other worse. The fear, the panic, the exhaustion,
the numbness, it all becomes a tangled mess that's hard

(09:41):
to escape. It's important to recognize that none of this
makes you weak. It doesn't mean you're broken or beyond help.
It means you're dealing with something incredibly difficult, and the
fact that you keep pushing forward, even in the smallest ways,
is proof of your strength. The reality is you're not
alone in this. So many people are going through the

(10:03):
exact same thing, even if they don't talk about it.
But here's the thing. There is hope. It might not
feel like it right now, but it's possible to break
this cycle. It's possible to quiet the anxiety without sinking
into depression. It's possible to lift the weight of depression
without triggering panic. It takes time, effort, and the right tools,

(10:26):
but it is possible, and that's exactly what we're going
to talk about in this episode. Anxiety and depression might
feel like they control your life, but they don't have to.
You have more power than you think, and together we're
going to explore how to take some of that power back.
Anxiety and depression don't just affect how you feel emotionally.

(10:47):
They have real, measurable effects on your brain and body.
Understanding what's happening on a neurological and physiological level can
help explain why these conditions often show up together and
why they can feel so overwhelming. At their core. Anxiety
and depression are both linked to how the brain processes stress.

(11:07):
Your brain is an intricate network of neurons constantly sending
signals back and forth to regulate your mood, energy levels,
and responses to the world around you. A key player
in this process is the amygdala, a part of the
brain that processes fear and emotional responses. If you have anxiety,
your amigdala tends to be overactive, constantly sending alerts to

(11:30):
the rest of your body that something is wrong, even
when there's no actual danger. This is why even minor
stressors can feel like major threats, why your heart races
when you overthink, and why your body feels tense when
you're anxious. On the other hand, depression is often linked
to dysfunction in the prefrontal cortex, which is responsible for reasoning,

(11:52):
decision making, and emotional regulation. When this part of the
brain isn't functioning properly, it becomes harder to process emotions
in a balanced way. This is why depression often brings
a sense of hopelessness, difficulty concentrating, and a feeling of
being stuck in a fog. Another important factor is neurotransmitters,

(12:12):
the chemical messengers that help your brain regulate mood. Three
key neurotransmitters, serotonin, dopamine, and noropinephrine, play major roles in
both anxiety and depression. When serotonin levels are too low,
it can lead to feelings of sadness, fatigue, and difficulty
coping with stress. Low dopamine makes it harder to experience

(12:33):
pleasure or motivation, which is why depression can make even
enjoyable activities feel pointless. And when noropinephrine, which helps regulate
your fight or flight response, is out of balance, it
can either heighten anxiety or contribute to the lack of
energy that comes with depression. This is where things get complicated.

(12:54):
Anxiety can trigger a surge of stress hormones like cortisol
and adrenaline, which prepare your body to react quickly to danger.
If you were actually in a life threatening situation, this
response would help you survive, But when anxiety is chronic,
your body stays in a heightened state of alert, flooding
you with stress chemicals that keep you on edge over time.

(13:17):
This constant activation of your stress response system can exhaust
your body and lead to burnout, one of the reasons
why anxiety often leads to depression at the same time,
depression affects the hypothalamic pituitary adrenal HPA axis, which controls
how your body responds to stress. When this system becomes disregulated,

(13:38):
it can make it harder for your return to a
calm state after experiencing anxiety. So instead of feeling relief
when an anxious episode passes, depression keeps you stuck in
a state of exhaustion and numbness. This is why the
relationship between anxiety and depression can feel like a never
ending cycle. Anxiety keeps your body and brain over stimulated,

(14:00):
making it difficult to rest or recover over time. This
chronic stress leads to emotional burnout, making depression more likely
to set in, and when depression takes hold, the lack
of motivation and energy makes it harder to manage anxiety,
creating a loop that feels impossible to break. To make
things even more frustrating, these conditions don't just affect your brain,

(14:23):
they have real physical effects on your body as well.
Chronic anxiety can lead to digestive issues, muscle tension, headaches,
and a weakened immune system. Depression can cause fatigue, changes
in appetite, sleep disturbances, and even chronic pain. And because
the body and mind are so closely connected, these physical
symptoms can make both conditions worse. But here's the good news.

(14:47):
Because anxiety and depression are so closely linked, treatments that
help one condition often help the other as well. Therapy, medication,
lifestyle changes, and mindfulness techniques all target the same brain
systems that contribute to both anxiety and depression. That means
there are real effective ways to disrupt this cycle and

(15:08):
start feeling better. Now that we understand how these conditions
affect the brain and body, the next step is figuring
out what we can actually do about it. In the
next section, we'll dive into practical strategies for managing both
anxiety and depression, from therapy options to simple daily habits
that can make a big difference. Understanding the science behind

(15:31):
anxiety and depression is one thing, but when you're in
the middle of it. When your brain is spiraling with
anxious thoughts or weighed down by depression, what actually helps
managing these conditions requires a combination of strategies, some that
target your thoughts, some that work with your body, and
some that focus on long term changes. The good news

(15:53):
is small steps can lead to big results over time.
One of the most effective approaches for tree both anxiety
and depression is cognitive behavioral therapy or CBT. CBT is
based on the idea that your thoughts, emotions, and behaviors
are all connected. If you change the way you think,
you can change the way you feel and act. For example,

(16:16):
if you constantly tell yourself I'm going to fail. I
can't handle this, your brain starts to believe it and
your body reacts with stress and exhaustion. But if you
catch that thought and challenge it, what if I succeed?
What if I take it one step at a time,
You can shift your brain out of survival mode. Another
powerful strategy is behavioral activation. When depression takes hold, it

(16:39):
convinces you that doing anything is pointless. You stop engaging
in activities that once brought joy, and over time that
withdrawal makes things worse. Behavioral activation flips this around. Instead
of waiting to feel motivated, you start doing small activities first,
and the sense of accomplishment triggers positive emotions. It can

(17:00):
be as simple as getting up, taking a shower, or
stepping outside for a few minutes. These small actions send
signals to your brain that you're still engaged in life,
even when it feels difficult. Breathing techniques are another essential tool,
especially for managing the physical symptoms of anxiety. When your
body is in fight or flight mode, your breathing becomes

(17:22):
shallow and rapid, fueling more panic. One technique that can
help is box breathing inhale for four seconds, hold for four,
exhale for four, and hold again for four. This slows
your heart rate and calms your nervous system for depression.
Movement and exercise can be game changers. You don't need
to run a marathon. Just moving your body in any

(17:44):
way can help. When you exercise even lightly, your brain
releases indorphins and serotonin, natural chemicals that improve mood and
reduce stress. A short walk, stretching, or even dancing in
your kitchen can make a difference. Another overlooked but essential
factor in mental health is nutrition. Anxiety and depression can

(18:05):
disrupt your appetite, leading to overeating or skipping meals, but
food directly impacts brain function. Eating protein, healthy fats, and
complex carbohydrates helps stabilize blood sugar and keep energy levels balanced.
Omega three, fatty acids found in fish, flax seeds, and walnuts,
have been shown to reduce symptoms of depression. Reducing caffeine

(18:27):
and alcohol intake can also help, as both can increase
anxiety in disrupt sleep. Speaking of sleep, it's impossible to
talk about mental health without addressing rest and recovery. Anxiety
makes it hard to fall asleep, while depression makes it
hard to get out of bed. Both conditions can throw
off your body's natural rhythms. One way to reset your

(18:48):
sleep cycle is by maintaining a consistent routine going to
bed and waking up at the same time every day,
even on weekends. Avoid screens before bed, as blue light
interferre with melatonin, the hormone that regulates sleep. Creating a
calming nighttime routine, whether it's reading, listening to music, or
practicing deep breathing signals to your body that it's time

(19:10):
to wind down. Another powerful tool in managing both anxiety
and depression is mindfulness and meditation. Mindfulness means being present
in the moment, rather than lost in anxious thoughts about
the future or ruminating on the past. A simple mindfulness
exercise is focusing on your five senses what you can see, hear, smell, taste,

(19:33):
and touch in this exact moment. Meditation, even for just
five minutes a day, has been shown to rewire the brain,
making it easier to manage emotions and reduce stress. For some,
medication can be an important part of treatment. Antidepressants and
anti anxiety medications work by balancing the neurotransmitters we talked
about earlier, serotonin, dopamine, and norepinephrine. If you're struggling, talking

(19:58):
to a doctor or psychiatrist about whether medication could be
helpful is worth considering. Another crucial factor in managing anxiety
and depression is connection. When you're in the depths of
depression or caught in an anxiety spiral, the instinct is
often to withdraw, but isolation makes both conditions worse. Reaching

(20:18):
out to a friend, joining a support group, or even
texting someone just to check in can create a sense
of connection. And remind you that you're not alone. One
of the hardest but most important things to practice is
self compassion. Anxiety and depression both have a way of
making you feel like you're failing or that you should

(20:39):
be able to just snap out of it, But mental
health struggles are real and they require care, not criticism.
If you wouldn't talk to a friend the way you
talk to yourself, it's time to change that inner dialogue.
Managing anxiety and depression isn't about finding a quick fix.
It's about building habits that support your mental well being

(20:59):
over It's about recognizing the small winds, the moments of progress,
and being patient with yourself along the way. Some days
will be easier than others, and that's okay. What matters
is that you keep showing up for yourself, even in
the smallest ways. In the next section, we'll take a
lighter approach, looking at how humor and playfulness can actually

(21:22):
help in managing anxiety and depression, because while these conditions
are serious, laughter can be a powerful tool for shifting
your perspective and creating moments of relief. Anxiety and depression
can be overwhelming, exhausting, and at times completely unbearable. But
here's something you might not have considered. Sometimes the best

(21:44):
way to take the edge off these struggles is through humor.
It might seem counterintuitive to laugh about something so serious,
but humor has a way of creating space between you
and your struggles. It allows you to see things from
a different perspective, to say, step back from the constant
pressure in your mind, and, if only for a moment,

(22:04):
to feel a little lighter. Think about it. Have you
ever had a moment where your anxiety was spiraling, convincing
you that everything was doomed, only to realize later how
ridiculous some of those thoughts were, Like the time you
were convinced that sending a text without an exclamation point
meant your friend secretly hated you, or when you googled

(22:27):
a mild headache and suddenly convinced yourself you had a
rare tropical disease you'd never even heard of before. Anxiety
has a way of taking normal concerns and dialing them
up to the most dramatic level possible, and sometimes the
best thing you can do is step back and laugh
at how absurd it all sounds. The same goes for depression.

(22:48):
Depression can make everything feel like an impossible task, getting
out of bed, making breakfast, responding to a text. But
have you ever caught yourself lying in bed, staring at
the wall, thinking I could get up, or I could
just stay here forever and let the dust slowly bury
me like an ancient artifact. The thought itself is so
dramatic and over the top that it's almost funny. Depression

(23:13):
tries to convince you that there's no point in anything,
but sometimes calling it out in a sarcastic or exaggerated
way can take away some of its power. Laughter is
more than just a distraction. It has real physiological benefits.
When you laugh, your brain releases endorphins, those same feel
good chemicals that boost your mood after exercise. It lowers

(23:35):
stress hormones, relaxes muscle tension, and even strengthens your immune system.
Laughter is literally healing, and it's not just about laughing
at your struggles. It's about finding humor in the small,
everyday moments of life. Maybe it's a ridiculous meme that
perfectly describes your anxious overthinking. Maybe it's watching a comedy

(23:56):
special or rewatching your favorite sitcom for the hundredth time.
Maybe it's joking with a friend about how you both
forgot how to be functional humans today. These moments remind
you that even when things feel dark, there's still light
to be found. One of the best things about humor
is that it helps create connection. Anxiety and depression both

(24:19):
have a way of making you feel isolated, like you're
the only one dealing with these struggles. But the moment
you share a joke with someone who gets it, suddenly
you're not alone anymore. There's comfort in knowing that other
people understand that they've been there too. Of course, humor
isn't about ignoring or dismissing what you're going through. It's

(24:40):
not about pretending things aren't hard. It's about giving yourself
permission to find moments of relief, to step outside of
the constant pressure of your thoughts and remind yourself that
even in the midst of struggle, joy still exists. So
the next time your anxiety is telling you that you're
about to be humiliated beyond repair because you said you

(25:01):
too when the barista told you to enjoy your coffee, pause,
laugh at the fact that your brain just assigned catastrophic
significance to a totally normal human slip up the next
time depression tries to convince you that getting up to
get a glass of water is an insurmountable task. Maybe
joke with yourself, Ah, yes, the heroic journey to the kitchen.

(25:23):
Will I survive? Only time will tell. Finding humor in
the struggle doesn't mean the struggle isn't real. It just
means you're giving yourself a little room to breathe, and
sometimes that's exactly what you need to keep going. In
the next section, we'll wrap up the episode with some
key takeaways, a recap of what we've covered, and some

(25:45):
encouragement to keep moving forward because no matter how heavy
things feel, you're not stuck. You have more strength than
you realize, and there are always ways to lighten the load.
We've covered a lot in this episode, so let's take
a moment to recap the most important points. Anxiety and
depression are deeply connected, often feeding into each other in

(26:07):
ways that can feel overwhelming. Anxiety keeps your mind racing,
convincing you that everything is a potential threat. Depression, on
the other hand, slows everything down, draining your energy and motivation.
Together they can create a cycle that feels impossible to break,
but the good news is you can break it. We

(26:27):
explored how these conditions impact your brain and body, from
the overstimulated amygdala fueling anxiety, to the under active prefrontal
cortex making depression harder to manage. We talked about how
neurotransmitters like serotonin, dopamine, and norepinephrine play a role, and
how chronic stress can lead to emotional burnout keeping the

(26:47):
cycle going. But most importantly, we talked about what you
can do about it. You don't have to accept anxiety
and depression as permanent fixtures in your life. Cognitive behavioral
therapy can help you challenge negative thought patterns. Behavioral activation
can push back against the withdrawal that depression encourages. Breathing techniques, movement, nutrition,

(27:10):
and sleep all play a role in regulating your nervous
system and helping your body recover from stress. Mindfulness and
meditation can train your brain to stay in the present
rather than getting lost in anxious spirals or depressive thoughts.
And humor. Yes, humor can be a tool to create
distance from the constant pressure of your mind, giving you

(27:32):
a chance to breathe and reset. If there's one thing
to take away from this episode. It's this. You are
not stuck. Anxiety and depression are powerful, but they don't
define you. You are more than your worst days. You
are more than the thoughts in your head, and no
matter how heavy things feel, there are always steps, small
or big, that you can take to move forward. If

(27:55):
you're struggling right now, please know that help is available.
Reach out to someone you trust, whether it's a friend,
family member, therapist, or support group. You don't have to
go through this alone. That wraps up today's episode of anxiety.
Let's work this shit out. I hope this conversation helped
you feel a little less alone in the struggle with

(28:17):
anxiety and depression. These conditions can be relentless, but they
don't get the final say in your life. Every small
step you take, whether it's challenging a negative thought, practicing
deep breathing, or even just laughing at the absurdity of
your anxious brain, is a win, and those small wins
add up. Before we go, I want to remind you

(28:39):
that if you need support, you don't have to figure
this out on your own. There are people who care,
who understand, and who want to help, whether that's a therapist,
a support group, or a close friend. Reaching out is
one of the strongest things you can do. If you
found this episode helpful, consider sharing it with someone who

(28:59):
might need eat it too. And if you want to
support the podcast, you can join our Supporters Club for
just three dollars a month. Not only does it help
keep this show going, but you'll also get access to
exclusive content. You can find all the details in the
episode description. Wherever you get your podcasts, have questions or
want to share your experience, reach out at anxietyat sense

(29:23):
of thisshit dot com. In the next episode, we're going
to dive into a topic that affects so many of us,
how childhood trauma shapes adult relationships. If you've ever found
yourself struggling with trust, repeating unhealthy patterns, or feeling triggered
by things you can't quite explain, this episode is for you.
We'll break down why these patterns exist, and more importantly,

(29:46):
how to start breaking free from them. Until then, take
care of yourself. Remember, healing isn't about doing it perfectly.
It's about showing up for yourself, even on the hard days.
Thanks for listening and I'll see you in next episode.
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