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Mixed Anxiety-Depressive Disorder

Welcome to the Mixed Anxiety-Depressive Disorder resources and information center, and welcome to the WorldWideMentalHealth.com family of websites, including our psychological and psychiatric disorder resource database. You can find references and lists of published research and other recommended readings, you'll find treatment resources and the latest research and news on the new DSM-5 (aka DSM-V) as well as the ICD-10 / ICD-11 including disorder updates and how to diagnose new disorders. The symptoms and relevant research findings are included. Feel free to browse our network of informational sites and writings related to counseling and mental health, and don't forget to also check out our blogs reviewing recent research articles, books and even psychology continuing education. We appreciate your visit and hope you will bookmark the site and come by again often to stay up to date on new research and developments in mental health.


The DSM-5 (aka DSM-V) disorder information database is being compiled. Check out the links below for additional research and resources related to these psychiatric disorders. Learn more about DSM-5 DSM-5 diagnoses and the new DSM-5 dimensional system, including how to rate and use the dimensions and personality traits.

Childhood Disorders

ADHD (ADHDIMPULSIVE.COM)
Autistic Spectrum Disorder (Autism, Aspergers, Pervasive Developmental Disorder)
Pediatric Bipolar Disorder

Mood and Anxiety Disorders

mixed anxiety-depressive disorder (mixedanxietydepressive.com)
developmental trauma disorder (developmentaltrauma.com)
DISORDERS OF EXTREME STRESS NOS (DISORDERSOFEXTREMESTRESS.COM)

Neurocognitive Disorders and Intellectual Disabilities

Intellectual Disability

Personality Disorders

Borderline Personality Disorder
Depressive Personality Disorder
Psychopathic Personality Disorder (Antisocial)

(more to be filled in soon)
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What is Mixed Anxiety-Depressive Disorder, can you tell me about it?

Mixed Anxiety-Depressive Disorder was included in the DSM-IV as a disorder for further research. As much as it is hard to resist an acronym like "MAD" or "MADD," the clinical utility of the disorder is unclear, and other proposals such as including anxiety as a dimension may or may not make the disorder unnecessary. There is however a need to reflect the fact that there is a group of individuals who experience both depression and anxiety symptoms, and that the categorical distinction between mood and anxiety disorders may not be a clear and firm one.

However, pay attention to the developments from January 20, 2010 on as the DSM-V task force committees may try to find ways of incorporating more "subthreshold" conditions in to the manual.

You can find the narrative and diagnostic criteria for mixed anxiety-depressive disorder on pg. 780 of the Diagnostic and Statistical Manual of Mental Disorders DSM-IV-TR Fourth Edition (Text Revision). There is a list of symptoms that tend to be associated with depression and anxiety, as well as a number of exclusion criteria such as never having met the diagnostic criteria for Major Depressive Disorder, Dysthymic Disorder, Panic Disorder or Generalized Anxiety Disorder and that the criteria are not currently met for any other anxiety or mood disorder (including those in partial remission). This exclusion criteria certainly may reduce the value of the construct, given that individuals who may experience a mood disorder also often experience an anxiety disorder.

Links and other online resources related to Mixed Anxiety-Depressive Disorder

The British Journal of Psychiatry- Online editorial:The case for cothymia: mixed anxiety and depression as a single diagnosis. The article come out in favor of a combined "subsyndromal" diagnosis that includes both depression and anxiety equally.

The American Journal of Psychiatry: The DSM-IV field trial for mixed anxiety-depression

Where can I find treatment or other help for Mixed Anxiety-Depressive Disorder?

If there is an emergency (examples: seriously contemplating suicide and/or homicide, an impending manic episode, psychosis, or other concern requiring immediate attention) please contact your local emergency room, crisis center or call 911 and describe the problem. You can get referrals to psychologists in your area by calling 1-800-964-2000. Another good place to look for Psychologists, Psychiatrists, and other mental health professionals such as counselors, social workers and others licensed to perform counseling or psychotherapy in your local area is the phone book. If you have insurance you can see if your coverage is limited to certain professionals in your area. Their names will be available from your insurance company. If you do not have insurance please call around including mental health agencies in your area (ex: county) as there are often some low or no cost options for treatment, including prescription assistance plans (and on the short-term medication samples from your doctor may be an option if necessary). For more information on such programs try PsychiatricMedications.net

Additional resources for finding psychological services.

Recommended books for Mixed Anxiety-Depressive Disorder

Depressed and Anxious: The Dialectical Behavior Therapy Workbook for Overcoming Depression & Anxiety
Treatment Plans and Interventions for Depression and Anxiety Disorders

Research and References on Mixed Anxiety-Depressive Disorder

Zinbarg, RE; DH Barlow, M Liebowitz, L Street, E Broadhead, W Katon, P Roy-Byrne, JP Lepine, M Teherani and J Richards (1994). The DSM-IV field trial for mixed anxiety-depression. American Journal of Psychiatry, 151:1153-1162

The full references list of published research is pending for this disorder.

Learn about the ICD: International Classification of Diseases including ICD-9, ICD-10 and ICD-11

The ICD is published by the WHO: World Health Organization and offers diagnostic categories similar to the DSM published by the American Psychiatric Association. While the two are similar, they are not the same and there has been a movement for the ICD and DSM systems to grow more and more similar.

Learn more about the DSM including the new edition of the Diagnostic and Statistical Manual of Mental Disorders, fifth edition: DSM-5 (aka DSM-V)

You can get updates on revision activities from the DSM-5 task force on the official DSM-5 website (aka DSM-V)

In the meantime, the DSM-IV-TR is still the most current version (at least until May, 2013):
Diagnostic and Statistical Manual of Mental Disorders DSM-IV-TR Fourth Edition (Text Revision)


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What's new with WorldWideMentalHealth.com

Dr. Todd Finnerty is closely monitoring the DSM-5 (aka DSM-V) development process and will be posting new developments here. Draft proposals are expected to be released January 20, 2010 and field trials are scheduled to begin in July, 2010. The publication date is currently scheduled for May, 2013.

Dr. Finnerty is also working on a new book related to maternal depression and kids, more updates on the book will be posted in the future.

You can also read Dr. Finnerty's blog on Depressive Personality Disorder