Dr. Joshua Kellman, MD

Collectively, anxiety disorders are the most common mental health issues diagnosed in the United States -- even more common than depression. Women are more likely than men to be diagnosed with anxiety, and it is extremely common for a person with anxiety to have another illness at the same time, such as depression, a physical illness, or substance abuse.

Treatment for anxiety usually involves medication and psychotherapy together. Medications used may include antidepressants (which also work for anxiety), anti-anxiety medications, or beta blockers (which can be used to control the physical symptoms of anxiety). Psychotherapy can be useful to teach patients new ways of thinking and reacting so that they can manage their feelings of worry and fear. Support groups can also be very effective for anxiety, and they can be a form of treatment themselves for social phobias. Stress management, relaxation techniques, and meditation all help reduce feelings of anxiety or of being out of control. Finally, having a strong support network of family and friends is an excellent way to help manage the difficulties of life with anxiety.

We don't yet know what causes depression, but it's thought that it is a combination of genetic, biological, environmental, and social influences. Because of this, the most effective treatments for depression combine medication with psychotherapy. Therapy, especially cognitive-behavioral therapy, can be extremely helpful in resolving the negative thoughts and feelings that come with depression. It gives patients new tools that they can use themselves to cope when their depression is making them feel down.

Some of the common medications used to treat depression include antidepressants such as SSRI's (Prozac, Paxil, Zoloft) or atypical antidepressants (Cymbalta, Wellbutrin). It's important to remember that these medications have different effects on everybody, and no one medication works right for everyone. Patients may have to try a couple before finding the one that works just right for them. If the first medication they try doesn't work, they should talk to their doctor about trying something else. In extreme cases where medication is not enough, electro-convulsive therapy and hospitalization may be the answer to keeping a severely depressed person safe.

Depression is a difficult illness to deal with, but it is more common than believed and there are many people who can help. With the right treatment, individuals with depression can get back to fully enjoying life again.

The use of therapy is extremely common, with millions of people going through therapy each year in the United States alone. It can be useful for patients who want to learn coping skills when they are facing difficult issues or need to heal from past trauma. Therapy can also be a support tool when patients are facing stressful periods in their life. Essentially, therapy is helpful any time life events require more mental or emotional resources than a patient currently has. Change is a major theme of therapy, offering a supportive environment for patients to make changes to their life or themselves so that past problems stop recurring in the future.

There are several different types of psychotherapy, with the most common being cognitive behavioral therapy or CBT. This type of therapy focuses on the connection between thoughts, feelings, and behavior. Dialectical behavior therapy, or DBT, is a form of CBT that encourages acceptance and validation as well as change. Interpersonal therapy focuses on relationships and communication as a pathway to feeling better. Psychoanalysis, an older form of therapy invented by Sigmund Freud, teaches that all problems stem from the unconscious.

Although many people see therapists by themselves, not all psychotherapy is one-on-one. For example, in family therapy, the therapist treats a family as a unit. Patients can also participate in group therapy, where they meet as a group to work on issues.

Psychotherapy is a safe, powerful healing tool that can help patients lead happier and healthier lives. However, therapy is a joint effort between the patient and the therapist. Both need to work together in order for therapy to be effective.