“I have panic attacks. They come out of nowhere. Now I walk around anxious, waiting for the next attack to descend. It’s like being in a war,” Patty said.

“I get anxious, then depressed about being anxious, and then anxious about being depressed,” Dave chimed in.

Patty and Dave’s daughter Brittany was their only child. She grew into a lovely and poised young woman. She excelled in academics through college and graduate school and landed a fantastic job in a great company. She quickly settled into her new, big-city life.

Brittany began her days by running in the park. One morning she didn’t come back. The police found her a few hours later, slain by an unknown assailant. She was 27.

“It’s unbelievable, even now. What kind of world do we live in where these things happen?” Patty asked.

Anxiety and depression make a challenging combo.

Here are 5 things to remember about this challenging duo:

1. The anxiety-depression combo is common in grief.

Experiencing some anxiety and depression in times of grief is natural and common. We tend to consider them opposites, but they often go together.

2. The anxiety-depression combo can be driven by genetics and physiology.

Though we think of them as primarily emotional issues, this anxiety-depression combo can also be our physiology expressing itself.

Each of us is unique. All of us have a somewhat different, one-of-a-kind biochemistry operating in our brains. Much of this is genetic, but also shaped by our background and life experiences.

3. The anxiety-depression combo is often triggered by someone or something.

In many cases, both anxiety and depression are sprung by a specific trigger – a visual, sound, smell, taste, place, person, or situation. Essentially, anything can be a trigger, and it can occur anytime, anywhere.

There are other times, however, when our personal biochemistry sets us up for fight-or-flight even when no trigger seems to be present.

4. Some of us seem to be predisposed to the anxiety-depression combo.

Perhaps we have a predisposition to anxiety or depression. Maybe our early life and childhood revealed a high base level of one, the other, or both. It’s like our bodies suddenly betray us. Randomly and out of the blue, anxiety or depression descends upon us and almost immediately takes on a life of its own.

Many describe these episodes of panic or depression as coming upon them from the outside, rather than emerging from within them. No matter how they come (trigger or no trigger), or from where (inside or outside), anxiety and depression often come together. Depression and anxiety can be two sides of the same coin.

5. The anxiety-depression combo needs to be acknowledged and addressed.

This is hard to understand and even more challenging to navigate. Learning to recognize, acknowledge, and begin to address this 2-sided coin is important in the grief process.

“Panic and depression descend from nowhere. I’ll honor you with how I deal with them.”

A possible action step:

Anxiety-depression can appear seemingly randomly, coming primarily from our personal biochemistry. If this is the case for you, it may be time to consider contacting your doctor or mental health professional. If this 2-sided coin is partially or mostly physiological, medication can be beneficial for some. The ultimate goal is to process and adjust to this terrible loss in the healthiest way possible. If biochemistry is significantly involved, medication can assist us in getting to the point where we can process this loss and deal better with the resulting grief.

Taking care of yourself emotionally, mentally, and physically is a wonderful and powerful way to honor your loved one.

Adapted from the USA Best Book Awards Finalist and Amazon bestseller, Shattered: Surviving the Loss of a Child. Shattered is now available in audio.

Question: What have you found helpful for dealing with anxiety and / or depression?

Related resources:

How to Tell if You’re In a “Funk” Or If It’s High-Functioning Depression Or Anxiety – Bustle.com

The 5 Step Anti-Anxiety Prescription – Wellness.com

5 Tips for Winning the Depression Battle – garyroe.com

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