Anxiety vs Depression
Anxiety vs depression: differences in symptoms, tests and treatment
Written & medically reviewed by Dr. Sanjay Anbu, MBBS · Last reviewed
Medically reviewedAnxiety is mainly about excessive worry, fear and feeling on edge, often with physical symptoms like a racing heart. Depression is mainly a persistent low mood or loss of interest in things you used to enjoy, lasting at least two weeks. They often occur together, both are common and treatable, and help from a doctor or counsellor works.
Side-by-side comparison
| Feature | Anxiety | Depression |
|---|---|---|
| Cause | A mix of genes, life stress, personality, health problems, substance use | A mix of genes, life events, chronic illness, hormonal changes, substance use |
| Typical symptoms | Constant worry, restlessness, irritability, poor sleep, racing heart, sweating, muscle tension, panic attacks | Low mood, loss of interest, tiredness, sleep and appetite changes, guilt, poor concentration, hopelessness, thoughts of death |
| Onset & timing | Can begin at any age; often long-standing worry for months | Symptoms most days for at least 2 weeks |
| Key tests | Clinical assessment, questionnaires such as GAD-7; thyroid and other tests to exclude physical causes | Clinical assessment, questionnaires such as PHQ-9; thyroid, B12, CBC tests to exclude physical causes |
| Treatment approach | Talking therapy (CBT), relaxation, exercise, sleep routine; medicines if prescribed | Talking therapy, activity scheduling, exercise, social support; medicines if prescribed |
| Danger signs | Panic attacks with chest pain should first be checked for heart causes | Thoughts of self-harm or suicide: seek help immediately |
General patterns only. Symptoms overlap and vary from person to person. On a phone, scroll the table sideways to see both columns.
How doctors tell them apart
- Core feature: fear and worry (anxiety) vs low mood and loss of interest (depression).
- Doctors ask about how long symptoms have lasted and how they affect daily life.
- Screening questionnaires help, but are not a diagnosis on their own.
- Physical causes such as thyroid disease, anaemia or B12 deficiency are checked when relevant.
- Many people have both, and treatment can help both together.
See a doctor urgently if
- Thoughts of harming yourself or ending your life: call Tele MANAS 14416 or 1-800-891-4416, or emergency 112
- Not eating or drinking, or unable to look after yourself
- Hearing voices or believing things others say are not true
- Chest pain or breathlessness during a panic attack (check the heart first)
- Heavy alcohol or drug use to cope
In an emergency, call your local emergency number (in India: 108 or 112).
Frequently asked questions
Can you have anxiety and depression at the same time?
Yes, it is very common. Treatment such as CBT often helps both.
Is depression just sadness?
No. Depression lasts at least two weeks, affects sleep, energy and interest, and makes daily life harder. It is a health condition, not a weakness.
Are medicines for anxiety and depression addictive?
Many commonly prescribed ones are not habit-forming, but some are. Discuss benefits and side effects with your doctor and do not stop suddenly.
Where can I get help in India?
You can speak to your doctor, a psychiatrist or psychologist, or call Tele MANAS, the free national mental health helpline, on 14416 or 1-800-891-4416.
Related pages
Conditions
Symptoms
Blood tests
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Not a diagnosis. This page gives general health information to help you talk to a doctor; it is not medical advice and does not replace an examination or tests. Do not start, stop or change any medicine without a qualified clinician. MedDroid is an AI medical assistant and can make mistakes. In an emergency, call your local emergency number (in India: 108 or 112).