anxiety

Q:
Is it possible to have depression and anxiety at the same time?
A:

Although anxiety and depression are regarded as two distinct disorders by psychiatrists, it is quite common to have both at the same time.
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Anxiety disorders can take many different forms — including panic attacks, specific phobias, generalized anxiety and obsessive-compulsive disorder — each with its own distinct set of symptoms.

However, depression is generally categorized by a core set of symptoms, including pervasive sadness, fatigue, irritability, sleep difficulties, decreased interest in usually enjoyable activities and sometimes suicidal thoughts. Some of these same symptoms may be seen with anxiety disorders — with the main feature of anxiety disorders being unreasonable fear and worry.

An anxiety disorder may predispose you to developing depression and vice versa. Fortunately, treatments for depression may provide relief for anxiety as well.

If you have symptoms of either or both of these problems, it's important to consult with a mental health provider who can assist you in sorting out these conditions and what treatments may be most helpful for you.
Last Updated: 05/18/2007

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USC brings impressive streak into Arizona game

By JOHN NADEL, AP Sports Writer Oct 21, 7:16 pm EDT
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LOS ANGELES (AP)—On the heels of a stunning loss at Oregon State last month, Southern California fell behind Oregon 10-3 the next week, making it seem that all the hype about USC might have been overdone.

Since falling behind the Ducks, however, the Trojans have been every bit as good as advertised.

USC enters Saturday night’s crucial Pac-10 game at Arizona having outscored the opposition 138-0 since early in the second quarter of the Oregon game.

“We’re aware of that,” defensive end Kyle Moore said Tuesday. “It’s a big deal in some people’s eyes. We’re capable of doing that every week. We can keep doing it if we do everything right.”

The sixth-ranked Trojans came back from their early deficit to beat Oregon 44-10 before blanking Arizona State 28-0 and Washington State 69-0, giving them back-to-back shutouts for the first time since 1971 and thrusting them back into the national championship picture.

“I’m sure it’s happened,” USC coach Pete Carroll said of the scoring streak. “It’s been a good run for the defense now, and we’ve had some great challenges in there and really big-time field position challenges, which shows the mettle of the team and their attitude and progress.

“It’s fun for the kids and fun for the coaches, and it’s a source of pride when you can put a little string like that together.”

The Trojans (5-1, 3-1 Pac-10) lead the country in scoring defense, having allowed 7.8 points per game. Oregon State had three of the six touchdowns and 27 of the 47 points USC gave up in its first six games.

“They’re big, fast and physical,” Arizona coach Mike Stoops said of USC’s defense. “That’s the first thing you realize. Everywhere you look, they have quality players. They make you earn it on the field. They’re going to make you execute, we certainly understand that. We’re going to have to be creative in trying to move the football.”

It would be pretty shocking if the Trojans pitch a third straight shutout, since the Wildcats (5-2, 3-1) are averaging 40.4 points per game this season to rank second in the Pac-10 behind USC, and 44.8 points in their last six home games—all victories.

“This is going to check us out and it’s going to be very hard to hold them down at all,” Carroll said. “They have scored a ton of points already on most everybody they have played.

“This is really an exciting week to prepare. This is a championship matchup, for sure, and we are going to try to take the momentum that we’re building here out of the first half of the season and take it to Tucson and see if we can get ourselves a win.”

A sellout crowd of 57,400 is expected at Arizona Stadium, where the Wildcats beat then-No. 25 California 42-27 last weekend.

“They were down 24-14 at halftime and came roaring back and commanded a great win, and the place went crazy,” Carroll said. “Really, they have got to be flying.”

The Trojans were certainly flying early in the season, earning a near-unanimous No. 1 ranking after routing Virginia 52-7 and No. 10 Ohio State 35-3. The talk at that point didn’t revolve around whether they’d make it to the BCS title game in January, rather who they’d be playing.

Then came the 27-21 loss to 25-point underdog Oregon State on Sept. 25.

“The Oregon State game was a bad game we had as a team, both sides of the ball,” Moore said. “We’ve made sure that hasn’t happened again.”

USC, listed Tuesday as a 15-point favorite, holds a 25-6 lead in the series and has won six straight over Arizona since a 31-15 loss in 2000—the year before Carroll became the Trojans’ coach.

“I don’t know this, but I would think it’s one of the biggest games since Mike Stoops has been there, to put themselves and position themselves in a great spot in the Pac-10,” Carroll said. “Mike’s done a great job with these guys and I think this is the best team he’s had.”

Stoops, in his fifth year at Arizona, said consistency has been the key this year.

“Any time you play USC, it’s a big game,” he said. “This has a lot of significant meaning for us in the Pac-10. I’m happy for our players and coaches that we’re able to play in a big game. I think our kids will handle it well. I don’t think many people expect us to win. That takes a little pressure off.”

The dangers of not sleep

10 Reasons Not to Skimp on Sleep
Too busy to go to bed?
Having trouble getting quality sleep once you do?
Your health may be at risk
By Sarah Baldauf
Posted October 16, 2008

You may literally have to add it to your to-do list, but scheduling a good night's sleep could be one of the smartest health priorities you set. It's not just daytime drowsiness you risk when shortchanging yourself on your seven to eight hours. Possible health consequences of getting too little or poor sleep can involve the cardiovascular, endocrine, immune, and nervous systems. In addition to letting life get in the way of good sleep, between 50 and 70 million Americans suffer from a chronic sleep disorder—insomnia or sleep apnea, say—that affects daily functioning and impinges on health. Consider the research:

1) Less may mean more. For people who sleep under seven hours a night, the fewer zzzz's they get, the more obese they tend to be, according to a 2006 Institute of Medicine report. This may relate to the discovery that insufficient sleep appears to tip hunger hormones out of whack. Leptin, which suppresses appetite, is lowered; ghrelin, which stimulates appetite, gets a boost.

2) You're more apt to make bad food choices. A study published this week in the Journal of Clinical Sleep Medicine found that people with obstructive sleep apnea or other severely disordered breathing while asleep ate a diet higher in cholesterol, protein, total fat, and total saturated fat. Women were especially affected.

3) Diabetes and impaired glucose tolerance, its precursor, may become more likely. A 2005 study published in the Archives of Internal Medicine found that people getting five or fewer hours of sleep each night were 2.5 times more likely to be diabetic, while those with six hours or fewer were 1.7 times more likely.

4) The ticker is put at risk. A 2003 study found that heart attacks were 45 percent more likely in women who slept for five or fewer hours per night than in those who got more.

5) Blood pressure may increase. Obstructive sleep apnea, for example, has been associated with chronically elevated daytime blood pressure, and the more severe the disorder, the more significant the hypertension, suggests the 2006 IOM report. Obesity plays a role in both disorders, so losing weight can ease associated health risks.

6) Auto accidents rise. As stated in a 2007 report in the New England Journal of Medicine, nearly 20 percent of serious car crash injuries involve a sleepy driver—and that's independent of alcohol use.

7) Balance is off. Older folks who have trouble getting to sleep, who wake up at night, or are drowsy during the day could be 2 to 4.5 times more likely to sustain a fall, found a 2007 study in the Journal of Gerontology.

8) You may be more prone to depression. Adults who chronically operate on fumes report more mental distress, depression, and alcohol use. Adolescents suffer, too: One survey of high school students found similarly high rates of these issues. Middle schoolers, too, report more symptoms of depression and lower self-esteem.

9) Kids may suffer more behavior problems. Research from an April issue of the Archives of Pediatric and Adolescent Medicine found that children who are plagued by insomnia, short duration of sleeping, or disordered breathing with obesity, for example, are more likely to have behavioral issues like attention deficit hyperactivity disorder.

10) Death's doorstep may be nearer. Those who get five hours or less per night have approximately 15 percent greater risk of dying—regardless of the cause—according to three large population-based studies published in the journals Sleep and the Archives of General Psychiatry.

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