Teen depression and anxiety are two mental health conditions that often occur together. While depression and anxiety can affect people of all ages, research shows these disorders frequently co-occur during adolescence. Understanding the relationship between teen depression and anxiety is important for recognizing symptoms and seeking appropriate treatment.

Teen Depression and Anxiety

Studies have found that around 60% of teens experiencing depression will also struggle with anxiety. Similarly, over half of teens diagnosed with an anxiety disorder will also meet the criteria for depression. There are a few key reasons why depression and anxiety so commonly co-occur in teenagers:

  • Shared Risk Factors: Genetics, life stressors, and negative thought patterns can increase risk for both depression and anxiety. Teens experiencing these shared vulnerabilities are more likely to develop both conditions.
  • Symptom Overlap: Symptoms like worry, restlessness, fatigue, and difficulty concentrating are common to both depression and anxiety. It can be difficult to distinguish which disorder may be primary.
  • One Exacerbates the Other: Having depression can increase anxious thoughts and worry, while anxiety may worsen low mood and feelings of hopelessness associated with depression. The conditions can trigger and maintain each other.

Recognizing Symptoms of Co-Occurring Depression and Anxiety in Teens

When depression and anxiety co-occur, it is important for parents and teens to be aware of potential symptoms, which may include:

  • Persistent sad, “empty” or irritable mood
  • Loss of interest in activities once enjoyed
  • Changes in appetite or sleep patterns
  • Fatigue and low energy
  • Difficulty concentrating or making decisions
  • Feelings of worthlessness or guilt
  • Recurrent worries or fears about performance, health, relationships or upcoming events
  • Restlessness or feeling “on edge”
  • Difficulty controlling worries
  • Panic attacks with intense fear or discomfort
  • Avoidance of anxiety-provoking situations

If several of these symptoms last at least two weeks and interfere with daily functioning, it is recommended to seek an evaluation from a mental health professional.

Getting the Right Treatment for Co-Occurring Depression and Anxiety

When depression and anxiety co-occur, integrated treatment targeting both conditions is most effective. Options may include:

  • Therapy: Cognitive behavioral therapy (CBT) specifically designed for co-occurring disorders can help teens change negative thought patterns and behaviors that worsen both depression and anxiety.
  • Medication: Antidepressants are often used to treat co-occurring depression and anxiety. Selective serotonin reuptake inhibitors (SSRIs) can be effective for both conditions.
  • Lifestyle Changes: Adequate sleep, regular exercise, spending time with supportive people, and limiting caffeine/alcohol can provide natural mood and anxiety relief.
  • Support Groups: Connecting with others facing similar challenges through support groups like those offered by teen therapy in Tempe AZ can help reduce isolation.
  • School Accommodations: Informing guidance counselors about a diagnosis allows flexibility if anxiety causes school avoidance or absences.

For teens struggling with co-occurring depression and anxiety, seeking help from a mental health professional is important. An evaluation can determine the best treatment approach, like individual therapy, medication management, or a combination. With integrated care, many teens experiencing these conditions together find effective relief of symptoms.


Depression and anxiety frequently co-occur in teenagers due to shared risk factors and symptom overlap. Recognizing potential symptoms and getting a proper diagnosis is key when these disorders develop together during the adolescent years. Coordinated treatment targeting both conditions, such as CBT, medication management, and lifestyle changes, offers teens the best chance of overcoming depression and anxiety. Ongoing support through teen therapy in Tempe AZ or online teen therapy can also help during the recovery process. With the right multi-pronged treatment approach, teens dealing with co-occurring depression and anxiety can gain relief and get back on track emotionally and academically.