This issue is similar to "which came first, the chicken or the egg?" Depression and low self esteem do go hand in hand. Every situation is different. Working with youngsters for 30 years, you can see a lot of things going on. It's really tragic to see young children who are depressed. Self esteem has a whole lot to do with it. But, there are so many external factors involved, not to mention the genetics that predispose someone toward depression and anxiety. I truly believe they're all related.
Now, when you mention anxiety to anyone in the medical field, one of the first questions they ask is: how much coffee and/or caffeine do you consume each day? And, as I'm sure you are aware, some anti-depressants actually make the problem worse. But, there are enough different types of meds out there that you can find the one that works for you through trial and experimentation, if that's the route you want to take. It's certainly a very tangled web. Hope this helps in any way. And, believe me, I know about this topic first-hand.
Exercise really helps me a lot. I crave it. The endorphins really do give you a break from these conditions to some degree. But, the most important bit of advice I'd like to offer is this: don't accept it. Fight it, deal with it, and do whatever you have to do to feel better. A multi-pronged approach works best: a good therapist, meds, exercise and diet, and striving toward goals that give you HOPE, not despair. A positive outlook is crucial. But, it's tough to be positive when you fell like hell. I realize that all the way. Some days it's tough just to brush your teeth.
Without sounding preachy, alcohol is one of your worst enemies. I tried it, for much too long. It's the great un-doer. Getting sober probably did the most good for me over time. I also have the great fortune to be a musician. I play guitar like mad, and that is a great cathartic stress-reliever, too.
Sorry to go on so long. All the best. You can beat this thing. You really can. Just refuse to give in or give up. Hope, help and good things are always right around the corner. --Grant "Brad"
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