Well, the short answer is YES? Here?s the facts:
At the first place, chronic panic disorder can easily bring about depression. This is quite likely to happen in people who are exhausted in the chronic stress that can come with panic disorder, and also those who have developed agoraphobia (i.e. the avoidance of actions because of a fear of panic attacks) to such an extent that it is forcing them to retreat / hibernate from a life (i.e. not going to function, not interacting with friends, no more driving or leaving the house due to a fear of panic attacks). When fear disorder is clearly causing depression, patients often report the anxiety and/or agoraphobia gets worst FIRST, then the depression comes later. They are also very likely to report that if I really could make their fear and / or agoraphobia go away, then they would no longer be miserable. Such patients would likely gain from focusing on their anxiety disorder first instead than their depression per se (unless the depression is so bad they are having serious thoughts of ending their life).
Very intense depression can sometimes trigger panic attacks. For a large percentage of individuals, depression and a least some level of anxiety come hand in hand. After the anxiety is intense, this type of depression is sometimes known as an ?Agitated? depression. If the anxiety component of the melancholy is sufficiently powerful, it may definitely cause stress attacks (i.e. in which you can?t stop stressing about the problems in your lifetime ) but may also sometimes (more infrequently ) trigger panic attacks (i.e. intense episodes where you feel like you’re dying or going crazy right then and there). Patients who have panic attacks triggered by melancholy report their depression obtained worst FIRST, which they never have fear attacks unless they are miserable. They’d most likely benefit from a treatment that focuses on their melancholy first.
One last chance: some people have both panic disorder and depression independent of each other. To put it differently, they sometimes have panic attacks when they aren’t depressed, and they also sometimes experienced depression when they were NOT having regular panic attacks or agoraphobia. In this circumstance, the anxiety can cause a depression AND the melancholy can trigger panic (i.e. for many people with anxiety disorder, any substantial change, whether it?s depression, a cold, lack of sleep, or even a hangover, can trigger panic because they are so sensitive to their bodies). In such situations, it’s ideal to start with treatment that addresses whichever problem seems the most intense right now. Fortunately a number of medications (i.e. SSRI?s, if started in a minimal dose in order to not trigger panic) and / or psychotherapies (i.e. like cognitive behavioral therapy) work well for both panic disorder and depression.
I hope this information was useful. Fantastic luck in your fight against anxiety disorder and/or depression.