Trained counselors and psychotherapists are particularly well-equipped to deal with individuals struggling with the effects of either anxiety or depression, or both. In the case of a person with an anxiety disorder, personal triggers can remind them, either consciously or unconsciously, of an event or memory that causes them distress. These triggers can sometimes be difficult to identify, but a counselor is trained to help the person recognise them so that they can learn to overcome them. Although depression is somewhat different from anxiety, counseling is no less effective in managing the effects that the long-term sadness, lack of interest and motivation, or feelings of being overwhelmed have on those living with depression. Speaking with a counselor can help an individual to learn coping skills and deal with their negative feelings. Counseling, or talk therapy, has been shown to improve symptoms in people with depression and is often used alongside medications such as anti-depressants.