Yes, that's right. One thing can lead to another and can lock you in a vicious cycle. I have social anxiety which has caused me depression because of the isolation. Depression makes me feel like not working or doing anything. No working or doing anything diminishes my self-esteem. My low self-esteem feeds my social anxiety, and so on goes the cycle. I know the cycle needs to be broken, but how? I think each one has to find their own answer. I'm still looking for mine. Good luck in finding yours