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Women and Depression
What Women Need to Know About Depression

By Nancy Schimelpfening, About.com

Updated April 01, 2009

About.com Health's Disease and Condition content is reviewed by the Medical Review Board

Depression is quite common. In fact, depressed mood is the fourth most common symptom that patients complain of when they see their primary care physician. About 10% to 25% of women will have have major depression at some point during their lifetime and they will be especially vulnerable during their reproductive years. Mood disorders like depression worsen the morbidity and mortality rates of other medical disorders. In addition, untreated depression has the potential to lead to suicide. It is important for women to understand depression and how it affects their lives.

1. Depression Is a Real Illness

You are not weak or crazy. Depression is a real illness which is caused by a chemical imbalance within your brain.

2. Depression Is More Than Ordinary Sadness

Sadness is a part of being human, a natural reaction to painful circumstances. All of us will experience sadness at some point in our lives. Depression, however, is a physical illness with many more symptoms than an unhappy mood.

3. Knowing the Symptoms of Depression Is the First Step in Getting Help

If you have experienced five or more of these symptoms within the same two-week period -- especially if a depressed mood or loss of interest or pleasure are among your symptoms -- this could be indicative of an episode of depression. The symptoms should not be accounted for by another illness, drugs of abuse or prescription medications.

4. Women Are Most Prone to Depression During Their Reproductive Years

The peak onset of depression in women occurs during the reproductive years. Research indicates that the hormonal fluctuations that women go through may be responsible. Estrogen and progesterone have been shown to affect neurotransmitter, neuroendocrine and circadian systems implicated in mood disorders. The fact that women often undergo mood disorders associated with their menstrual cycle also points to a relationship between sex hormones and mood. In addition, the hormonal changes associated with childbirth are a common trigger for mood disorders. Although menopause is a time when risk declines, the periomenopausal period is a time of increased risk for those with a history of major depression.

5. Depression Is Treatable

You do not need to suffer if you have depression. Several treatments are available to you, including medications and psychotherapy.

6. Pregnant Women Face a Unique Treatment Challenge

Mothers who become pregnant while taking an antidepressant are forced to make a difficult choice. Should they stop taking their medication in order to ensure the health of their baby, or should they continue to take their antidepressant to ensure that they don't become depressed? There are pros and cons to each.

7. Women Are Different From Men When It Comes to Depression

While men and women are basically the same when it comes to the mechanics of depression, there are some subtle gender differences in depression.

Sources:

Kornstein, Susan G. and Anita H. Clayton. Women's Mental Health: A Comprehensive Textbook New York: Guilford Press, 2002.

Rakel, Robert E. and Edward T. Bope, eds. Conn's Current Therapy 60th ed. Philadephia: Saunders, 2008.

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