From the CDC:

Depression is common and treatable. If you think you have depression or postpartum depression, seek treatment from your health care provider as soon as possible.

Depression

Everyone experiences occasional sadness, but these feelings usually pass within a few days. Depression, interferes with daily life and may last for weeks at a time. Most people, even those with the most severe forms of depression, can get better with treatment.

Depression is a common and serious illness. National survey data from 2005 through 2009 showed that about one 1 out of 10 women 18-44 years old experienced symptoms of major depression in the past year.

Postpartum Depression

Postpartum depression is depression that occurs after having a baby. Data from 25 states participating in the 2011 Pregnancy Risk Assessment Monitoring System showed that about 1 out of 10 women experienced frequent postpartum depressive symptoms.

Symptoms of Depression

People with depression do not all experience the same symptoms. The severity, frequency, and length of symptoms are different for each person.

Symptoms of depression include

• Lasting sad, anxious, or empty mood.
• Feelings of hopelessness or pessimism.
• Feelings of guilt, worthlessness, or helplessness.
• Feelings of irritability or restlessness.
• Loss of interest in hobbies and activities.
• Loss of energy.
• Problems concentrating, recalling details, and making decisions.
• Difficulty falling asleep or sleeping too much.
• Overeating or loss of appetite.
• Thoughts of suicide or suicide attempts.
• Aches or pains that do not get better with treatment.

Symptoms of Postpartum Depression

The symptoms of postpartum depression are similar to symptoms for depression, but may also include

• Crying more often than usual.
• Feelings of anger.
• Withdrawing from loved ones.
• Feeling numb or disconnected from your baby.
• Worrying that you will hurt the baby.
• Feeling guilty about not being a good mom or doubting your ability to care for the baby.

Treatment

Depression is treatable. If you think you may be depressed, talk to your health care provider. See depression treatment to learn about seeking treatment for depression.

Experiences that may put some women at a higher risk for depression include

• Difficulty getting pregnant.
• Being a mom to multiples, like twins, or triplets.
• Losing a baby.
• Being a teen mom.
• Preterm (before 37 weeks) labor and delivery.
• Having a baby with a birth defect or disability.
• Pregnancy and birth complications.
• Having a baby or infant hospitalized.

Depression can also occur among women with a healthy pregnancy and birth. If you think you may be depressed, talk to your health care provider. Seedepression treatment to learn about seeking treatment for depression.

How Depression Affects Fathers

According to a 2010 study using data from 1993 to 2007, approximately 4% of fathers experience depression in the first year after their child’s birth. By a child’s 12th birthday, about 1 out of 5 fathers will have experienced one or more episodes of depression. Younger fathers, those with a history of depression and experiencing difficulties affording items such as a home or car were most likely to experience depression.

For additional resources on depression or postpartum depression, see Resources.

Gender and women’s mental health

Gender disparities and mental health: The Facts

Mental illness is associated with a significant burden of morbidity and disability.

Lifetime prevalence rates for any kind of psychological disorder are higher than previously thought, are increasing in recent cohorts and affect nearly half the population.

Despite being common, mental illness is underdiagnosed by doctors. Less than half of those who meet diagnostic criteria for psychological disorders are identified by doctors.

Patients, too, appear reluctant to seek professional help. Only 2 in every 5 people experiencing a mood, anxiety or substance use disorder seeking assistance in the year of the onset of the disorder.

Overall rates of psychiatric disorder are almost identical for men and women but striking gender differences are found in the patterns of mental illness.

Why gender?

Gender is a critical determinant of mental health and mental illness. The morbidity associated with mental illness has received substantially more attention than the gender specific determinants and mechanisms that promote and protect mental health and foster resilience to stress and adversity.

Gender determines the differential power and control men and women have over the socioeconomic determinants of their mental health and lives, their social position, status and treatment in society and their susceptibility and exposure to specific mental health risks.

Gender differences occur particularly in the rates of common mental disorders – depression, anxiety and somatic complaints. These disorders, in which women predominate, affect approximately 1 in 3 people in the community and constitute a serious public health problem.

Unipolar depression, predicted to be the second leading cause of global disability burden by 2020, is twice as common in women.

Depression is not only the most common women’s mental health problem but may be more persistent in women than men. More research is needed.

Reducing the overrepresentation of women who are depressed would contribute significantly to lessening the global burden of disability caused by psychological disorders.

The lifetime prevalence rate for alcohol dependence, another common disorder, is more than twice as high in men than women. In developed countries, approximately 1 in 5 men and 1 in 12 women develop alcohol dependence during their lives.

Men are also more than three times more likely to be diagnosed with antisocial personality disorder than women.

There are no marked gender differences in the rates of severe mental disorders like schizophrenia and bipolar disorder that affect less than 2% of the population.

Gender differences have been reported in age of onset of symptoms, frequency of psychotic symptoms, course of these disorders, social adjustment and long term outcome.

The disability associated with mental illness falls most heavily on those who experience three or more comorbid disorders. Again, women predominate.

Gender specific risk factors

Depression, anxiety, somatic symptoms and high rates of comorbidity are significantly related to interconnected and co-occurrent risk factors such as gender based roles, stressors and negative life experiences and events.

Gender specific risk factors for common mental disorders that disproportionately affect women include gender based violence, socioeconomic disadvantage, low income and income inequality, low or subordinate social status and rank and unremitting responsibility for the care of others.

The high prevalence of sexual violence to which women are exposed and the correspondingly high rate of Post Traumatic Stress Disorder (PTSD) following such violence, renders women the largest single group of people affected by this disorder.

The mental health impact of long term, cumulative psychosocial adversity has not been adequately investigated.

Restructuring has a gender specific effect on mental health

Economic and social policies that cause sudden, disruptive and severe changes to income, employment and social capital that cannot be controlled or avoided, significantly increase gender inequality and the rate of common mental disorders.

Gender bias

Gender bias occurs in the treatment of psychological disorders. Doctors are more likely to diagnose depression in women compared with men, even when they have similar scores on standardized measures of depression or present with identical symptoms.

Female gender is a significant predictor of being prescribed mood altering psychotropic drugs.

Gender differences exist in patterns of help seeking for psychological disorder. Women are more likely to seek help from and disclose mental health problems to their primary health care physician while men are more likely to seek specialist mental health care and are the principal users of inpatient care.

Men are more likely than women to disclose problems with alcohol use to their health care provider.

Gender stereotypes regarding proneness to emotional problems in women and alcohol problems in men, appear to reinforce social stigma and constrain help seeking along stereotypical lines. They are a barrier to the accurate identification and treatment of psychological disorder.

Despite these differences, most women and men experiencing emotional distress and /or psychological disorder are neither identified or treated by their doctor.

Violence related mental health problems are also poorly identified. Women are reluctant to disclose a history of violent victimization unless physicians ask about it directly.

The complexity of violence related health outcomes increases when victimization is undetected and results in high and costly rates of utilization of the health and mental health care system.

For a complete referenced discussion of these issue please see the following document:

• Gender disparities in mental health
  pdf, 112kb

Women’s mental health: The Facts

• Depressive disorders account for close to 41.9% of the disability from neuropsychiatric disorders among women compared to 29.3% among men.
• Leading mental health problems of the older adults are depression, organic brain syndromes and dementias. A majority are women.
• An estimated 80% of 50 million people affected by violent conflicts, civil wars, disasters, and displacement are women and children.
• Lifetime prevalence rate of violence against women ranges from 16% to 50%.
• At least one in five women suffer rape or attempted rape in their lifetime.

Depression, anxiety, psychological distress, sexual violence, domestic violence and escalating rates of substance use affect women to a greater extent than men across different countries and different settings. Pressures created by their multiple roles, gender discrimination and associated factors of poverty, hunger, malnutrition, overwork, domestic violence and sexual abuse, combine to account for women’s poor mental health. There is a positive relationship between the frequency and severity of such social factors and the frequency and severity of mental health problems in women. Severe life events that cause a sense of loss, inferiority, humiliation or entrapment can predict depression.

Up to 20% of those attending primary health care in developing countries suffer from anxiety and/or depressive disorders. In most centres, these patients are not recognized and therefore not treated. Communication between health workers and women patients is extremely authoritarian in many countries, making a woman’s disclosure of psychological and emotional distress difficult, and often stigmatized. When women dare to disclose their problems, many health workers tend to have gender biases which lead them to either over-treat or under-treat women.

Research shows that there are 3 main factors which are highly protective against the development of mental problems especially depression. These are:

• having sufficient autonomy to exercise some control in response to severe events.
• access to some material resources that allow the possibility of making choices in the face of severe events.
• psychological support from family, friends, or health providers is powerfully protective.

WHO’s Focus in Women’s Mental Health

• Build evidence on the prevalence and causes of mental health problems in women as well as on the mediating and protective factors.
• Promote the formulation and implementation of health policies that address women’s needs and concerns from childhood to old age.
• Enhance the competence of primary health care providers to recognize and treat mental health consequences of domestic violence, sexual abuse, and acute and chronic stress in women.

Related links

• Gender and women’s mental health