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Tuesday, June 12, 2018

“What You Need to Know About Women and Depression”



Here are the facts about Depression in Women: 

In the U.S., about 15 million people experience depression each year. The Majority of Them are Women. Unfortunately, nearly Two-Thirds Do Not Get the Help They Need.

Depression in women is very common. In fact, women are Twice As Likely to develop clinical depression as men. Up to One in Four Women is likely to have an episode of major depression at some point in life.

WHAT IS DEPRESSION?

Depression is a serious and pervasive mood disorder. It causes feelings of sadness, hopelessness, helplessness, and worthlessness. Depression can be mild to moderate with symptoms of apathy, little appetite, difficulty sleeping, low self-esteem, and low-grade fatigue. Or it can be more severe.

WHAT ARE THE SYMPTOMS OF DEPRESSION IN WOMEN?

Symptoms of depression in women include:
  • Persistent sad, anxious, or "empty" mood
  • Loss of interest or pleasure in activities, including sex
  • Restlessness, irritability, or excessive crying
  • Feelings of guilt, worthlessness, helplessness, hopelessness, pessimism
  • Sleeping too much or too little, early-morning waking
  • Appetite and/or weight loss or overeating and weight gain
  • Decreased energy, fatigue, feeling "slowed down"
  • Thoughts of death or suicide, or suicide attempts
  • Difficulty concentrating, remembering, or making decisions
  • Persistent physical symptoms that do not respond to treatment, such as headaches, digestive disorders, and chronic pain
WHAT ARE THE SYMPTOMS OF MANIA IN WOMEN?

Mania is a highly elevated mood that can occur with Bipolar Disorder. Moods in bipolar disorder swing from the lows of depression to the highs of mania. Even though mania is an elevated mood, it is serious and needs medical assessment and treatment.

The symptoms of mania include:
  • Abnormally elevated mood
  • Irritability
  • Decreased need for sleep
  • Grandiose ideas
  • Greatly increased talking
  • Racing thoughts
  • Increased activity, including sexual activity
  • Markedly increased energy
  • Poor judgment that can lead to risk-taking behavior
  • Inappropriate social behavior
 WHY IS DEPRESSION IN WOMEN MORE COMMON THAN DEPRESSION IN MEN?

Before adolescence, the rate of depression is about the same in girls and boys. However, with the onset of puberty, a girl's risk of developing depression increases dramatically to twice that of boys.

Some experts believe that the increased chance of depression in women may be related to changes in hormone levels that occur throughout a woman's life. These changes are evident during puberty, pregnancy, and menopause, as well as after giving birth or experiencing a miscarriage. In addition, the hormone fluctuations that occur with each month's menstrual cycle probably contribute to premenstrual syndrome, or PMS, and premenstrual dysphoric disorder, or PMDD -- a severe syndrome marked especially by depression, anxiety, and mood swings that occurs the week before menstruation and interferes with normal functioning of daily life.

WHAT INCREASES THE CHANCES OF DEPRESSION IN WOMEN?

According to the National Institutes of Health, factors that increase the risk of depression in women include reproductive, genetic, or other biological factors; interpersonal factors; and certain psychological and personality characteristics. In addition, women juggling work with raising kids and women who are single parents suffer more stress that may trigger symptoms of depression. Other factors that could increase risk include:
  • Family history of mood disorders
  • History of mood disorders in early reproductive years
  • Loss of a parent before age 10
  • Loss of social support system or the threat of such a loss
  • Ongoing psychological and social stress, such as loss of a job, relationship stress, separation or divorce
  • Physical or sexual abuse as a child
  • Use of certain medications
Women can also get postpartum depression after the birth of a baby. Some people get seasonal affective disorder in the winter. Depression is one part of bipolar disorder.

IS DEPRESSION HEREDITARY?

Depression can run in families. When it does, it generally starts between the ages of 15 and 30. A family link to depression is much more common in women.

HOW DOES DEPRESSION IN WOMEN DIFFER FROM DEPRESSION IN MEN?

Depression in women differs from depression in men in several ways:
  • Depression in women may occur earlier, last longer, be more likely to recur, be more likely to be associated with stressful life events, and be more sensitive to seasonal changes.
  • Women are more likely to experience guilty feelings and attempt suicide, although they actually commit suicide less often than men.
  • Depression in women is more likely to be associated with anxiety disorders, especially panic and phobic symptoms, and eating disorders.
  • Depressed women are more likely to abuse alcohol and other drugs. 
HOW ARE PMS AND PMDD RELATED TO DEPRESSION IN WOMEN?

As many as three out of every four menstruating women experience premenstrual syndrome or PMS. PMS is a disorder characterized by emotional and physical symptoms that fluctuate in intensity from one menstrual cycle to the next. Women in their 20s or 30s are usually affected.

About 3% to 5% of menstruating women experience premenstrual dysphoric disorder, or PMDD. PMDD is a severe form of PMS, marked by highly emotional and physical symptoms that usually become more severe seven to 10 days before the onset of menstruation.

In the last decade, these conditions have become recognized as important causes of discomfort and behavioral change in women. While the precise link between PMS, PMDD, and Depression is still unclear, chemical changes in the brain and fluctuating hormone levels are both thought to be contributing factors.

HOW ARE PMS AND PMDD TREATED?

Many women who suffer with Depression along with PMS or PMDD find improvement through exercise or meditation. For individuals with severe symptoms, medicine, individual or group psychotherapy, or stress management may be helpful.

DOES DEPRESSION IN WOMEN OCCUR DURING PREGNANCY?

Pregnancy has long been viewed as a period of well-being that protected women against psychiatric disorders. But depression in women occurs almost as commonly in pregnant women as it does in those who are not pregnant. The factors which increase the risk of depression in women during pregnancy are:
  • A history of depression or PMDD
  • Age at time of pregnancy -- the younger you are, the higher the risk
  • Living alone
  • Limited social support
  • Marital conflict
  • Uncertainty about the pregnancy
WHAT IS THE IMPACT OF DEPRESSION ON PREGNANCY?

The potential impact of depression on a pregnancy includes the following:
  • Depression can interfere with a woman's ability to care for herself during pregnancy. She may be less able to follow medical recommendations and to sleep and eat properly.
  • Depression can cause a woman to use substances such as tobacco, alcohol, and/or illegal drugs, which could harm the baby.
  • Depression can make bonding with the baby difficult.
Pregnancy may have the following impact on depression in women:
  • The stresses of pregnancy can cause depression or a recurrence or worsening of depression symptoms.
  • Depression during pregnancy can increase the risk for having depression after delivery (called postpartum depression). 
WHAT ARE MY OPTIONS IF I'M DEPRESSED DURING PREGNANCY?

Preparing for a new baby is lots of hard work. But your health should come first. Resist the urge to get everything done, cut down on your chores, and do things that will help you relax. In addition, talking about things that concern you is very important. Talk to your friends, your partner, and your family. If you ask for support, you will find you often get it.

If you're feeling down and anxious, consider seeking therapy. Ask your doctor or midwife for a referral to a mental health care professional.

HOW IS DEPRESSION IN WOMEN TREATED DURING PREGNANCY?

Growing evidence suggests that many of the currently available antidepressant medicines are safe for treating depression during pregnancy, at least in terms of the potential short-term effects on the baby. Long-term effects continue to be studied. Risks can differ depending on medication. Untreated depression can put both mother and infant at risk. Also, electroconvulsive therapy (ECT) is often considered to be the safest and most effective treatment for severe depression during pregnancy.

You should discuss the possible risks and benefits of treatment with your doctor.

HOW IS POSTPARTUM DEPRESSION IN WOMEN TREATED?

Postpartum depression, or depression following childbirth, can be treated like other forms of depression. That means using medicines and/or psychotherapy. If a woman is breastfeeding, the decision to take an antidepressant must be made with her doctor after a discussion of risks and benefits. According to the NIH, antidepressant use by a nursing mother does not affect her infant.

DOES THE PREVALENCE OF DEPRESSION IN WOMEN INCREASE AT MIDLIFE?

Perimenopause is the stage of a woman's reproductive life that begins eight to 10 years before menopause. In the last one to two years of perimenopause, the decrease in estrogen accelerates. At this stage, many women experience menopausal symptoms.

Menopause is the period of time when a woman stops having her monthly period and experiences symptoms related to the lack of estrogen production. By definition, a woman is in menopause after her periods have stopped for one year. Menopause typically occurs in a woman's late 40s to early 50s. However, women who have their ovaries surgically removed undergo "sudden" menopause.

The drop in estrogen levels during perimenopause and menopause triggers physical and emotional changes -- such as depression or anxiety. Like at any other point in a woman's life, there is a relationship between hormone levels and physical and emotional symptoms. Some physical changes include irregular or skipped periods, heavier or lighter periods, and hot flashes.

HOW CAN I COPE WITH SYMPTOMS OF MENOPAUSE?

There are many ways you can ease menopause symptoms and maintain your health. These tips include ways to cope with mood swings, fears, and depression:
  • Eat healthfully and exercise regularly.
  • Engage in a creative outlet or hobby that fosters a sense of achievement.
  • Find a self-calming skill to practice -- such as yoga, meditation, or slow, deep breathing.
  • Keep your bedroom cool to prevent night sweats and disturbed sleep.
  • Seek emotional support from friends, family members, or a professional counselor when needed.
  • Stay connected with your family and community and nurture your friendships.
  • Take medicines, vitamins, and minerals as prescribed by your doctor.
  • Take steps such as wearing loose clothing to stay cool during hot flashes. 
HOW IS DEPRESSION IN WOMEN TREATED?

There are a variety of methods used to treat depression, including medications such as antidepressants, brain stimulation techniques like ECT, and psychotherapy. 

Family therapy may be helpful if family stress adds to your depression. Your mental health care provider will determine the best course of treatment for you. If you are uncertain whom to call for help with depression, check out the following list from the National Institute of Mental Health:
  • Community mental health centers
  • Employee assistance programs
  • Family doctors
  • Family service/social agencies
  • Health maintenance organizations
  • Hospital psychiatry departments and outpatient clinics
  • Local medical and/or psychiatric societies
  • Mental health specialists such as psychiatrists, psychologists, social workers, or mental health counselors
  • Private clinics and facilities
  • State hospital outpatient clinics
  • University or medical school affiliated programs
WebMD Medical Reference SOURCES:
National Institute of Mental Health: "Depression: What Every Woman Should Know," "Depression."
FDA: "The Lowdown on Depression," "Understanding Antidepressant Medications." 
American Psychiatric Association, Practice Guideline for the Treatment of Patients with Major Depression, 2000. Diagnostic and Statistical Manual of Mental Disorders: DSM-IV-TR, American Psychiatric Pub, 2000.
Fieve, R, MD. Bipolar II, Rodale Books, 2006.

Reviewed by Joseph Goldberg, MD on May 04, 2013

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HERE'S SOME ADDITIONAL ADVICE FROM "THE DOCTORS" AN AWARD WINNING TV SHOW.

Depression affects different people in different ways. If these symptoms sound familiar and happen often, talk to your doctor.

Persistent sadness. Emptiness. Hopelessness. Those are the words many of us link to Depression – those symptoms listed on pamphlets at the doctor’s office and antidepressant commercials tell us to look for.

But depression affects different people in different ways: for some, it can lead to those dark feelings and thoughts that impact daily life and become debilitating; for others, the signs may be a little less obvious. What we know for everyone: Depression is not a simple bout with the blues and you can’t just snap out of it; it’s a serious medical illness that requires treatment.

An estimated one in 10 adults in the USA are Depressed. To help you recognize it, take an anonymous depression screening online at www. HelpYourselfHelpOthers.org or consider these additional signs and symptoms. If they sound familiar (for you or someone close to you) and happen often, talk to your doctor.

1.      YOU LOSE INTEREST IN FAVORITE ACTIVITIES: You’ll do what you have to, like go to work and grocery shop, but the things you did simply for pleasure – such as playing tennis or reading – you can’t seem to find the desire or energy. You may also start to distance yourself from loved ones and lose interest in sex.

2.      YOU’RE EASILY IRRITATED: What used to be no big deal – like a slow moving checkout line or too-talkative telemarketer – is now infuriating. You may be more restless or anxious. Men, in particular, tend to get angrier or more aggressive faster if they’re depressed. Women’s symptoms, on the other hand, are typically more based in feelings of sadness, worthlessness and guilt.

3.      YOU CAN’T CONCENTRATE: We all get a little scatterbrained now and then, but if you feel like you’re in a fog often, can’t remember appointments, get distracted quickly and have a tough time making decisions, it may be something else. Excessive tiredness is another hallmark symptom, in which mundane tasks, such as picking up dinner or stopping at the dry cleaners, seem to take a ton of effort.

4.      YOU EAT LESS AND SLEEP MORE: Or you eat more and sleep less. Either way, big changes in appetite and bedtime routines can be a sign of depression.

5.      YOU HAVE UNEXPLAINED PAIN: Many conditions can cause headaches, backaches, cramps and other physical ailments and depression is one of them. The two are closely connected: people with chronic pain have three times the average risk of developing mood disorders, say some experts, and depressed patients have three times the risk of developing chronic pain.

A FEW FACTS ABOUT DEPRESSION:

1.      WOMEN: Women ages 18 to 45 account for the largest proportion of people suffering from depression.

2.      MEN: Four times as many men as women die by suicide in the United States.

3.      YOUNG ADULTS: Nearly half of all college students report feeling so depressed at some point that they have trouble functioning.

4.      OLDER ADULTS: Depression in its many forms affects more than 6.5 million of the 35 million Americans who are 65 or older.

Source: Screening for Mental Health, Inc.

DEPRESSION, A BRIEF BIBLICAL VIEW:

The word “Depressed” literally means “Pressed Down”, that is, not up to your usual bounce.

Saul was depressed because he felt rejected. He had been chosen to be king and pledged to obey God’s Word; but he made his own rules, did not follow the Lord, and when caught, he blamed the people (1 Samuel 15:24, “And Saul said to Samuel, I have sinned; for I have transgressed the commandment of the Lord and your words, because I feared the people and obeyed their voice” AMP).

Samuel, under divine direction, anointed David to be king (1 Samuel 16:13, “Then Samuel took the horn of oil and anointed David in the midst of his brothers; and the Spirit of the Lord came mightily upon David from that day forward. And Samuel arose and went to Ramah” AMP) and even as the Spirit of the Lord came upon David, “…the Spirit of the Lord departed from Saul, and a distressing spirit from the Lord troubled him” (1 Samuel 16:14 NKJV). Such a “Distressing Spirit” would be understood as a form of Depression.  Distress” is defined as “extreme anxiety or suffering”. Its Old French Origin “Destresce”, from Latin “Distringere” literally means “To Stretch Apart”. If you’ve ever heard a person say “I feel like I’m falling apart”, this is where it comes from. Which is ironic, because on the flip side of this, David, on the other hand was blessed while in “Distress”: O God, you have declared me perfect in your eyes; you have always cared for me in my distress; now hear me as I call again. Have mercy on me. Hear my prayer.” (Psalm 4:1 TLB).

Saul’s depression was rooted in the fact that he had disobeyed God’s clear direction for his life. David, on the other hand, was rejected by his own family as well as by some of his best friends for following God’s leading, go figure. When this happened however, he cried out to the Lord (Psalm 6:2-3, “Have mercy on me and be gracious to me, O Lord, for I am weak (faint and withered away); O Lord, heal me, for my bones are troubled. My [inner] self [as well as my body] is also exceedingly disturbed and troubled. But You, O Lord, how long [until You  return and speak peace to me]?” AMP).

When a woman is troubled with Depression, God has a plan for her healing too:

1.      LONG FOR HIM (Psalm 42:1-2, “As the hart pants and longs for the water brooks, so I pant and long for You, O God. My inner self thirsts for God, for the living God. When shall I come and behold the face of God?” AMP)

2.      CALL OUT TO HIM (Psalm 3:4, “With my voice I cry to the Lord, and He hears and answers me out of His holy hill. Selah [pause, and calmly think of that]!” AMP)

3.      REST IN HIM (Psalm 3:5, “I lay down and slept; I wakened again, for the Lord sustains me” AMP; Psalm 23:2, “He makes me lie down in [fresh, tender] green pastures; He leads me beside the still and restful waters” AMP)

4.      KNOW THAT HE HEARS (Psalm 6:8, Depart from me, all you workers of iniquity, for the Lord has heard the voice of my weeping” AMP; Psalm 31:22, “As for me, I said in my haste and alarm, I am cut off from before Your eyes. But You heard the voice of my supplications when I cried to You for aid” AMP)

5.      RECOGNIZE THAT HE SEES (Psalm 10:14, “You have seen it; yes, You note trouble and grief (vexation) to requite it with Your hand. The unfortunate commits himself to You; You are the helper of the fatherless” AMP; Psalm 34:15, “The eyes of the Lord are toward the [uncompromisingly] righteous and His ears are open to their cry” AMP)

6.      ACKNOWLEDGE THAT HE WILL KEEP YOU (Psalm 17:8, “Keep and guard me as the pupil of Your eye; hide me in the shadow of Your wings” AMP; Psalm 34:18, “The Lord is close to those who are of a broken heart and saves such as are crushed with sorrow for sin and are humbly and thoroughly penitent” AMP)

7.      PRAISE GOD (Psalm 35:17-18, “Lord, how long will You look on [without action]? Rescue my life from their destructions, my dear and only life from the lions! I will give You thanks in the great assembly; I will praise You among a mighty throng” AMP ; Psalm 109:30, “I will give great praise and thanks to the Lord with my mouth; yes, and I will praise Him among the multitude” AMP)

8.      SEEK RESTORATION AND WITNESS TO OTHERS (Psalm 51:12-13, “Restore to me the joy of Your salvation and uphold me with a willing spirit. Then will I teach transgressors Your ways, and sinners shall be converted and return to You” AMP)

9.      KEEP PRAYING (Psalm 55:16-17, 22, “As for me, I will call upon God, and the Lord will save me. Evening and morning and at noon will I utter my complaint and moan and sigh, and He will hear my voice” AMP)

KINGDOM DAUGHTERS, YOU DO NOT HAVE TO ALLOW DEPRESSION TO DEFEAT YOU! FIGHT BACK! AND FIGHT HARD! IT WILL TAKE TIME, BUT YOU CAN AND YOU WILL RECOVER! THERE IS HELP, DO NOT SUFFER IN SILENCE! THERE IS HELP FOR YOU PHYSICALLY, EMOTIONALLY, SPIRITUALLY, MENTALLY, SOCIALLY AND MORE! REACH OUT FOR HELP, EVEN IF YOUR HAND IS A LITTLE WEAK AND YOUR WRIST A LITTLE LIMP! HELP IS NIGH, DON'T LOSE YOUR HOPE, WE ALL NEED YOUR LIFE! YOU ARE VITAL, RELEVANT, IMPORTANT, NECESSARY, LOVED, NEEDED, WANTED, CHERISHED, TREASURED! DON'T EVER FORGET THAT YOUR LIFE MATTERS AND HAS MEANING! AND GOD STILL HAS A PLAN AND A PURPOSE FOR IT!

Much Love, Dr.Shermaine #InformativeRead #PleaseShare #HealthyBodySoulAndSpirit #IWantYou2Live

"It's Not Selfish to Love Yourself, Take Care of Yourself and to Make Your Happiness a Priority. It's a Necessity." (Mandy Hale)

"Self-Care is Not Selfish. You Cannot Serve From an Empty Vessel." (Eleanor Brown)

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