Are 1 in 4 women depressed? What can be done?

The confident notion that these conditions are personal shortcomings is one reason that for decades autism was blamed on “refrigerator mothers”. It turns out it’s a genetic defect, but the damage and guilt induced by those false accusations lingers today.

Likewise for decades schizophrenia was blamed on poor mothering. There was even a special term coined to better target this blame: “schizophrenogenic mothers”. It turns schizophrenia is significantly a genetic problem, so much so that identical twins raised in separate families have over a 50% concordance rate. But the psychological damage caused by decades of smugly self-confident blame still causes problems today.

The self-righteous idea that treating mental health problems risks “absolving them of responsibility for their shortcomings” is uninformed and very damaging. It has aided and abetted the situation where clinical depression is undertreated. This has produced immense pain, suffering and death. However it is in line with past crusades to blame the individual such as mothers who cause autism and schizophrenia.

I know three thirty-something year old women who tell their doctors things, knowing they will get scripts for Xanax, because they like having Xanax. The three regularly compare notes, which is how I know their situation.

They are diagnosed with anxiety/depression (according to them). I have no idea how common this is.

Unless, of course, she’s a poor woman in which case current rules require her to work outside the home, put her kids in daycare, and so forth. Or, if she and her household are making just barely enough to escape government rules in her life, she will probably STILL have to work outside the home just to make ends meet even if the other adult in the household also works.

But having one set of expectations for the wealthy and a different set for the poor is nothing new.

And this “instinctive” thing is bullshit - there is nothing instinctive about “traditional” family roles other than women being the ones to get pregnant, give birth, and lactate.

I would love to hear more from the male commentators about how women are unhappy because of feminism.:rolleyes: I’m sure things were so much less stressful on their delicate constitutions when we men could just make all the decisions for them, right fellas? :rolleyes::rolleyes::rolleyes:

Yes, this is part of the reason. But there has to be more.

There could be something biological the makes women more sensitive to stress too.

I would be unhappy with “Feminism” as toted by the fruit loop psychotic nutters banding together under that banner these days.
I’d be depressed as hell if i listened to them too, since i’d be living in a world where no one is even allowed to talk to me unless i give them a permission slip to do so.

Some how i don’t think that is the reason, i assume the majority of women have more common sense than to hang out with that crowd.

I wonder about that 1 in 4 women number. According to the National Institute for Mental Health:

The chart shows that is 8.5% of adult women and 4.7% of adult men.

Speaking as a mother who works, nope. You’ve got this inside out and backwards. When I was home with my baby boy, I cried every day. Every single day. I was coming apart at the seams. I was so happy to go back to work, to a dream job that I found fulfilling - it genuinely made me less crazy and more able to be a mother when I was home.

Speaking more broadly, this whole “women should just go back to the home and everything will be better” thing really needs some citations. I see it mentioned on SDMB an awful lot considering I don’t even come here that often. It’s pretty clear that you’re speaking about experiences that you are not yourself party to. To be clear, I can say with some certainty that you are neither a stay-at-home mom nor a working mom. You are a man who thinks he knows the way the world ought to work. Granted, all I’ve got is my own experience and those of my friends, but that’s not nothing.

Couldn’t have said it better. I’ll add that for millenia, women have worked. Whether they brew beer in their home, take in laundry, cleaned the homes of others, watched other’s kids, etc., they have always, always worked, and not exclusively for their family. To be sure, many of their jobs were part-time, the kinds of jobs that you can do and still care for your family at the same time. But to claim that women ought to just stay home and care exclusively for their family ignores centuries of (women’s) history.

For one example, the brewsters in 16th-century England brewed beer to sell to their neighbors. (This book is a surprisingly light read on the subject: https://www.amazon.com/Ale-Beer-Brewsters-England-Changing/dp/0195126505.) This idea that women have always stayed home and tended the children is just wrong. Even the very rich didn’t do that - they just outsourced childrearing and concentrated on parties. (Or in the case of Emilie du Chatelet, physics.)

Sorry for the triple post, I realized I didn’t reply to the OP. My guess would be social isolation. Again just speaking from my own experience, but the multiple times in my life when I have felt consistently low and depressed, I have also felt socially isolated. There have been studies showing that the conveniences of modern life (e.g., social media) increase isolation, so it wouldn’t surprise me if these modern trappings increase depression too. I think that social isolation affects women more than men, though I’m not sure why. Not that men don’t need friends, but it doesn’t seem to affect them as much if they don’t have any.

I read something once about women’s brains naturally producing less of the neurotransmitter Serotonin than the male brain and this was thought to be an explanation for some of the higher rates of depression, no clue how accurate the information.

You are asking why are 1 in 4 women depressed, yet you gave no reference. Most of this discussion simply took that at face value, and immediately devolved into why so many females are depressed. However the “1 in 4” number apparently came from the 2011 Medco Health Solution report “America’s State of Mind”: World Health Organization (WHO)

That report said (among other things) that in 2010 26% of women were using some type of mental health medication, as opposed to 15% of men.

Medco is a pharmacy benefits manager. Their mission is manage employer’s prescription drug benefits with the goal of saving money. IOW corporations contract with Medco to try and reduce the cost of medical drug benefits to their employees. This report implied that mental health medication is over-prescribed – and not just among women. The goal was apparently to lay the groundwork for a cutback in benefits.

However, in general mental health disorders are underdiagnosed and undertreated, which has vast societal cost: Depression Care in the United States

There are more studies being done now in medicine looking at how the same disease can manifest differently in man and woman, due to hormones, socialization and other factors. One study e.g. found that the typical Hollywood “pain in the chest” for heart attack is typical for men, but for women “pain in the stomach” is typical, which means that a lot of women seek help too late or not at all because they look for the wrong symptom.

Similarly, another study found that about half of men who had been “diagnosed” with anger were actually suffering from depression, but it manifested not in lethargy etc, but in angry outbursts.

Part of that might be socialisation, that is, societies attitudes shaping expected and allowed responses. Men are not allowed to sit around moping, but being angry is acceptable. Women are allowed to be moody because “hormones”, but being angry is unacceptable.

Esp. for the US, I would suspect that more men than women own guns, (and depression may partly manifest or occur together with paranoia, prompting the purchase of guns) so suicide is easier.

Also, all studies about “getting prevention” I’ve read say that multiple times more women than men go to a doctor for preventive care, or seeking treatment before a small problem becomes a big problem. The usual hyptothesis for that is that men don’t want to acknowledge any weakness (because of social images about being strong), and if they don’t know they are sick, they aren’t weak. (Irrational, but that’s how most humans function).

From what I heard, it’s not western society, but people in general. In previous years, the WHO tried to point out how many peoiple world-wide, and esp. in developing countries, die from complications of air pollution (asthma, lung cancer and similar) because of all that coal and wood burning and dirty cars.

But recently, they have started to point out how depression affects IIRC 20% of population - regardless of society.

Now, different circumstances may mean that if you suffer from depression and lay in bed, you will quickly die of hunger in a primitve society. Or different cultural values can mean that if you are lethargic, you won’t be diagnosed with depression, but with “being possessed by demons or having had a curse put upon you” and the local shaman/ priest may do some ceremony. Depending on how good a natural therapist the priest is, a lenghty ritual might come close to western therapy and actually improve.
In a discussion about Freud and current state of psychology, one article said that about 1/3 of all diseases improve of their own even if untreated, so maybe you get better despite the ceremony being useless.
Or the placebo effect, which can account up to 40%, kicks in.

But media won’t call it depression if your culture calls it different.

What our society can decide to do - or decide to deny - is to provide low-key access to mental health providers = doctors and therapists, by having enough available (not waiting 3 months for a free place), having them affordable, and having them qualified enough. (Plus if necessary, the right medication, although apparently there’s a ton of not-known in that regard that requires more research).

You know, it’s possible for an emphatic person to look at the daily news (not Fox, but real serious news) and the state of the world in general - e.g. several autocrats coming to power; 50 mil. human beings in state of sever hunger close to death (Syria, Yemen, South Sudan …); the way society even in countries like US is divided sharply into a few rich who have what they want, and a large group of people struggling close to or beyond their limits just to survive each day; the state of the enviroment with climate change…

And decide that the world is really fucked up, and millions of people are suffering, a lot of them completly unneccessary, because a handful of people in power block good laws, deny money to help people when it’s a small relative amount; and change the rules to benefit the rich even more, while punishing the already suffering.

It doesn’t help much to remember that during WWII situation was even worse, or that 100 years ago women couldn’t vote, or that during the little ice age, people suffered through hunger for years. Knowing that millions of people are worse off doesn’t make me feel better; if anything, it makes me more depressed that I can’t help them.

For the past decades, the majority of psychological studies I know of said that women are more resistant to stress, hence the recommendation for closed spaces like submarines or space stations.

I wonder how much that has to do with growing up being repressed in society: do the weaker women (more sensitive to stress) break down much earlier, leaving only adult women who have learned to cope with higher stress levels?

Although “modern” women in many surveys have said what a big difference it made to their self-esteem and feeling of self-worth to go to work somewhere and get paid, instead of doing housework and childcare all day, only for the husband to come home and yell “the house looks a mess, what did you do all day”?
It looks a mess because she spent two hours cleaning, but 15 minutes before husband came home, the toddler came in from playing outside and tracked dirt all over the carpet, because that’s what toddlers do.
Or: instead of whacking the kid with a spoon for 15 min., she spent one hour talking with the kid about why he was misbehaving, why that was wrong, how he could do better in the future, which is much better pedagogically, but threw her whole timetable for housework off.

There are also studies that say that even part-time work for a mother is beneficial esp. because of the nuclear family today. 200 years ago, a household was 20 people on average - if mother was tired, an aunt or grandma could watch the kids, and she could rest. Today, the mother sees only the kids the whole day, no other adult. Being able to talk normally with other adults even for 3-4 hrs. a day means that the woman feels better, and also, the break allows her to appreciate her kids, instead of being tired and overstressed so that the only emotion she feels is the wish to strangle the little monsters.

Good point. The stigma of needing to seek help, or being blamed, prevents a lot of people (men and women) from seeking help they need - or going to the GP for Xanax instead of going to a therapy.

How many “popular” books and media still say “if you are feeling down, just take a walk, you will feel much better!” Yes, studies show that talking a walk helps; but I’m lying in bed not able to take a walk, and now I will feel bad on top for not taking a walk that would make me better. Why can’t I just be strong? - Because it’s a disease, not a moral failing.

Not to mention the whole “positive thinking” approach esp. popular in US culture, where looking neutral instead of smiling is already a crime against society in the best of countries. (An expert wrote a book about the dangers of positive thinking on many people who reacted with greater depression back in the 80s or 90s).

This came out a few yrs ago: http://www.slate.com/articles/double_x/doublex/2010/11/going_dutch.html

That article says “Dutch women don’t get depressed”, then without questioning that went on to make many unfounded conclusions.

It turns out the Netherlands has one of the highest rates of clinical depression. And Dutch women are diagnosed with depression at double the rate of Dutch men:

On this global map of clinical depression, note the little red sliver above France that pegs the depression scale. That is the Netherlands: https://photos.smugmug.com/photos/i-f5SCJJ6/0/c6689e31/O/i-f5SCJJ6.jpg

What the hell is ‘smugmug’?