Women, regardless of nationality or socioeconomic status, have a higher chance to have depression than men. The reasons for such higher chance appear to be a combination of biological and cultural factors.

Women's Hormonal Variation and Life Phase

Extreme hormonal changes can trigger the reaction of emotional swings for all women. There are studies that show how the hormones can contribute in depression but the reason is not yet totally clear.

Female hormones undoubtedly play a big role in “premenstrual dysphoria”, postpartum depression, and the SAD moment. These forms of depression draw back or stop after the menopausal stage.

In early puberty a girl who reaches the age of 11 years old or younger are more prone to experience depression during adolescence than those girls that are more matured.

By the time of pre-menopausal, women between the ages of 20 and 45 are most at risk to get depression. Based on the record of the study, 34% of this age group are complaining of having symptoms of major depression.

Depression usually occurs around menopausal stage, it is the stage when the women's hormonal secretion changes. Usually symptoms like lack of sleep, mood swing, hypertension, and loss of appetite are experienced.

Once the women pass into the postmenopausal stage, some of the studies show that the average depression scores are nearly as low as those women that are under premenopausal stage. As a matter of fact, there are women cases that shows that after they had experienced menopause, they had also suffered from depression. One of the particular cause in that case is the seasonal changes.

There are other studies in United States that have reported that even grandmothers who shows care for their grandchildren and family, not considering the situation in which they work outside or at home, have a high risk for depression, other factors may be involved.

It was a normal day at the TV station, I was the sales manager, and also responsible for writing, shooting, and editing some of the station's TV commercials. There was always plenty to do at the little non-profit station in southern New Mexico. It was the first time that I had worked at a television station, specifically a Christian programming station, having spent most of my career in mainstream radio up to that point. I still remember the day that I first walked into that station with my resume in hand, handed it across the desk to the station manager, saying, "I'm Dianne James, here's my resume, and I'd like to work for you." He looked at the resume and we had a good talk.

At the conclusion of that talk, he said, "Well, you'll have to do sales in addition to other work..." I'd heard that before. I'd done that before, just not television, but I knew that if I could sell watermelons, potatoes, and radio airtime, I could sell television. Also, there was a more important purpose to this job. I didn't know it then, but it was an opportunity to help people, and to make a difference. The money wasn't great, since it was a non-profit, but it was also my first television job. The only other TV station I'd ever even visited was, as a young child, on my birthday when I was allowed to ring the bell on the Admiral Foghorn Show, a kind of West Texas version of Captain Kangaroo, in Odessa Texas. I didn't mention Admiral Foghorn.

I would be one of three salespeople, and would go out with the manager to meet my assigned clients, during those first days on the job. Well, in a perfect world, that would have happened. The manager was a very busy man. He didn't have time to hold someone's hand and introduce them to everyone. So, one day while waiting for him to get off the phone, I decided not to wait any longer. I left and started making cold calls. Months passed until one day while going into the control room, I tripped and fell on a tiny little step-down into the room. I didn't know a human's foot could bend that far backwards. I couldn't walk. Needless to say, I was on crutches for a few weeks, and carrying a brief case, making sales calls, and by then it had snowed. Not a pleasant experience. After a particularly slow sales month, I was thinking that maybe this job wasn't meant for me, after all. My boss called me into the office one day and said he wanted me to be the sales manager. He had always been the sales manager, and, to my knowledge, no-one else had ever held that position except him, so I stayed. The staying proved to be a learning experience.

It was during my tenure as the sales manager that a woman walked into the station, desperate and hopeless. I asked her if I could help her, and she looked a little bewildered. She said, with a slight Spanish accent, "I don't know, I just came in here, I don't know why. My son got killed in a drive-by shooting in Las Cruces, and I just got out of court." I saw pain in her eyes. Enormous pain. She was on the verge of tears, as she relayed the story of how her son just happened to be in the wrong place at the wrong time, when a bullet from a drive-by shooter took his life. I had children of my own, and at that moment something within me felt some of her pain. Well, there was no reason for her to be at the TV station, she didn't even know it was a television station; she said she'd just wandered in, from the court house across the street. I noticed the braces on her legs, her graying hair and a look in her eyes that made me feel like she thought I could do something about all of this. I told her, "Wait, I'll be right back."

I brought her a Bible from the office, and turned to the book of Job. "This has helped me many times in my life, and I think it will help if you read this," I told her.

She took the Bible, said ok, and sat down in the lobby, and began to read. I told her I'd be back in just a little bit. I left the room to give her time to read it. When I came back, she was gone. The Bible lay on the sofa, and I wondered if she had even read the passage. I felt bad, that maybe I should have gone back to check on her sooner, but she was gone and nothing could be done.

Time passed, and the CBS Sunday Morning staff members had come to Alamogordo to shoot a special about gang violence with Howdy and Yahooskin Fowler as a part of it, with their cross-country camel trip, raising awareness of gang violence. The woman who had wandered into the station days before was definitely on my mind. I finally found out who she was and called her in Las Cruces, to see how she was doing, she had been so down, so depressed about her son, I had wondered what had happened to her. She said, "Yes, I remember you." At the end of the conversation she said, "Thank you. You saved my life."

The day she had walked in, I didn't know what that woman might do. I knew she was in pain, and very depressed. All I could do was talk to her and she to me, and try to give her some hope. I found out that no matter what our walk or position in life, we can help people along the way. You don't have to be a saint to help someone, either. Good thing, because I wasn't. All I knew is that she was so distressed, she might commit suicide.

Suicide is not the answer, because what you are going through right now might be the experience that someone needs in the future to keep them from committing suicide, or giving up on life- a source of future joy for you, being able to truly help someone. There is great joy in this life for you, if you give it enough time to find you. It is these tumultuous times, these trials of life, that prepare us for what we have to do in the future. Unfortunately, too many take their own lives, not knowing that they could help someone else with their wisdom of having been in that pain, too. They don't realize that a person can do anything, an hour at a time. A day at a time. What it takes is talking about it- even if it's to a stranger. Maybe even a pastor. Many people try taking anti-depressants to deal with their problems, but I've found that the best and fastest way to face the most difficult situations is head-on, right through the middle of it. When a person is feeling that much pain, the perspective from which they're looking at the situation is skewed by that pain. For that reason, it seems hopeless. It really helps to vent to another person who will listen. Find one that will, even if it's a stranger, because tomorrow is a new day. The sun will rise, the birds will sing, and you will survive this. You will be stronger for having survived this, and you will then be in a special position to help someone else survive that pivotal moment when life is in the balance.
Everyone has a purpose to their life. It takes many of us a long time to find what that is, but there is a purpose. You need to stay alive to find out what it is. Remember, too, that there are millions of people in this world who feel like they have no-one who loves them. There is love. Just keep living and striving for the joy that you will find. Keep learning and you'll keep growing. And don't forget, you can do anything, an hour or a day at a time. You'd be surprised to know how many people who are walking around happy today have, at least once, considered killing themselves. This moment now is but a tiny part of your wonderful journey of life ahead. If the Lord can use a plain old salesperson like me to help someone, He can certainly use you, too. Someone will need your love, someday. You can only love them if you're alive.

Did you know:

30,000 people commit suicide each year in the United States - a rate of 11 in every 100,000 Americans, or one person every 17 minutes..
The Rocky Mountain region has the highest suicide rate in the country.. In 1998, the suicide death rate in Colorado was more than 14 people per 100,000, making it the 12th highest in the country and 36% higher than the national average..

An estimated 9,600 Coloradans seriously contemplate suicide each year and approximately one-half to two-thirds of these individuals are not being treated for their suicidal symptoms.

Key Facts About Suicide

The largest number of suicide deaths occur among middle-aged men, between 35 and 44 years of age, with the risk for suicide increasing for those with a mental illness or who abuse alcohol.

Middle-aged men who commit suicide are also the least likely of all groups to seek mental health treatment prior to their death..

The risk of suicide death increases among men as they age and is particularly high among men who are 75 years or older.

Most of the elderly who die from suicide are white and are not married..

The risk for suicide among women does not increase as they age..

Suicide is the second-leading cause of death among youth, although suicide deaths among youth are relatively infrequent compared with other age groups..

Young people, particularly young women, are much more likely to be hospitalized for a suicide attempt than older adults..

Risk factors for suicide can be characteristics of an individual (being male, having a mental or physical illness, having a family history of suicide), situational (living alone, being unemployed) or behavioral (alcoholism, drug abuse or owning a gun).. Individuals at risk for suicide tend not to seek treatment for their emotional problems. Getting this population into care is an important goal of suicide prevention efforts.. National data suggest that only one-third (36%) of people at risk for suicide visited a medical care provider within the past year. Only 10% report having seen a physician for their emotional problems and an additional 29% visited a physician for other reasons.

Tricyclic antidepressants is one of the more popular drugs used to fight depression in people today. Known as the “first generation” antidepressants because Tricyclic antidepressants were the first medications to come into use in the 1950's to treat depression. They are still one of the better drugs to treat not only depression but have been found to treat chronic pain also. None of the Tricyclic antidepressants have been approved by the government to be used for chronic pain; they are one of the basic treatments for pain even when no depression is involved. These antidepressants seem to work effectively for the burning or searing pain common after nerve damage which may occur with shingles, diabetes, and strokes. This medication can only be prescribed by your doctor, only he or she knows your specific condition and would be able to tell you if using this drug is a good idea for you to use. There are some side effects that come with this drug however, most people claim it's a “slight nuisance.”

It is not fully understood why Tricyclic antidepressants work so well on killing pain. The theory is that these type of antidepressants increase neurotransmitters in the spinal cord that reduces pain signals. However, Tricyclic antidepressants do not work immediately and you may have to take them for several weeks before they start reducing pain. The good thing about using Tricyclic antidepressants is they are not addicting or cause people to become dependant on them but they do have the ability to make you drowsy at first. Your doctor will probably prescribe them for you to take at night before you go to bed. Side affects can be anything from causing dry mouth, sleepiness, constipation and weight gain, difficulty with urination, and changes in blood pressure. To reduce side effects, your doctor will probably start you on a low dose and increase dosage until the one that is right for you is achieved.

Other side effects you will want to watch out for are dizziness, lightheadedness, and fainting may occur, especially when getting up from a sitting or lying position, it's recommended to rise slowly when getting up. Tricyclic antidepressants may cause your skin to be more sensitive to sunlight than normal. Be aware of how long you are out in strong sunlight when you first start this medication until you know if it will have an adverse affect on your skin. Getting to much exposure from the sun may cause a skin rash, itching, redness or other discoloration; even server sunburn may be an adverse affect from this medication. It is suggested that one stay out of the sunlight during the hours of 10:00 a.m. to 3:00 p.m. if possible. Be sure to apply a good sun block to exposed areas of skin when taking Tricyclic antidepressants , with at least a SPF of 15, and for fair skin a sun block with a higher SPF rating. Be sure to discuss these types of topics and any others you may have a concern about with your doctor before you start taking any medication. You want your medication to work for you so it will help you get well.

As women approach midlife and menopause one of the things to be on the lookout for is depression. While menopause is not thought to be a cause of depression the two can occur at the same time. What is believed to be a cause of depression is changes in estrogen levels which occur during menopause. It is known that women are affected by depression over twice as much as men and that a family history of depression can factor into this as well.

The symptoms of depression and menopause are very similar and include sleep disorders, hot flashes,fatigue, anxiety, and irritability. Many women associate these symptoms with the changes that menopause bring, but they may be a sign of depression that needs to be understood and dealt with. There is no reason women need to suffer from depression duing menopause. It is important that they accept the physical changes happening to their bodies during this time and work with their doctor to mitigate the symptoms of menopause, but it is alaso important that they realize that depression and menopause can be mutually exclusive and both can be dealt with.

As women approach menopause their menstrual cycles begin to change and start to become unpredictable. This unpredictability of their monthly cycle is a sign of erratic ovulation. Erratic ovulation causes unpredictable releases of the hormones estrogen and progetserone leading to mood swings, forgetfulness, hot flashes and all the other symptoms associated with menopause.

Most women going through menopause feel that they are loosing control of their bodies when in fact it is just their natural reaction to the aging process. This feeling of loss of control can lead to symptoms of depression. As the symptoms of both menopause and depression worsen they start to feel that their is nothing they can do and a feeling of hoplessness falls over them. This feeling of hopelessness is a major part of depression and left untreated can lead to severe depression.

Untreated depression is a major health risk. Researchers have found that depression is linked to an increased risk of heart disease and in some cases it can lead to bone deterioration increasing the likely hood of osteoporosis and broken bones.

The treatment for dperession and menopause can follow a two pronged approach. It is important to treat not only the depression with antidepressant medications and counseling but also to treat the symptoms of menopause as well. Menopause can be treated with hormone replacement therapy where synthetic forms of estrogen and progesterone are used to even out the woman's hormone levels.

If you are a woman approaching midlife and menopause be aware that depression can be a very real side affect of the changes that will happen to you. If start to see the symptoms of depression it is best to talk to your doctor about what treatment options may work best for you.