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  • Mental Health Issues
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  • DepressionDepression
  • SignsSigns
  • SymptomsSymptoms
  • TypesTypes
  • Women Vs. MenWomen Vs. Men
  • CausesCauses
  • Risk FactorsRisk Factors
  • DiagnosisDiagnosis
  • Recognizing DepressionRecognizing Depression
  • TreatmentTreatment
  • Find a TherapistFind a Therapist
  • 8 Tips8 Tips
  • ConclusionConclusion
  • InfographicsInfographics
  • Additional ResourcesAdditional Resources
Depression Articles Depression Depression Treatments Types of Depression Online Therapy for Depression

Depression in Women: Symptoms, Causes, & Getting Help

Emily Guarnotta Updated Headshot

Author: Emily Guarnotta, PsyD

Emily Guarnotta Updated Headshot

Emily Guarnotta PsyD

Emily is an expert clinical psychologist with a special focus on parental and infant mental health conditions. She uses her 10+ years of experience and her expertise in CBT and other methods to help families heal and find peace.

See My Bio Editorial Policy
Meera Patel, DO

Medical Reviewer: Meera Patel, DO Licensed medical reviewer

Meera Patel, DO

Meera Patel DO

Dr. Patel has been a family physician for nearly a decade. She treats and evaluates patients of all ages. She has a particular interest in women’s mental health, burnout, anxiety, and depression.

See My Bio Editorial Policy
Published: March 14, 2023
  • DepressionDepression
  • SignsSigns
  • SymptomsSymptoms
  • TypesTypes
  • Women Vs. MenWomen Vs. Men
  • CausesCauses
  • Risk FactorsRisk Factors
  • DiagnosisDiagnosis
  • Recognizing DepressionRecognizing Depression
  • TreatmentTreatment
  • Find a TherapistFind a Therapist
  • 8 Tips8 Tips
  • ConclusionConclusion
  • InfographicsInfographics
  • Additional ResourcesAdditional Resources

Feeling occasionally sad is normal, but depression involves a pattern of symptoms over time to the detriment of daily life. Hormones, biology, and societal pressure all contribute to women struggling with depression at a significantly higher rate than men. However, with psychotherapy, learning regulation skills, and medication for some, depression can be managed.

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What Is Depression?

Depression is a mood disorder that affects a person’s thoughts, feelings, and behavior.1 Most people experience depression symptoms occasionally, but people with depressive disorder experience symptoms for at least two weeks on a near daily basis. Depression can feel like having a sad or bad mood, difficulty experiencing pleasure, low energy and motivation, and changes in sleep, appetite, and depression & weight gain and interfere with multiple aspects of daily living.

Prevalence of Depression In Women

In 2020, 13,536,000 of women over age 18, or 10.5%, experienced major depression in the past year.2

Most People With Depression Need Treatment to Feel Better

Like many health conditions, depression is treatable. Treatment for depression typically involves therapy and in some cases medication as well. The earlier that a person seeks treatment for depression, the more likely they are to recover.1 Trying to ignore your symptoms or “tough it out” may only lead them to become worse.

Signs of Depression In Women

Depression can feel incredibly isolating and lonely to a person in the middle of it. If you notice someone showing the signs of depression, don’t be afraid to check in with them. If someone shares with you that they are suicidal, contact 9-1-1 immediately. Local law enforcement can perform wellness checks on a person if they have concerning behaviors and statements.

Common signs of depression in women include:3

  • Significant weight loss or gain
  • Social isolation from friends, family, and relationships
  • Lethargy or increased fatigue, or feeling like they can’t get out of bed due to depression
  • Lack of participation or enjoyment in activities that they once enjoyed
  • Seeming to move more slowly than is usual
  • A change in hygiene and/or appearance
  • Negative self-talk
  • Talking about death or dying

What Are the Symptoms of Depression In Women?

Depression symptoms and severity will vary, but many women with depression experience sadness or emptiness, fatigue, and trouble sleeping. Diagnoses are made by psychiatric providers and therapists, but also by primary care providers and women’s health providers (OB/GYNs).

Common depression symptoms in women include:3

  • Persistent feelings of sadness, feelings of emptiness, or hopelessness
  • Inability to enjoy things
  • Significant weight changes and/or appetite changes
  • Sleeping too much or not sleeping enough
  • Fatigue
  • Trouble concentrating
  • Feeling worthless or overly guilt-ridden
  • Thoughts of death or dying, suicidal ideation, or a suicide attempt

3 Types of Depression Unique to Women

Hormonal and lifestyle changes occurring during menstruation, pregnancy, and menopause are to thank for specific depressive episodes that only affect women. These types of hormonal change can also exacerbate existing episodes of depression or anxiety.

Consulting with a medical specialist (e.g., ob/gyn) about symptoms associated only with hormonal changes is suggested in order to get the best possible treatment.

Here are three types of depression unique to women:

1. Premenstrual Dysphoric Disorder (PMDD)

Most women experience some form of premenstrual syndrome (PMS) in the days before or during their period. Premenstrual dysphoric disorder (PMDD) is marked by significant mood, physical, and behavioral changes that are so severe that daily life is affected. PMDD is also different from depression in that symptoms are minimal or resolved in the week post-menses.3

2. Postpartum Depression

Pregnancy and the birth of a child cause a massive shift in hormones as well as lifestyle. Most women experience times of sadness or fluctuating mood in the weeks following delivery, often known as “baby blues.” While “the baby blues” is an expected phenomena, postpartum depression occurs when those symptoms increase or fail to resolve over time.

3. Perimenopausal Depression

Due to the vast hormonal changes during perimenopause (the time of transition women experience prior to menopause), many women find that their moods become erratic during menopause & depression.

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Depression In Women Vs. Men

Hormonal shifts due to menses, pregnancy, and menopause can all trigger depressive symptoms. Some scholars believe that internalizing/shutting down behaviors were safer for our female Homo sapien ancestors than acting out behaviors and therefore became coded into the human genotype over centuries.4

Is Depression More Common In Males or Females?

Women are consistently shown to have higher incidences of depression than men. A CDC survey of adult Americans stated “Overall, women (10.4%) were almost twice as likely to have depression as men (5.5%).”5

Causes of Depression In Women

While the causes of depression are still being actively researched and debated, there are some issues that are known to increase the risk of developing symptoms of depression.

Hormones

Hormonal changes associated with menstruation, pregnancy, childbirth, and menopause cause changes in brain chemistry that can be associated with depressive episodes.6 One study showed that 12.4% of women studied had a major depressive episode during pregnancy.7 13-18% of women of reproductive age may have premenstrual dysphoric symptoms severe enough to induce impairment and distress.8

Family History of Depression

Genetics may also be a factor. One study showed that major depression is likely to be inherited in the 31%–42% range, though they noted that this was likely to be on the low end of the spectrum.9

Childhood Trauma

Research demonstrates that exposure to childhood trauma increases the risk of depressive disorders even decades after the events occur.10 Trauma, loss, violence, and other life crises can trigger the onset of depression. Depressive symptoms that present only after a stressful event may also be signs of post-traumatic stress disorder (PTSD), acute stress disorder, or adjustment disorder.

What Raises the Chances of Depression in Women?

There are several factors that can influence why women become depressed. Other than genetic and biological causes, there are common factors that can raise a woman’s chances of developing depression.

Here are things that increase a woman’s chance of developing depression:

Overwhelm

Women who choose to work and have families often serve as both a primary caregiver to children and aging parents while also working to advance a profession and/or provide financial security. Carrying the load of family and career can be overwhelming and lead to feelings of resentment, shutting down, or mom burnout.

Guilt

While women are more educated than ever, they still often find themselves being expected to fulfill traditional expectations. Social media leaves women feeling judged for every decision they make regarding their parenting and life choices. Guilt and shame for not being able to be at every school event or organize the perfect themed birthday party can lead to other symptoms of depression (i.e., mom guilt).

Abuse

Women are also more likely to be victims of violence and abuse, which are factors that contribute to depression.

Gaps In Resources

Additionally, there remains a gender gap regarding wealth and power, meaning that women continue to earn less money than men and are far less likely to be in a position of power. The emotional and financial burdens of this can lead to emotional distress and depression.

How Is Depression in Women Diagnosed?

While having a good physical exam and assessment is important to rule out organic causes of any mental distress, this is especially true when experiencing symptoms of depression. Common medical conditions such as hypothyroidism affect energy levels, appetite, and sleep patterns—all symptoms that overlap with a depression diagnosis. Consulting with your doctor about these concerns can assure that medical issues are not overlooked.

Recognizing Depression & Seeking Treatment

Choosing to get help with depression is not easy. Often, people do not admit how badly they are feeling until things get unbearable. The sooner a person can begin to admit their symptoms to a professional, the sooner an accurate medical and psychological assessment can be made, and then treatment can begin. Ruling out medical causes of depression like a thyroid imbalance is incredibly important, especially for women, who experience significantly more thyroid problems than men.

How Depression Is Treated

Treatment for depression is often achieved through a combination of therapy and medication, if medication is needed. Medication is necessary for many people in order to provide enough energy, motivation, and hope to engage in the therapeutic process. Some people find that medication needs to remain a constant in their lives, while others are able to work with their doctor to decrease their medication needs as their ability to cope and manage their depression increases. For some, service dogs for depression provide assistance with daily living tasks and disrupt self-harm behaviors.

Therapy

A number of types of depression therapy can be helpful, including interpersonal therapy, psychodynamic therapy, and CBT for depression. Many therapists will utilize a blended approach of talk therapy with regulation skill building to allow the client to develop strategies to manage symptoms of depression.

Medication

Medication for depression such as selective serotonin reuptake inhibitors (SSRIs) and serotonin–norepinephrine reuptake inhibitors (SNRIs) are often prescribed to treat symptoms of depression in women. These medications allow for an increase in certain chemicals in the brain that facilitate healthy mood stabilization.

How to Find a Therapist

Reaching out to a primary care physician or OB-GYN can be the first step in seeking treatment. Likewise, finding a therapist for depression can also begin the healing process. Your medical provider can often refer to a therapist they are familiar with, and likewise asking trusted friends can lead to therapist referrals. There are a lot of useful online therapy companies that do good work these days. Some, like Luna Joy, specifically focus on serving women.

If you would like to find a therapist who accepts your insurance, call the number on your insurance card to get a list of mental health providers. Using an online therapist directory can help you find therapy for depression as well.

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OB-GYNs Often Detect Signs of Depression & Recommend Therapy

Choosing Therapy conducted a survey of 135 OB-GYNs on Sermo, a global data collecting platform of over 800,000 anonymous, verified physicians, about the mental health of their patients. The OB-GYNs reported that about 31% of their patients present with depression. Of those surveyed, 73% say that they’d ideally like the patients they recommend speak with a therapist to have their first session within a week. However, the majority say that of the patients they recommend speak to a therapist, 30% or less actually make it to a first therapy session.

Self-Help For Depression In Women: 8 Tips

Depression can feel miserable, but change can feel completely overwhelming. However, even small steps can help you start to feel better, along with professional help.

Here are eight ways to help yourself feel better when dealing with depression:

1. Connect With Others

Connection with others is incredibly difficult when in a depressive episode, but it is vital to mental health. Finding a way to catch up with a friend or intentionally spend time with a family member can help.

2. Get Outside

Getting even a few minutes of fresh air can help your body and brain experience different sensations (wind, hot or cold, sun or rain) that can help decrease depressive feelings.

3. Get Moving With Exercise You Enjoy

Exercise for depression offers many benefits. Walking, yoga, or any kind of exercise that gets your body moving can help adjust your brain chemistry and alleviate symptoms.

4. Develop (& Stick to) a Routine

Having a solid routine can build a habit of engaging in healthy behaviors, like exercise and eating at regular intervals, that combat depression.

5. Take Care of Your Body

Try to notice when you are hungry or full. Eat at regular intervals and attempt to listen to your body for cues around food. Try to eat a healthy diet of foods that help depression, consume vitamins that help depression, and avoid excessive alcohol and sugar.

6. Get Enough Sleep

Sleep is important for maintaining good mental health. Sleeping too much or too little is associated with depression. Aim for 8 hours of uninterrupted sleep per night. If you’re struggling to sleep or experiencing nighttime depression, try a mindfulness for depression activity at night to help promote relaxation. If you continue to have trouble, speak to your doctor.

7. Try a New Hobby

Engaging in positive activities that are enjoyable is another way to manage depression. When people become depressed, they often give up hobbies and activities that they once enjoyed. Consider taking up an old hobby or trying something new, like joining a club, team sport, or taking a class.

8. Practice Gratitude

Gratitude can help foster a positive mindset and help reduce negative thoughts that are common with depression. Writing down just three to five things a day that you are grateful for can encourage positive feelings that may help fight depression.

What NOT to Do: Coping Mechanisms to Avoid to Overcome Depression

In general, depressed women should avoid self-diagnosing (Instead, always go see a professional), blaming themselves, isolating themselves, and self-medicating.

Here are coping mechanisms to avoid if you’re trying to overcome depression:

  • Self-diagnose: it’s nearly impossible to see yourself and your behaviors objectively
  • Blame yourself for feeling down or sad: we have very little control over what we feel, we can only work to change how we respond to those feelings
  • Isolate: isolation feeds feelings of depression and continues a negative cycle
  • Self-medicate: yes, that glass of wine or new sweater may make you feel better for a moment, and there is nothing wrong with treating yourself within reason, but if you’re using food, alcohol, substances, shopping, sex, or any other compulsive behavior to distract from depression, that strategy won’t work in the long term; it often leads to significant stress or even addiction.
  • Ignore thoughts of self-harm: thoughts do not have to control actions, but if you have thoughts of self-harm or suicide, talk to someone immediately

Final Thoughts On Depression In Women

Depression can be difficult for anyone, but you don’t have to face it on your own. Reach out to your primary care doctor or a trusted therapist for help determining how to move forward and manage your depression.

Depression in Women Infographics

Common Symptoms of Depression in Women Causes and Risk Factors of Depression in Women Getting Help for Depression in Women

Do's and Don'ts in Dealing with Depression in Women

Additional Resources

To help our readers take the next step in their mental health journey, ChoosingTherapy.com has partnered with leaders in mental health and wellness. ChoosingTherapy.com is compensated for marketing by the companies included below.

Online Therapy

BetterHelp – Get support and guidance from a licensed therapist. BetterHelp has over 30,000 therapists who provide convenient and affordable online therapy. BetterHelp starts at $65 per week and is FSA/HSA eligible by most providers. Take a free online assessment and get matched with the right therapist for you. Free Assessment

Therapy for Depression & Medication Management

Brightside Health – If you’re struggling with depression, finding the right medication can make a difference. Brightside Health treatment plans start at $95 per month. Following a free online evaluation and receiving a prescription, you can get FDA approved medications delivered to your door. Free Assessment

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For Further Reading

  • Best Books for Depression
  • Best Self-Help Books for Women
  • Inspiring Books for Women
  • Why Do I Feel Sad for No Reason?
  • How to Help a Spouse With Depression
  • Best Jobs for People With Depression
  • Teacher Depression: Causes, Signs, & How To Cope

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Depression is a very common mental health concern. To find the best online therapy for depression, we spent hundreds of hours personally using and researching over 50 platforms. Our resulting list offers options with easy access to appointments, affordable pricing, coverage for major insurance plans, and some of the best therapist availability in the industry. Read on to see our top picks for the best online therapy for depression.

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Best Online Psychiatry Services

Online psychiatry, sometimes called telepsychiatry, platforms offer medication management by phone, video, or secure messaging for a variety of mental health conditions. In some cases, online psychiatry may be more affordable than seeing an in-person provider. Mental health treatment has expanded to include many online psychiatry and therapy services. With so many choices, it can feel overwhelming to find the one that is right for you.

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Sources Update History

ChoosingTherapy.com strives to provide our readers with mental health content that is accurate and actionable. We have high standards for what can be cited within our articles. Acceptable sources include government agencies, universities and colleges, scholarly journals, industry and professional associations, and other high-integrity sources of mental health journalism. Learn more by reviewing our full editorial policy.

  • National Institute of Mental Health. (2018). Depression. Retrieved from: https://www.nimh.nih.gov/health/topics/depression

  • Institute of Health Metrics and Evaluation. Global Health Data Exchange (GHDx). https://ghdx.healthdata.org/gbd-results-tool?params=gbd-api-2019-permalink/d780dffbe8a381b25e1416884959e88b

  • American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Washington, DC: Publisher.

  • Immerman, R. S., & Mackey, W. C. (2003). The Depression Gender Gap: A View Through a Biocultural Filter. Genetic, Social & General Psychology Monographs, 129(1), 5–39.

  • Brody DJ, Pratt, LA, Hughes, JP. (2018). Prevalence of Depression Among Adults Aged 20 and Over: United States, 2013–2016. National Center for Health Statistics data brief, no 303. Hyattsville, MD.

  • Steiner, M., Dunn, E., & Born, L. (2003). Hormones and mood: from menarche to menopause and beyond. Journal of Affective Disorders, 74(1), 67–83. https://doi-org.proxy.library.emory.edu/10.1016/S0165-0327(02)00432-9

  • Le Strat, Y., Dubertret, C., & Le Foll, B. (2011). Prevalence and correlates of major depressive episode in pregnant and postpartum women in the United States. Journal of affective disorders, 135(1-3), 128–138. https://doi.org/10.1016/j.jad.2011.07.004

  • Halbreich, U., Borenstein, J., Pearlstein, T., & Kahn, L. S. (2003). The prevalence, impairment, impact, and burden of premenstrual dysphoric disorder (PMS/PMDD). Psychoneuroendocrinology, 28 Suppl 3, 1–23. https://doi.org/10.1016/s0306-4530(03)00098-2

  • Sullivan, P. F., Neale, M. C., & Kendler, K. S. (2000). Genetic epidemiology of major depression: review and meta-analysis. The American journal of psychiatry, 157(10), 1552–1562. https://doi.org/10.1176/appi.ajp.157.10.1552

  • Chapman, D. P., Whitfield, C. L., Felitti, V. J., Dube, S. R., Edwards, V. J., & Anda, R. F. (2004). Adverse childhood experiences and the risk of depressive disorders in adulthood. Journal of affective disorders, 82(2), 217–225. https://doi.org/10.1016/j.jad.2003.12.013

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We regularly update the articles on ChoosingTherapy.com to ensure we continue to reflect scientific consensus on the topics we cover, to incorporate new research into our articles, and to better answer our audience’s questions. When our content undergoes a significant revision, we summarize the changes that were made and the date on which they occurred. We also record the authors and medical reviewers who contributed to previous versions of the article. Read more about our editorial policies here.

May 7, 2025
Author: No Change
Reviewer: No Change
Primary Changes: Added Depression Workbook with nine worksheets.
March 14, 2023
Author: No Change
Reviewer: No Change
Primary Changes: Updated for readability and clarity. Reviewed and added relevant resources.
April 4, 2022
Author: Emily Guarnotta, PsyD
Reviewer: No Change
Primary Changes: Updated for readability and clarity. Reviewed and added relevant resources. Added “What Is Depression?”. Added several new tips to “Self-Help for Depression in Women”.
January 22, 2021
Author: Elizabeth Marston, MSW, LCSW
Reviewer: Meera Patel, DO
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