Women and Mental Health

May 1-7 has been Mental Health awareness week.

One in three Americans struggles with mental illness but the rate is much higher in women.  Research shows that women are 40% more likely to develop depression than men.  It is not clear why mental illness is more common among women but doctors have come up with a number of possibilities.

Discrimination, Trauma and stressful life experiences

Trauma is common among women with half of them experiencing some form of trauma in their lifetime.  One in four women have faced an attempted or a completed sexual assault.  Reportedly, one in three are abused by a domestic partner.  Gender discrimination, violence and mistreatment undermine a woman’s mental health.  Stress is a predictor of mental illness.  Women juggle housework, kids even while working fulltime.  They report that they have to work harder to get the same credit as men and worry about the gender wage gap.  They have to deal with sexual harassment and discrimination in workplaces where these are commonplace.  These challenges can significantly affect a woman’s ability to cope and her self-esteem.

Hormonal Issues

Women produce lower quantities of serotonin than men due to differences in hormone levels and this deficiency can lead to mental health issues such as depression and anxiety.

Pregnancy, Birth and Parenting

41% or women suffer from some form of postpartum depression.  Some of them are overwhelmed by the demands of parenting, especially in the early days.  I remember that there were times when I felt that I was drowning–in over my head.  Once I even cried out while I was holding my toddler.  Thankfully I had God and a very supportive partner.  It helped when he came home and I had an adult to talk to. Not all women are as blessed.  Research shows that women who don’t have supportive partners, experience traumatic births, live in poverty or a highly stressed will most likely develop postpartum depression.  

Gender bias is another problem women face.  Some research suggests that doctors tend to label women’s symptoms as emotional while taking the men’s symptoms more seriously.  So, a woman who reports that she is experiencing chronic pain to her doctor might be labeled as depressed.  This happens because we live in a world where gender discrimination exists and women are seen as more emotional and less rational.  

In many countries, the way health workers spoke to the women made it difficult for them to disclose their psychological and emotional distress.  And when they worked up the courage to disclose their problems, they were either over-treated or under treated by many of the health workers.

I read in an article in The Globe And Mail that women are getting the prescription that is available more often than the treatment they need.  They are getting medication to solve their problems even when science finds that treatments such as psychotherapy is equally or in some cases more effective without the side effects.  Bias in mental health care is a hindrance to women, preventing them from getting the proper help they need.  Not much effort goes into researching how drugs affect female patients.  While drug companies like to bombard women with their pills, most of their clinical trials have been dominated by men.  And the ironic thing is that the disorders most commonly diagnosed in women such as depression, anxiety and insomnia are the ones most likely to respond to therapy.  Most women are likely to prefer therapy over drugs.  

According to Dr. Marina Morrow, a Simon Fraser University psychologist who studies gender and mental health, “Women aren’t getting access to the range of care they need.”  She believes that an effective approach to this would be to include medication when necessary but in also offer therapy, peer support and pinpoint what social circumstances lead to the illness.

It has been argued that therapy is the safer, more effective and cheaper choice.  The authors of a 2015 study by Canadian and U.S. researchers concluded that, “There remains no sound justification to prescribe drugs without first trying therapy.  Dr. Cara Tannenbaum, scientific director of the CIHR Institute of Gender and Health, believes that “the way we fund therapies in Canada does not make sense right now.”  She wrote a letter to Quebec’s health minister to make the point that even if 20 per cent of seniors with insomnia received Cognitive Behavioral Therapy (CBT) with is used to treat insomnia, the cost-savings to the system could be in the hundreds of millions, based on the potential falls that would be avoided.  Therapy saves on costly and debilitating falls and hip fractures.  

We live in a country where medication is favored over psychotherapy and women are more likely than men to be prescribed antidepressants and sedatives as seniors and as a result they are at a higher risk of suffering from adverse effects.  Hopefully more women and those in the medical profession will speak out against the bias that is prevalent in the mental health care.  Doctors and those in the health care system need to give women more choices when it comes to treatment.  It’s their health so they should have the right to determine how they want to proceed once they have been diagnosed.

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International Women’s Day

Sunday, March 8, 2015 is International Women’s Day.  Gospel of Asia Canada is celebrating this day in South Asia by:

  • Giving new saris to widows
  • Encouraging women by sharing stories of women found in the Bible
  • Distributing food and blankets to poor children and families in the slums
  • Visiting women in prison and encouraging prostitutes with Christ’s love
  • Meeting the basic needs of some of the poorest women in society

I encourage you to watch a clip of the movie, “Veil of Tears” about a woman named Suhkwinder who almost committed suicide because her children were born girls. As you watch the clip and celebrate International Women’s Day, find out how you can help to change the life of a woman just like Suhkwinder’s. In a society where boy babies are preferred, the worst words a parent could hear are, “It’s a girl”.

In India girls are unwanted.  I read in an article that came out a couple of years ago that a three month old girl died from cardiac arrest at a state-run hospital in Bangalore after battling for life for three days.  Her father had battered her because he wanted a son.  Little Neha Afreen sustained head injuries, abrasions and bite marks all over her body.  This caused public outrage which led to her father’s arrest.  Her mother said, “My husband was enraged with me for delivering a girl,  He hated her. He wanted me to get rid of the child or abandon her as he wanted a son.”

Sadly, there are several horror stories of baby girls who have been abandoned, tortured or killed because they were unwanted.  We live in a world where there is gender bias.  As a Christian this is very hard for me to accept.  God created both man and woman in His image.  Little girls are as precious in His sight as little boys.  And if society keeps killing the baby girls, how will they have the boys they want so much?  And what about the boys when they grow up and want to get married and there is a shortage of women?  Many of them will have to go elsewhere to find wives. In Asia, baby girls are tossed aside as if they are garbage and women are raped.

There is the documentary, India’s Daughter, the story of the gang rape and murder of a young woman which shocked the world and sparked riots and protests all over India. Grieving parents and one of the rapists tell the story of the night six men brutally assaulted 23 year old medical student, Jyoti Singh while driving around Delhi, India’s Capital, in a bus.  Women should have the right to feel safe in their own communities. In Canada, you can watch India’s Daughter on March 8 on CBC or online for 30 days after broadcast.

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I know of some fathers who have daughters and adore them.  In fact, they want daughters.  God bless these men.  Jyoti’s parents were happy to have her.  She had dreams like everyone else.  One night, her dreams and life were brutally taken away from her.

On March 8, let us celebrate our mothers, grandmothers, daughters, sisters, aunts, nieces, friends, teachers, etc.  Let us celebrate women and reflect on the marvelous contributions they have made and will make to our society.  Each life matters.  Girls matter.  I pray that one day, the words, “It’s a girl” will be met with joy and acceptance.  Until then, let each of us who has a little girl of our own, encourage her to stand up and say, “I am a girl and I matter.”

Sources: http://www.thenational.ae/news/world/south-asia/baby-girls-killing-reveals-indias-crisis-of-gender-bias; http://www.cbc.ca/passionateeye/episodes/indias-daughter