Depressive disorders are a growing and a serious concern for governments, clinicians and psychotherapists, employers, families and, above all, for millions of individuals suffering worldwide. 

The prevalence for women formally diagnosed with depressive disorders is approximately twice that for men. The female lead emerges during puberty and lasts until approximately the age of 65, showing the greatest risk of developing a first episode of major depression during childbearing years. Hormonal, morphological and biochemical factors may play a role in the above differences, as well as psychological and social stress. 

Men on the other hand, count for three quarters of the recorded suicides and men are also nearly three times more likely to become dependent on alcohol or to report frequent drug use. Men account for the vast majority of the prison population and also more likely to be compulsorily detained or victims of violent crime. Statistics also report that men are less likely than women to seek help or as effectively be diagnosed with a depressive disorder.

The American Psychological Association (APA) found that women with depression were more likely than man to ruminate and focus on their negative emotions and problems. Women with anxiety also internalize their emotions more, typically resulting in withdrawal, loneliness and depression. With this in view, the APA suggests that treatments for depression should consider gender, and women could be better helped if their treatment was focused on coping and cognitive skills, which could help preventing rumination. Men on the other hand, are more likely to externalise emotions through aggression, impulsive, coercive and non-compliant behaviour, and could be better helped if their treatment was focused on reconditioning their impulsive behaviour, and re-directing aggressive behaviour towards non-destructive activities. 

Our public services require a coordinated approach, one based on the human understanding and insight into the circumstances that may be related to the triggering of a depressive episode, a reliance on individual strengths and empowerment, on improving individual coping strategies and meeting the client’s specific support needs.  A new way to address depression is also necessary in order to minimise the risk of potential victimisation, blame or stigma caused by the label of depression.