Depression and Women: An Integrative Treatment Approach by Susan Simonds

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By Susan Simonds

In her most recent e-book, Simonds offers "Integrative Relational Therapy," her distinctive nonpathologizing method of psychotherapy with depressed girls. IRT integrates empirically-supported cures, feminist theories of melancholy, artistic arts cures, and mindfulness-based options right into a cohesive version that addresses the gender and cultural components contributing to women's melancholy. The e-book additionally addresses relapse prevention, reproductive-related occasions, particular medicine matters for girls, and the most recent learn on replacement treatments. a special function of the ebook contains 3 conceptual maps that consultant the therapist during the process remedy, weaving a standard thread whereas taking into consideration the distinctiveness of every shopper. a listing of integrative assets and advised readings in feminist treatment, substitute treatments, and holistic ways to the remedy of melancholy, anxiousness, and women's reproductive-related occasions also are integrated.

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It is easier to avoid than to face life's difficulties. I need a strong person to lean on or provide for me. I don't have control over my emotions. (Fodor, 1988; Lewis, 1994; Wolfe & Fodor, 1975). Many women are socialized to value the ethics of care and responsibility (Gilligan, 1982), resulting in cognitive and attributional styles that are overly self-blaming and ruminative. The negative impact of a ruminative cognitive style is discussed next. 36 Depression and Women Response Styles According to response styles theory (Nolen-Hoeksema, 1987; NolenHoeksema, Larson, & Grayson, 1999), the way a person responds to depressive symptoms will affect the duration and severity of depressive episodes.

One study found that 60% of women had little or no opportunity for advancement (Reich & Nussbaum, 1994). Most workplaces reward competitiveness and independence, yet ignore collaboration and teamorientation, devaluing those who tend to function this way (Fletcher, 1999). The result can be that women find their contributions in the workplace ignored and undervalued, which may then lead to suppressed anger, low self-worth, or distress. The stresses of employment interact with female gender socialization, resulting in self-doubt about competence, disavowal of skills, fear of success, difficulty in resolving conflicts between family and work roles, and avoidance of competition (Stiver, 1994).

The probability of relapse increases with each episode. The role of stress may be less prominent in later episodes. 20% having MDD will have only one episode. 25% with subthreshold symptoms go on to have MDD. 50% of those with dysthymia go on to have MDD. Individuals born after World War II are at higher risk. 10-15% of those with MDD commit suicide. Over 50% with MDD have comorbid diagnoses. 5-6% of those with a first depressive episode will develop bipolar disorder. Association's Task Force on Women and Depression.

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