PART 2 - College of Agriculture, Food and Environment 6: What do you hear about stigma in this video? Let group discuss the issues they hear . Some ideas include: embarrassment –

1

Table of ContentsProgram Information . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-3

Script for Short Presentation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-7

Script for Quiz Presentation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-10

Script for Vignette Presentation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11-15

HANDOUTS:

Quiz . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16-17

Vignette: "Mary" . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18

Resources . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19

Post-Test . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20-22

HSW-LAS.108FG

PART 2WOMEN

AND DEPRESSION

2

Program Information

Description of program with characteristics of target audience: The materials presented in this program

are designed to educate participants about depression in women, including: (1) identifying the symptoms of depression in women; (2) reducing the stigma associated with having depression; and (3) identifying resources to find assistance for women with depression . Programs are designed for adult audiences . The facilitator is encouraged to partner with local health professionals for presentation and activities .

Length of Program: 30 to 60 minutes

Program Objectives:• Participants will:

Increase knowledge of depression Identify symptoms of depression Recognize the effects of negative

stigma toward women experiencing depression

Locate resources for additional information and treatment

Resources included:

1. From Blue to You: Understanding Depression background for facilitator

2. From Blue to You: Women and Depression (PowerPoint presentation) .• Defines depression• Lists symptoms• Treatments• Resources• Appropriate for adults in a lecture format .

Needs ability to play DVD, including speakers for sound . 30 minutes .

3. From Blue to You: Women and Depression script

4. From Blue to You: Women and Depression quiz (PowerPoint presentation)• Defines depression• Lists symptoms• Treatments• Resources• Appropriate for adults in an interactive

format . Can be used as evaluation for participant knowledge . Best used with small groups of ten or less . 30 to 45 minutes .

5. From Blue to You: Women and Depression quiz script

6. From Blue to You: Women and Depression quiz

7. From Blue to You: Women and Depression vignette (PowerPoint presentation)• Defines depression• Lists symptoms• Treatments• Resources• Appropriate for adults in an interactive

format . Needs internet connection to view web links 45 to 60 minutes .

8. From Blue to You: Women and Depression vignette script

PART 2:WOMEN AND DEPRESSION

FACILITATOR GUIDE

3

(CONTINUED)9. From Blue to You: Women and Depression

vignette .

10. Resource List - includes books, websites, and materials to supplement presentation .

11. Bookmarks: From Blue to You

Before the presentation:

1. Arrange for location and community partners

2. Visit the location, check on electric outlets, internet connection, and screen or space to project PowerPoint presentations

3. Read From Blue to You: Understanding Depression background for facilitator

4. Review and practice PowerPoint presentation

5. Duplicate post-tests, evaluations, and other materials to be used during session

6. Materials and equipment:• For PowerPoint presentation

Computer Projector Extension cord Speakers (if using video clips

or DVDs)• For short presentation

DVD/Video clip• For Quiz

Copies of quizzes(enough for each participant)

• For Vignette Copy of vignette

Publication:• HEEL Newsletter . Depression.

Lexington: University of Kentucky Cooperative Extension Service .

Agenda:

1. Greet participants and sign-in

2. Present Power Point presentation

3. Distribute and complete post-test

Leigh Ann Simmons; MFT, PhDformer Assistant ProfessorDepartment of Family Studies

Ester Edwards, BSGraduate studentDepartment of Family Studies

Leslie Crofford, MDProfessor, College of Medicine

Laura Stephenson, PhDProgram Leader,Family and Consumer Sciences Extension

April 2010

Copyright © 2010 for materials developed by University of Kentucky Cooperative Extension . This publication may be reproduced in portions or its entirety for educational or nonprofit purposes only . Permitted users shall give credit to the author(s) and include this copyright notice .

Educational programs of Kentucky Cooperative Extension serve all people regardless of race, color, age, sex, religion, disability, or national origin .


FACILITATOR GUIDE

4

Script for Short PresentationSlide 1: From Blue to You: Women and Depression

Slide 2: What is depression?• A mental disorder or illness • Involves the body, mood, and thoughts• It affects the way a person feels about

herself, and the way she thinks about things .

• These problems can become chronic or recurrent and lead to an inability to care for her everyday responsibilities .

• At its worst, depression can lead to suicide .

Slide 3: Is depression common?• Yes! Approximately 121 million people

worldwide have depression• Among women in the United States:

Approximately 12 percent of women have clinical depression .

One in five women can expect to develop clinical depression at some time in her life .

Depression is the leading cause of disability

Slide 4: What are the symptoms?• Physical symptoms

Trouble concentrating and making decisions

Feeling fatigued or weak Restlessness Sleep disturbances Unexplained physical problems,

such as back pain or headaches

• Emotional symptoms Feeling hopeless, sad, down Crying spells for no apparent

reason Irritability and easily annoyed Feeling worthless

• Psychosocial symptoms Loss of interest in normal daily

activities Social withdrawal and isolation Loss of interest in sex

• Women will more frequently experience or report

Guilt Anxiety Increased sleep Increased appetite Weight gain Having eating disorders with their

depression

Slide 5: Stigma PLAY ONE OF THE FOLLOWING VIDEOS OF WOMEN TALKING ABOUT THEIR EXPERIENCES WITH DEPRESSION: Depression: Out of the Shadows (PBS) or Women and Depression (Aquarius)

• Listen for signs and symptoms• Listen for feelings about having

depression

Slide 6: What do you hear about stigma in this video? Let group discuss the issues they hear . Some ideas include: embarrassment – afraid of what people might think; sign of weakness, people may treat them differently


FACILITATOR GUIDE

5

(CONTINUED)Slide 7: Treatment

• Talk therapy Addresses the mental, social, and

environmental roots of depression Cognitive Behavioral Therapy:

Most commonly used therapy for treating depression

May see a social worker, psychologist, counselor, marriage, and family therapist .

• Medication therapy Addresses the biological and

chemical roots of depression Most commonly prescribed

antidepressants are SSRIs (selective serotonin reuptake inhibitors) such as Prozac, Paxil, Zoloft

• Combination: Talk and Medication Therapy

It has been shown to be consistently the most effective treatment

Slide 8: What to do if you think you have depression(Each of the following bullets will appear one by one with a mouse click to give time for audience response and discussion . There may be other appropriate answers given .)

• Get help – See your family doctor . Treatments like talk therapy and medication do work .

• Stay Active – Get outside and get some exercise, even if it’s only a walk . This will help to keep you physically fit and you will sleep better . It can also help you not to focus on painful thoughts and feelings .

• Eat properly – A poor diet can make depression worse . You may not feel very

hungry, but you should eat a balanced diet, with lots of fruits and vegetables . Avoid eating too much sugar and junk food . Choose healthy foods that provide nourishment and energy and take a daily multivitamin .

• Avoid alcohol and drugs – Alcohol and drugs may make you feel better or forget your feelings for a couple of hours, but they will worsen the depression over time .

• Don’t get upset if you can’t sleep – Do something restful that you enjoy, like listening to the radio or watching television .

• Relax – Use relaxation techniques, including exercises, audio-tapes, yoga, massage, aromatherapy, etc .

• Do something you enjoy – Set some time aside regularly each week to do something you really enjoy .

• Review your lifestyle – A lot of people who have depression tend toward “perfection” and often push themselves too hard . You may need to set more realistic targets and reduce your workload .

• Take a break – This may be easier said than done, but it can be really helpful to get away from your usual routine for a few hours .

• Read about depression – The more you know and understand depression the better you can take care of yourself .

• Reach out to others – If you’ve had a major upset in your life, try to tell someone how you feel about it . Talk about the depression .


FACILITATOR GUIDE

6

(CONTINUED)Slide 9: What to do if a female family member has depression(Each of the following bullets will appear one by one with a mouse click to give time for audience response and discussion . There may be other appropriate answers given .)

• Get help – See that your family member gets an accurate diagnosis and appropriate treatment . Help your loved one find a good doctor, accompany her to appointments, and offer moral support .

• Encourage her to stick with treatment . – Depression usually recurs when treatment is stopped too soon . Make sure all medications are taken as instructed . Help her remember when to take her medicine .

• Offer emotional support. – Listen to your loved one with patience and compassion . Don’t criticize feelings expressed, but point out realities and offer hope .

• Invite her out. – Depression is less likely when people’s bodies and minds remain active . Suggest activities to do together that your loved one used to enjoy .

• Plan and prepare healthy meals. – A poor diet can make depression worse . Encourage fresh fruits and vegetables and a high protein diet .

• Do not accuse the person with depression of faking illness or expect her “to snap out of it.” Eventually, with treatment, most people with depression do get better . Keep reassuring her that, with time and help, she will feel better

Slide 10: References

Beyond Blue (2008) . What is Depression . Retrieved from www .beyondblue .org

Bhatia, S .C . & Bhatia, S .K . (1999) . Depression in Women: Diagnostic and Treatment Considerations . American Family Physician, 60, 1, 225-240 . http://www .healthyplace .com/communities/depression/women .asp

Duckworth, K . (2006) . About mental illness: Depression . Retrieved from http://www .nami .org/Template .cfm?Section=By_Illness&Template=/TaggedPage/TaggedPageDisplay .cfm&TPLID=54&ContentID=23039&lstid=326

Frank, E ., Novick, D ., & Masalehdan, A . (2003) . About mental illness: Depression in women . Retrieved from http://www .nami .org/Template .cfm?Section=By_Illness&template=/ContentManagement/ContentDisplay .cfm&ContentID=61089

Mayo Clinic Staff (2008) . Depression in women: Understanding the gender gap . Retrieved from http://www .mayoclinic .com/health/depression/MH00035

Mayo Clinic Staff (2008) . Depression . Retrieved from http://www .mayoclinic .com/health/depression/DS00175

Mayo Clinic Staff (2008) . Depression: Supporting loved ones through their battle with depression . Retrieved from http://www .mayoclinic .com/health/depression/MH00016

NIMH (2008) . How Do Women Experience Depression? Retrieved from http://www .nimh .nih .gov/health/publications/depression/how-do-women-experience-depression .shtml


FACILITATOR GUIDE

7

(CONTINUED)Nutrition Health Center (2008) . Depression Statistics Information . Retrieved from http://www .add-adhd-help-center .com/Depression/statistics .htm

Slide 11: For more information (HAND OUT BOOKMARKS)

• From Blue to You is a University of Kentucky Health Education through Extension Leadership program designed to increase awareness about depression .

• This website offers helpful information on depression in individuals of all ages


FACILITATOR GUIDE

8

Script for Quiz Presentation

Hand out quiz in paper form and give time for participants to complete them (about 5-7 minutes) . Then review the quiz

using the power point presentation . Each slide will have the question as the title of the slide with the possible choices beneath . Then when the group is ready for the answer, click the mouse once, the incorrect answers will fade out leaving only the correct answer .

Slide 1: From Blue to You: Women and Depression

Slide 2: A passing blue mood is the same as depression.

• True• False

FALSE . Equating depression with the blues is like saying that a common cold is the same as pneumonia . Everyone experiences passing moods and sadness from time to time . Depression can last a lifetime and the illness is much more pervasive and disabling .

Slide 3: Which of the following statements are true?

• Depression is a purely psychological disorder

• Most people can just “snap out” of a depression

• You can talk yourself out of depression with positive thinking

• All of the above• None of the above

NONE OF THE ABOVE . Depression is caused in part by a biochemical element in addition to the psychological and emotional components . People with depression cannot just “snap out of it” or talk themselves out of it . Depression is a medical condition that needs treatment .

Slide 4: If a woman has depression, there is nothing she can do about it.

• True• False

FALSE . Depression is treatable; more than 80 percent of individuals with depression improve with treatment . Treatment can involve talk therapy, medication, or a combination of both .

Slide 5: Which of the following are symptoms of depression?

• Trouble sleeping or sleeping too much• Difficulty concentrating• Low self-esteem• Lack of energy • All of the above

ALL OF THE ABOVE . Depression can have a wide range of symptoms . Other symptoms include: weakness, back pain, headaches, digestive disorders, chronic pain, anger, frustration, irritability, restlessness, feeling sad, feeling worthless, crying spells, loss of interest in normal activities, isolation from family and friends, loss of interest in sex, and drug and alcohol use . Compared to men, women will more often experience guilt, anxiety, sleep disturbances, and increased appetite/weight gain .


FACILITATOR GUIDE

9

(CONTINUED)Slide 6: Medications used to treat depression are addictive or habit-forming.

• True • False

FALSE . Medications used for depression are neither addictive or habit-forming . Because of the way these medications interact with natural chemicals in our bodies, these medications should be tapered down in order to discontinue them; however, this does not mean they are addictive .

Slide 7: Women are more likely than men to experience depression.

• True • False

TRUE . Women report experiencing depression at double the rate of men (30 percent of women and 15 percent of men) .

Slide 8: Depression is the leading cause of disability in women.

• True • False

TRUE . One in five women can expect to develop clinical depression at some time in her life .

Slide 9: In a given year how many American women have depressive disorders?

• 2 .5 million• 7 million• 14 million

7 MILLION . According to statistics from research every adult will at some time in their life be affected by depression — either their

own experience with depression or someone else’s experience with depression .

Slide 10: Married women have higher rates of depression than single women, with depression most likely developing during the childbearing years.

• True• False

TRUE . Childbearing is a common trigger of depression in women . About 10 percent of women will experience postpartum depression in the months following the birth of a child .

Slide 11: What percentage of women with depression does not currently receive treatment because of the stigma associated with having a mental health problem?

• 8 percent to 16 percent• 30 percent to 40 percent• 60 percent to 70 percent• 80 percent to 95 percent

30 percent to 40 percent Research shows 54 percent of all people believe depression is a personal weakness; 41 percent of women are too embarrassed to seek help . Stigma about depression is a major barrier for many to receiving help .


Gray, D . (2008) . The first 48 hours: Top 10 depression myths debunked . Retrieved from www .mydepressionconnection .com on 1/30/08

Mayo Clinic Staff (2008) . Depression in women: Understanding the gender gap . Retrieved from http://www .mayoclinic .com/health/depression/MH00035


FACILITATOR GUIDE

10

(CONTINUED)National Institute of Mental Health NIMH (2008) . The numbers count: mental illness in America . Retrieved from Science on Our Minds Fact Sheet Series .


Nutrition Health Center (2008) . Depression Statistics Information . Retrieved from http://www .add-adhd-help-center .com/Depression/statistics .htm

Robert, T . (2008) . Depression myths quiz: Do you have all the facts straight on depression? Retrieved from www .mydepressionconnection .com on 1/30/08

World Health Organization (2008) . Depression http://www .who .int/mental_health/management/depression/definition/en/

Slide 13: For more information• From Blue to You is a University of

Kentucky Health Education through Extension Leadership program designed to increase awareness about depression .


• Hand out bookmarks .


FACILITATOR GUIDE

11

Script for Vignette PresentationSlide 1: From Blue to You: Women and Depression

Slide 2: Vignette - Read the vignette aloud to the group. You also can handout the vignette for the group to read along.

Meet Mary .

Mary is 30 years old . She has been feeling unusually sad and miserable for the last few weeks . Even though she is tired all the time, she has trouble sleeping nearly every night . Mary doesn’t feel like eating and has lost weight . She can’t keep her mind on her work and puts off making decisions . Even day-to-day tasks seem too much for her . This has come to the attention of Mary’s boss, who is concerned about her lowered productivity, despite spending more time at work .

Her husband, Sal, has noticed that Mary gets frustrated much more easily than she used to . She also has seemed to lose interest in sex, reading, and her friends . When Sal asks Mary what’s going on, she says that she “doesn’t feel like doing anything .”

Slides 3-4: What’s going on with Mary? (Each of the following bullets will appear one by one with a mouse click to give time for audience response and discussion . There may be other appropriate answers given .)

• Mary cannot remember good times or when she has felt well

• She does not have any motivation or energy

• Her relationships with her family are suffering

• She is irritable• Mary has lost her interest in sex, hobbies,

and friends• She is not eating and losing weight • She is having sleeping difficulties

Slide 5: What is depression? • A mental disorder or illness that involves

the body, mood, and thoughts• It affects the way Mary feels about

herself, and the way she thinks about things

• These problems can become chronic or recurrent and lead to an inability to care for her everyday responsibilities

• At its worst, depression can lead to suicide

Slide 6: Is depression common? • Yes! Mary is not alone .• Approximately 121 million people

worldwide have depression• Among women in the United States:

Approximately 7 million women have clinical depression .

One in five women can expect to develop clinical depression at some time in her life .

Depression is the leading cause of disability

Slide 7: What are the symptoms? YOU CAN USE THIS SLIDE TO DISCUSS HOW MARY HAS MANY OF THESE SYMPTOMS


FACILITATOR GUIDE

12

(CONTINUED)• Physical symptoms

Sleep disturbances Feeling fatigued or weak Unexplained physical problems,

such as back pain, headaches, digestive disorders, and chronic pain

Trouble concentrating and making decisions

• Emotional Symptoms Anger and frustration Irritability and restlessness Feeling sad or down Feeling worthless Crying spells for no apparent reason

• Psychosocial symptoms Loss of interest in normal daily

activities Isolation from family and friends Alcohol or substance use Loss of interest in sex

• Women will more frequently experience Guilt Anxiety Increased sleep Increased appetite Weight gain Having eating disorders with their

depression

Slide 8: Stigma• Prevents women from seeking treatment

Afraid of others knowing Feel embarrassed or “weak”

Slide 9: Treatment• There is treatment available• Talk therapy• Medication therapy• Combination: talk and medication therapy

Slide 10: Talk therapy• Address mental, social, and

environmental roots of depression: Mary talks to a therapist, psychologist, social worker, or marriage and family therapist about her depression

• Involve family: Sometimes Mary’s family is also involved in the therapy

• Cognitive Behavioral Therapy: Most common talk therapy for depression .

This is where the therapist helps Mary to understand her thoughts and how these thoughts relate to her behavior

What does this therapy look like for Mary?

• Cognitive work: Mary learns how to change her negative thinking .

• Behavioral work: Mary learns to monitor her behaviors and change patterns of behavior that maintain her depression

• Physiological work: Mary learns relaxation techniques, meditation, and pleasant imagery to calm herself .

Slide 11: Medication therapy• SSRIs: Most commonly prescribed

medications are antidepressants called SSRIs (selective serotonin reuptake inhibitors) .

Examples include Prozac, Celexa, Zoloft, and Paxil

• Side effects do occur: and can include the following:

Nausea Sexual dysfunction, including

reduced desire or orgasm difficulties


FACILITATOR GUIDE

13

(CONTINUED) Headache Diarrhea Nervousness Rash Agitation Restlessness Increased sweating Weight gain Drowsiness Insomnia

• Talk to your doctor about the right choice: including effectiveness and side effects .

Slide 12: Combination therapy • Talk therapy + medication • Consistently shown to be most effective

The medication helps Mary’s biological and chemical roots of depression

The talk therapy helps Mary’s mental, social, and environmental roots of depression

Slide 13: Where to go to for help • Health care professional

Family doctor Psychiatrist Nurse practitioner Public health department

• Social services Therapists (psychologist, marriage

and family therapist, licensed professional counselor, licensed social worker)

Community mental health agency Therapist-run support groups Religious institutions (pastor, rabbi,

priest, minister)• Online

Slide 14: Where to go for help ONLINE(You may want to choose one or two of the following links and show them to the audience.)

• Support groupshttp://forums .psychcentral .com/postlist .php?Cat=&Board=depression

• Chat roomshttp://forums .healthcentral .com/discussion/depression/forums/a/frm/f/3981011

• Blogshttp://depression .about .com

• Websiteshttp://www .depression .com

Slide 15: If you were Mary’s family member, what could you do to help? (Each of the following bullets will appear one by one with a mouse click to give time for audience response and discussion. There may be other appropriate answers given.)

• Get help – See that Mary gets an accurate diagnosis . Help her find a good doctor . Her primary care doctor is a good first start . Accompany her to appointments, and offer moral support .

• Encourage her to stick with treatment . – Depression usually recurs when treatment is stopped too soon . Make sure all medications are taken as instructed . Help her remember when to take her dose .

• Offer emotional support. – Listen to Mary with patience and compassion . Don’t criticize feelings expressed, but point out realities and offer hope .

• Invite her to do things. – Depression is less likely when people’s bodies and minds remain active . Suggest activities to do together that Mary used to enjoy .


FACILITATOR GUIDE

http://depression.about.com

14

(CONTINUED)• Plan and prepare healthy meals . – A

poor diet can make depression worse . Encourage fresh fruits and vegetables and a high protein diet .

• Do not accuse Mary of faking an illness or expect her “to snap out of it.”

Eventually, with treatment, most people with depression do get better

Keep reassuring her that, with time and help, she will feel better .

Slide 16: What to do if you think you have depression(Each of the following bullets will appear one by one with a mouse click to give time for audience response and discussion. There may be other appropriate answers given.)

• Get help – talk to your primary care provider .

• Don’t bottle things up – share your feelings with a trusted family member or friend .

• Keep active – exercise, play sports, walk, swim .

• Eat properly – Avoid eating too much sugar and junk food . Choose healthy foods that provide nourishment and energy, and take a daily multivitamin .

• Avoid alcohol and drugs – Alcohol and drugs may make you feel better or forget for a couple of hours, but it will worsen the depression over time .

• Don’t get upset if you can’t sleep – Do something restful that you enjoy, like listening to the radio or watching television .

• Do something you enjoy – Pursue whatever hobbies or pastimes bring or used to bring you joy . Learn a new skill or hobby .

• Review your lifestyle – see if you can cut down on your workload . Women who experience depression tend toward perfection . Try to let some things go . When family members try to help, let them do it their way .

• Take a break – ask others for help so that you can have some time to yourself to do something you enjoy . Try to cut down your “to do” list to the essentials only (i .e ., paying bills, grocery shopping, etc .) . Let the other things go for a while .

• Eat properly – Include lots of fruits, vegetables, and protein . Try to avoid sugar and junk food . Take a multivitamin .

• Read about depression – The more you know and understand depression the better you can take care of yourself .


Beyond Blue (2008) . What is Depression . Retrieved from www .beyondblue .org

Bhatia, S .C . & Bhatia, S .K . (1999) . Depression in Women: Diagnostic and Treatment Considerations . American Family Physician, 60, 1, 225-240 . http://www .healthyplace .com/communities/depression/women .asp

Duckworth, K . (2006) . About mental illness: Depression . Retrieved from http://www .nami .org/Template .cfm?Section=By_Illness&Template=/TaggedPage/TaggedPageDisplay .cfm&TPLID=54&ContentID=23039&lstid=326

Frank, E ., Novick, D ., & Masalehdan, A . (2003) . About mental illness: Depression in women . Retrieved from http://www .nami .org/Template .cfm?Section=By_Illness&template=/ContentManagement/ContentDisplay .cfm&ContentID=61089


FACILITATOR GUIDE

15

(CONTINUED)Mayo Clinic Staff (2008) . Depression in women: Understanding the gender gap . Retrieved from http://www .mayoclinic .com/health/depression/MH00035

Mayo Clinic Staff (2008) . Depression . Retrieved from http://www .mayoclinic .com/health/depression/DS00175

Mayo Clinic Staff (2008) . Depression: Supporting loved ones through their battle with depression . Retrieved from http://www .mayoclinic .com/health/depression/MH00016


Nutrition Health Center (2008) . Depression Statistics Information . Retrieved from http://www .add-adhd-help-center .com/Depression/statistics .htm

Slide 18: For more information (HAND OUT BOOKMARKS)

• From Blue to You is a University of Kentucky Health Education through Extension Leadership program designed to increase awareness about depression .



FACILITATOR GUIDE

Quiz (page 1 of 2)Mark (X) the answer that best represents your choice.

1. A passing blue mood is the same as depression .

True

False

2. Which of the following statements is/are true?

Depression is a purely psychological disorder

Most people can just “snap out” of a depression

You can talk yourself out of depression with positive thinking

All of the above

None of the above

3. If a woman has depression there is nothing she can do about it .

True

False

4. Which of the following are symptoms of depression?

Trouble sleeping or sleeping too much

Difficulty concentrating

Low self-esteem

Lack of energy

All of the above

5. Medications used to treat depression are addictive or habit-forming .

True

False


HANDOUT

Quiz (page 2 of 2)6. Women are more likely than men to experience depression .

True

False

7. Depression is the leading cause of disability in women .

True

False

8. In a given year how many American women have depressive disorders?

2 .5 million

7 million

14 million

9. Married women have higher rates of depression than single women, with depression most likely during childbearing years .

True

False

10. What percentages of women with depression do not currently receive treatment becauseof stigma associated with having a mental health disorder?

8 percent

30 percent

60 percent

80 percent

For more information visit: www.bluetoyou.org

Educational programs of Kentucky Cooperative Extension serve all people regardless of race, color, age, sex, religion, disability, or national origin.


HANDOUT

http://www.bluetoyou.org

Vignette: "Mary"

Mary is 30 years old . She has been feeling unusually sad and miserable for the last few weeks . Even though she is

tired all the time, she has trouble sleeping nearly every night . Mary doesn’t feel like eating and has lost weight . She can’t keep her mind on her work and puts off making decisions . Even day-to-day tasks seem too much for her . This has come to the attention of Mary’s boss, who

is concerned about her lowered productivity, despite spending more time at work .

Her husband, Sal, has noticed that Mary gets frustrated much more easily than she used to . She also has seemed to lose interest in sex, reading, and her friends . When Sal asks Mary what’s going on, she says that she “doesn’t feel like doing anything .”

Adapted from http://www.mja.com.au/public/issues/feb17/jorm/jormb1.html


HANDOUT


http://www.mja.com.au/public/issues/feb17/jorm/jormb1.html

http://www.mja.com.au/public/issues/feb17/jorm/jormb1.html

Books:

• The Deepest Blue: How Women Face and Overcome Depression by Lauren Dockett .New Harbinger Publication, 2001 .

• Mood Disorders in Women by Meir Steiner, Kimberly Yonkers, and Elias Eriksson .Informa Healthcare, 2000 .

• Women & Depression by M . Sara Rosenthal . McGraw-Hill Companies, 2000 .

• Unveiling Depression in Women: A Practical Guide to Understanding and Overcoming Depression by Archibald Hart & Catherine Hart Weber . Baker Publishing Group, 2001 .

Websites:• From Blue to You: www .bluetoyou .org

• Beyond Blue: http://blog .beliefnet .com/beyondblue

• National Institute of Mental Health: http://www .nimh .nih .gov/health/topics/depression/index .shtml

• American Psychological Association: http://www .apa .org/topics/depress/index .aspx

• Mayo Clinic: www .mayoclinic .com/health/depression/MH00035

• Psychology Central: http://forums .psychcentral .com

• Health Central: http://forums .healthcentral .com/discussion/depression

• Depression site by Glaxo Smith Kline: www .depression .com

Resources for Women


HANDOUT


http://www.amazon.com/Mood-Disorders-Women-Meir-Steiner/dp/1841841072/ref=sr_1_1?ie=UTF8&s=books&qid=1204544346&sr=1-1

http://www.bluetoyou.org

http://blog.beliefnet.com/beyondblue/

http://www.nimh.nih.gov/health/topics/depression/index.shtml

http://www.apa.org/topics/depress/index.aspx

http://www.mayoclinic.com/health/depression/MH00035

http://forums.psychcentral.com

http://forums.healthcentral.com/discussion/depression/

http://www.depression.com

Post-Test (page 1 of 3)Please circle your answer to the following questions based on your knowledge of depression before and after the From Blue to You: Women and Depression presentation .

1a. Before this presentation, I could define depression .

True False

1b. After this presentation, I can define depression .

True False

2a. Before this presentation, my knowledge of the signs and symptoms of depression in women was:1 = Poor 2 = Fair 3 = Moderate 4 = Good 5 = Excellent

2b. After this presentation, my knowledge of the signs and symptoms of depression in women is:1 = Poor 2 = Fair 3 = Moderate 4 = Good 5 = Excellent

3a. Before this presentation, I knew how many women have depression .

True False

3b. After this presentation, I know how many women have depression .

True False

4a. Before this presentation, I was aware of the negative effects of stigma on depression in women .

True False

4b. After this presentation, I am aware of the negative effects of stigma on depression in women .

True False


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5a. Before this presentation, I knew the different types of treatment for depression .

True False

5a. After this presentation, I know the different types of treatment for depression .

True False

6a. Before this presentation, I knew what combination therapy for depression was .

True False

6b. After this presentation, I know was combination therapy for depression was .

True False

7a. Before this presentation, I thought antidepressants were addictive .

True False

7b. After this presentation, I think antidepressants are addictive .

True False

8a. Before this presentation, I knew how to help a woman with depression .

True False

8b. After this presentation, I know how to help a woman with depression .

True False

9a. Before this presentation, I knew where to go in my community to get help for a woman with depression .

True False

9b. After this presentation, I know where to go in my community to get help for a woman with depression .

True False

Post-Test (page 2 of 3)


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Post-Test (page 3 of 3)10a. Before this presentation, I would have gone online for information about depression .

True False

10b. After this presentation, I will go online for information about depression .

True False

COMMENTS:

Please help us to know who we are serving with this program:

How old are you? _________

Are you Male Female? (circle one)

What is your race/ethnicity? White Black Latino Other (circle one)

What is the highest grade you completed in school? __________________

What is your average household income? __________________________


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Documents

PART 2 - College of Agriculture, Food and Environment 6: What do you hear about stigma in this video? Let group discuss the issues they hear . Some ideas include: embarrassment –