Anxiety & depression in women
Worry and low mood are common in women, and they are not a personal failing. With the right support, they can ease.
By the numbers
How common anxiety and depression are in women and girls.
United States
World
Why are women affected more?
Biology, life experiences and social pressures all play a part.
Women are roughly twice as likely as men to experience depression in their lifetime. They are also more than twice as likely to have an anxiety disorder.
There is no single reason. The National Institute of Mental Health says depression is especially common in women because of unique biological, hormonal and social experiences.
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Researchers think changing estrogen levels across the menstrual cycle and through life probably play a role in anxiety. Times of big hormone change, like before periods, after birth and around menopause, can bring on low mood in some women.
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Women make up about 58% of unpaid family caregivers in the U.S. Caring for others can lead to higher rates of depression.
Violence against women can lead to depression, post-traumatic stress and anxiety. People who have lived through abuse, severe losses or other stressful events are more likely to develop depression.
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Women tend to ruminate a little more than men, on average. Rumination means going over problems and feelings again and again without moving forward.
Research links rumination with the start of depression, as well as with anxiety and binge eating. See “Caught in the overthinking loop” below.
How it can show up
Sadness is only one part of it.
Depression is more than feeling sad. It can also show up as anxiety, irritability, tiredness, trouble concentrating, changes in sleep or appetite, and aches with no clear cause.
Anxiety can look like constant worry about everyday things like health, money, work and family. It often comes with muscle tension, trouble sleeping or an upset stomach.
It can sound like…
- “I snap at everyone and then feel guilty.”
- “I keep going, but I feel empty inside.”
- “I’m exhausted all the time, even after sleep.”
- “I lie awake running through everything that could go wrong.”
- “I can’t switch my brain off.”
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You can be going to work, caring for others and smiling at friends while feeling worn out or hopeless underneath. Getting through the day does not mean you are fine.
A health care provider can help if symptoms last most of the day, nearly every day, for at least two weeks.
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Women with generalised anxiety have a higher risk of depression and other anxiety disorders than men with it.
Feeling both worried and low is very common. Good care looks at the whole picture.
Hormones and life stages
Times in life when mood can shift, and where to read more.
Some types of depression are unique to women and linked to big hormonal changes. Each has its own guide in this app with much more detail.
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Premenstrual dysphoric disorder brings severe mood symptoms in the week or two before a period. It is more intense than usual PMS.
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Perinatal depression happens during pregnancy or after birth. It brings extreme sadness, anxiety and tiredness. About 1 in 8 women with a recent birth in the U.S. report symptoms of postpartum depression.
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During the move to menopause, stronger irritability, anxiety, sadness or loss of enjoyment can be signs of depression.
Caught in the overthinking loop
How going over and over things feeds worry and low mood.
A review of 59 studies with over 14,000 people found women scored a little higher on rumination than men. The difference was small, but it may add up over time.
Rumination can make low mood worse, increase negative thinking, make problem-solving harder and push away support. It is different from healthy reflection, which helps you learn and move forward.
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Rumination sounds like “Why am I like this? Why does this always happen?” Reflection sounds like “What happened, and what could I try next time?”
Positive distractions can lift mood in the moment, research shows. A walk, a call or a task that absorbs you can break the loop.
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- Pick 15 minutes at the same time each day
- When a worry pops up, jot it down for later
- In your window, look at each worry: can I act on it?
- If yes, choose one small step. If not, practise letting it go
Carrying the load
Caring, planning and “doing it all” can wear anyone down.
Many women juggle paid work, children, ageing parents and a home. Research with couples found women often did more of the invisible thinking work of running a household: noticing, planning and keeping track.
That constant background load can leave little time to rest or care for yourself. Over time, it can feed both anxiety and low mood.
Small ways to lighten it
- Ask for help with one specific task
- Hand over a whole job, not just the doing of it
- Let some things be “good enough”
- Name one thing each day that is just for you
- Share the list out loud with your partner or family
Violence, safety and fear
Living with harm, or the fear of it, affects your mind.
About 1 in 3 women worldwide have experienced physical or sexual violence. In the U.S., about 1 in 3 women have experienced sexual violence, physical violence or stalking by a partner.
This kind of harm is linked with depression and PTSD. In the U.S., 5.2% of women had PTSD in the past year, compared with 1.8% of men.
Girls and young women
The gap often opens in the teen years.
In 2023, more than half of U.S. high school girls felt persistently sad or hopeless, and about 1 in 4 seriously considered suicide. Rates for boys were about half as high.
Anxiety disorders also start early. About 38% of teen girls have had an anxiety disorder at some point, compared with 26% of teen boys.
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- Ask open questions, like “How are you really doing?”
- Notice changes in sleep, eating or friendships
- Stay calm, even if what you hear is scary
- Help her find a counsellor or doctor
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Pressure about school, looks, friendships and the future can pile up. Talking to someone you trust, a school counsellor or a doctor is a strong first step.
Depression symptoms were most common among girls aged 12–19 in recent U.S. data. You are far from alone.
What helps
Therapy, movement, connection and small daily steps.
Depression is treatable, even when it is severe. Talking therapy can happen online or in person, and a provider can help you find what fits.
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Cognitive behavioural therapy (CBT) helps you change thinking patterns around fears and build coping skills like relaxation and problem-solving.
In recent U.S. data, 43% of women and girls with depression had seen a mental health professional for counselling in the past year. Many more could benefit.
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The Office on Women’s Health says all types of physical activity are linked with reduced anxiety. Meditation may help too.
Start small: a 10-minute walk counts. Choose something you enjoy, so it feels like a gift rather than a chore.
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An underactive or overactive thyroid can affect mood and energy, and thyroid problems are more common in women. A checkup can rule out physical causes.
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- Keep a regular sleep and wake time
- Notice and challenge harsh self-talk
- Plan one enjoyable thing each day
- Stay in touch with at least one person
How support and community help
Connection is one of the strongest protections.
Feeling understood makes a real difference. Friends, family, peer groups and faith or cultural communities can all offer support.
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- Ask, “What would help this week?”
- Avoid “Just relax” or “Think positive”
- Offer practical help: meals, childcare, a lift
- Gently encourage her to talk to a professional
- Keep checking in, even if she says she’s fine
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Support groups for mothers, caregivers, survivors or people living with depression or anxiety let you share without having to explain everything.
Online groups can help when getting out is hard. Choose ones that are kind and well moderated.
When and where to get help
Signs it’s time to reach out, and where to go.
U.S. experts recommend that adults up to age 64, including pregnant and postpartum women, are checked for anxiety. It is normal to be asked about your mood at a checkup, and you can bring it up yourself.
Reach out if…
- Low mood, worry or irritability lasts most days for two weeks or more
- You can’t sleep, eat or get through your day
- You feel hopeless, trapped or like a burden
- You have thoughts of harming yourself
Outside the U.S.: Find A Helpline (findahelpline.com) lists free, confidential helplines in many countries. In an emergency, call your local emergency number.
📝 Worksheets for this guide
Fill these in privately in the app. Your answers stay on your phone.
Sources
- Centers for Disease Control and Prevention (CDC) (2025). Depression Prevalence in Adolescents and Adults: United States, August 2021–August 2023 (NCHS Data Brief No. 527)
- National Institute of Mental Health (NIMH). Any Anxiety Disorder (statistics)
- National Institute of Mental Health (NIMH). Post-Traumatic Stress Disorder (PTSD) (statistics)
- Centers for Disease Control and Prevention (CDC) (2024). Mental Health and Suicide Risk Among High School Students and Protective Factors — Youth Risk Behavior Survey, United States, 2023 (MMWR)
- World Health Organization (WHO). Depressive disorder (depression) fact sheet
- World Health Organization (WHO). Violence against women fact sheet
- Centers for Disease Control and Prevention (CDC). About Intimate Partner Violence
- Kuehner C. (peer-reviewed) (2017). Why is depression more common among women than among men? (The Lancet Psychiatry 4(2): 146–158)
- Office on Women’s Health (womenshealth.gov). Anxiety disorders
- National Institute of Mental Health (NIMH). Depression in Women: 4 Things to Know
- Centers for Disease Control and Prevention (CDC) (2020). Characteristics and Health Status of Informal Unpaid Caregivers — 44 States, District of Columbia, and Puerto Rico, 2015–2017 (MMWR)
- Daminger, Harvard University (peer-reviewed) (2019). The Cognitive Dimension of Household Labor (American Sociological Review)
- Johnson D.P. & Whisman M.A. (peer-reviewed) (2013). Gender differences in rumination: A meta-analysis (Personality and Individual Differences 55(4): 367–374)
- Nolen-Hoeksema S., Wisco B.E. & Lyubomirsky S. (peer-reviewed) (2008). Rethinking Rumination (Perspectives on Psychological Science 3(5): 400–424)
- Centers for Disease Control and Prevention (CDC). Depression During and After Pregnancy
- National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK), NIH. Hypothyroidism (Underactive Thyroid)
- National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK), NIH. Hyperthyroidism (Overactive Thyroid)
- U.S. Preventive Services Task Force (USPSTF) (2023). Anxiety Disorders in Adults: Screening (recommendation)
- Find A Helpline (ThroughLine). Find A Helpline
This guide is for education and self-care. It is not a diagnosis or a substitute for professional care. Please talk to a counselor or clinical provider about your health. Reviewed October 2026.

