“…Interestingly, depression prevalence rates are not observed to be higher in girls prior to mid-puberty/ menarche [14][15][16][17][18][19][20], possibly reflecting ascertainment bias/reporting bias (depressed boys may be more likely to come to the attention of health care providers than depressed girls) or the possibility that prepubertal major depression is premonitory of bipolar illness [21] or that alterations in ovarian hormone levels proximate to menarche combine with earlier developmental risks in girls to increase vulnerability [22]. With some exceptions, the age of onset [4,5,[23][24][25][26] (but also see [27][28][29][30]), type of symptoms, severity, and likelihood of chronicity and recurrence [4,5,26,27,[31][32][33] (but also see [34][35][36][37][38][39][40]) display few consistent differences between men and women. Clinically, the following are more likely in women: present with anxiety, atypical symptoms, or somatic symptoms [7,26,27,37,39,41,42]; report symptoms, particularly in self-ratings [7,26,…”