FOR many, work brings a sense of usefulness and purpose. There is a desire to be a good provider, achiever and a useful member of society. One’s sense of self is tied up very strongly in what one does for a living. With retirement, a sense of loss can occur, leaving a person struggling to know who they are and what their value is.

Another reason for depression is that the dynamics at home change. Where one or both spouses may have worked out of the home and been away a significant portion of the day, now both may be spending more time at home together. Roles may be changing and a greater need for joint decision-making may occur. Until a new equilibrium is attained there may be conflicts as each spouse adjusts to the situation.