According to a new study from Blue Cross, major depression is an epidemic in America. The study, published earlier this month, declares depression as the second most impactful condition on overall health among commercially insured Americans, following high blood pressure.

While there is evidence suggesting that cannabis can help some people with depression, patterns don’t indicate that legalized states are feeling any more relaxed. Early legalizing states like Montana, Oregon and Washington are all on the higher end of the study’s scale. The state with the highest rate is Rhode Island. The lowest reporting state is Hawaii. 

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Depression can’t always be prevented, but there are often catalysts. Thirty percent of the people who said they are depressed have four or more other medical conditions in their life. Since 2013, teenage depression has jumped up 63% and doubled among 18 to 34-year-olds.

Some doctors pin the trend on technology. Dr. Karyn Horowitz of Rhode Island told NBC News that if it isn’t social pressures from social media, it’s the mere disruption social media has on our lives. The impact of staring at an electronic screen for so long, and so late, can have a significant impact on a person’s sleep cycle.

“It is possible that the increased rates of depression in adolescents is related to a combination of increased electronics use and sleep disruptions in already vulnerable individuals,” said Dr. Horowitz.

It’s important to note that the study only looked at those with Blue Cross insurance, though it still accounts for nine million Americans. 

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