Depression is recognized as a major public health problem, which has a substantial impact on individuals and society. Depressive disorders are common in the general population. It affecting about 121 million people worldwide. At its worst, depression can lead to suicide, a tragic fatality associated with the loss of about 850 000 thousand lives every year. Depression is the leading cause of disability as measured by Years Lived with Disability (YLD). The World Health Organization has described depression as an "unseen burden" [1, 2] . It was the 4th leading contributor to the global burden of disease when measured by Disability Adjusted Life Years (DALYs) in 2000. By the year 2020, depression is projected to reach 2nd place of the ranking of DALYs calculated for all ages in both sexes. Today, depression is already the 2nd cause of DALYs in the age category 15-44 years for both sexes combined. Mood disorders have been shown to have a greater impact on quality of life compared with conditions such as hypertension and cardiac disease [3] .