Utah is depressing

One needs to also take into account the culture of keeping up a cheerful appearance and never letting the cracks show. Utahns as a group can be suspicious of seeking professional help for legitimate psychiatric and psychological conditions, preferring instead to seek counsel from their ecclesiastical leaders and believing faith is the cure for anything that may ail you. I've seen it happen too many times that people with serious demons refuse to acknowledge or treat them for fear that it might indicate that sometimes faith just quite simply ain't enough.

As for the pills, I think a lot of it has to do with marginalization of women, as pointed out, but I think it also has to do with the high expectations placed upon them to meet a certain level of performance as a houskeeper/cook/matriarch/baby manufacturer/slave/what have you, all while maintaining that Jello-y sweet persona that their husbands and sisters expect and demand. There's a good reason we're near the top (if not at the top) of the nation in meth abuse as well.

This is all simply my opinion. I have no empirical evidence to back any of it.