If you or your child are having thoughts of suicide or self-harm, go to the nearest emergency room or dial 9-8-8. This the free Suicide and Crisis Lifeline.  

 

Just as in adults, children and adolescents can become depressed. Depression in young people mimics a lot of the same symptoms as adults. The clinical presentation of depression is strongly influenced by the child/adolescent’s level of development. In very young children they may exhibit things such as being listless or apathetic, they appear to be sad. They may also have physical complaints such as frequent headaches, stomachaches, or have a withdrawn or sad appearance. Adolescents with more severe symptoms can exhibit anhedonia, psychomotor retardation, delusions, or a sense of hopelessness. All young people may display symptoms regardless of age or development. Symptoms include depressed or irritable mood, suicidal ideations, insomnia, diminished ability to concentrate, diminished appetite. 

 

At times the symptoms of depression can be misconstrued as ADHD or anxiety. The diagnosis of depression is made through questionnaires, interviewing, and observation. There is not a blood test or a computer test that can be given to determine if someone has depression. In children and adolescents, early intervention and access to evidence-based treatment and therapy is essential. The earlier the child receives treatment, the better the outcome. In children and adolescents, the mainstay of treatment is a class of medications call Selective Serotonin Reuptake Inhibitors (SSRI) and Cogitative Behavioral Therapy (CBT). Once we have arrived at a diagnosis along with the parents and child, we can discuss a treatment plan that will benefit the child. After treatment has been initiated at follow up appointments repeat questionnaires can be administered to test for symptom improvement/resolution. 

 

Definitions

Listless – Lacking energy.

Apathetic – Showing/feeling no interest, enthusiasm, or concern.

Anhedonia – Loss of ability to feel pleasure; especially in things that used to bring pleasure. 

Psychomotor retardation – The slowing down of mental and physical activities. Slow thinking or slow moving. 

Delusions – A belief that someone has that goes against evidence otherwise. 

Insomnia – Difficulty falling or staying asleep.