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Depression in children
Depression in children


Adolescent depression

Alternative Names:
Depression - adolescents; Teenage depression

Symptoms:
  • depressed or irritable mood
  • temper, agitation
  • loss of interest in activities, apathy
  • reduced pleasure in daily activities
  • inability to enjoy activities which used to be sources of pleasure
  • change in appetite, usually a loss of appetite but sometimes an increase
  • change in weight (unintentional weight loss or unintentional weight gain)
  • persistent difficulty falling asleep or staying asleep (insomnia)
  • excessive daytime sleepiness
  • fatigue
  • difficulty concentrating
  • difficulty making decisions
  • memory loss (amnesia) episodes
  • preoccupation with self
  • feelings of worthlessness, sadness, or self-hatred
  • excessive or inappropriate feelings of guilt
  • acting-out behavior (missing curfews, unusual defiance)
  • thoughts about suicide or obsessive fears or worries about death
  • plans to commit suicide or actual suicide attempt
  • excessively irresponsible behavior pattern
Text Continues Below



If these symptoms persist for at least two weeks and cause significant distress or difficulty functioning, treatment should be sought.



Signs and tests:
  • physical examination and blood tests to rule out medical causes for the symptoms (for example: hypothyroidism, pregnancy, kidney disease).
  • evaluation for substance abuse -- heavy drinking, frequent marijuana smoking, and other drug use can be both causes and consequences of depression. Past practice in addiction treatment was to assume depression was only a symptom of use, not a potential cause, and it was left untreated. Research now shows that this leads to increased risk of relapse. If a substance abuse problem is found, be sure that psychiatric evaluation doesn't stop at diagnosing this, but continues to assess depression and other potential psychiatric problems.
  • psychiatric evaluation to assess a history of persistent sad, empty, or irritable mood and loss of interest or pleasure in normal activities. Evaluation for other potentially co-existing psychiatric disorders (such as anxiety, mania, or schizophrenia).
  • assessment of suicidal/homicidal risks.
  • information from family members or school personnel is often helpful in identifying depression in teens.


References:

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