How #depression can present differently for #kids and #teenagers

Writer: Stephanie Cornwell

Clinical Expert: David Friedlander, PsyD

What You'll Learn

- How does #depression look different in #children, #teens, and #adults?

- How can #parents help their #kids deal with #depression?

- Quick Read

- Full Article

- Symptoms of #depression

- #Depression in young #children and pre-#teens

- #Depression in #teenagers

- How #parents can help with treatment

#Depression can affect people of any age, but it can be confusing because it often looks different in #children, #teens, and #adults. #Depression is typically characterized by feeling sad, empty, or hopeless most of the day, nearly every day. For #kids and #teens, however, irritability can replace sadness.

The biggest thing to look for in #kids is a change in #behavior — It’s not just that the #child is cranky or down, but that those #behaviors are not typical for that #child. For #children, the change could be a heightened sensitivity to criticism, withdrawal from activities they used to enjoy, and somatic complaints like stomachaches and headaches. In #teenagers, #socialisolation, poor #school performance, #substanceabuse, and #self-harm can be symptoms of #depression.

If you hear your #child talking about attempting #suicide, it’s important to talk to them. #Depression is treatable, with #cognitivebehavioraltherapy (#CBT) being the most common and evidence-based treatment. Medications may also be used in combination with therapy.

#Depression can affect people of any age, but it can be confusing because it often looks different in #children, #teens, and #adults. And since #teens are already prone to moodiness, it can be especially hard to tell if they are struggling with #depression.

Knowing the signs of #depression and how they differ across age ranges can better equip you to get your #child help if they need it.

Symptoms of #depression

For a person of any age, a diagnosis of #depression is typically based on feeling sad, empty, or hopeless most of the day, nearly every day. Other common symptoms include diminished interest in activities they once enjoyed, eating more or less than usual, not sleeping enough or too much, withdrawing from friends and family, and having thoughts of #suicide.

For #kids and #teens, however, irritability can replace sadness. If your #child is unusually irritable for no reason, that could be a sign of #depression. But it’s more about changes in their #behavior than the symptoms themselves.

#Depression in young #children and pre-#teens

The key is spotting #depression in young #kids is to look for a change in #behavior, explains David Friedlander, PsyD, a clinical #psychologist at the #ChildMindInstitute. It’s not just that the #child is cranky or down but that those #behaviors are not typical for that #child.

Say your #child used to put their homework neatly in a folder in their backpack, and now it’s crumpled in a ball at the bottom of the bag. Maybe they’re suddenly getting into fights or breaking rules in school when they’ve never done that before. Also, a heightened sensitivity to mistakes or criticism, like crying over getting an answer wrong when they used to shrug it off, can be a sign of #depression.

Withdrawing from things they used to enjoy is a telltale sign of #depression. Young #kids rely heavily on their #parents to get them to and from activities. So, withdrawal in young #kids can look like asking to skip dance class repeatedly or telling their #parents not to sign them up for sports anymore.

If #kids frequently say something like, “I don’t want to,” or “I can’t,” it could signify that they are struggling with #depression, “especially if you’re dealing with a #kid who used to have joy for life and age-appropriate participation in activities,” Dr. Friedlander says.

Another sign of #depression is sudden and frequent somatic complaints that weren’t there before, like stomachaches and headaches. Stomachaches generally don’t mean your #child is depressed, but suddenly having a lot of stomachaches when they didn’t before might. 

If your #child is unusually irritable for no reason, even without sadness, that could be a sign of #depression. However, there’s also a related #mooddisorder that’s sometimes diagnosed in extremely irritable #kids called #disruptivemooddysregulationdisorder, which presents as extreme tantrums combined with irritability.

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#Depression in #teenagers

#Teenagers are notoriously moody, and often their mood swings aren’t a cause for concern. But if your #teenager is much more irritable than they used to be, it could also be a sign of #depression. “That’s really the key differentiator,” Dr. Friedlander says. “#Teens are sometimes going to be irritable, but if they’re irritable most of the day, nearly every day, that’s one of the criteria for #depression.”

As in younger #children, #socialisolation is a major sign of #depression in #teens. #Socialisolation and attempts to withdraw can be more than just staying in their room. If they are usually with their friends after school but suddenly start coming home right after, it’s worth talking to them about it. While it’s not unusual for teens to have problems with friends, if your #child says, “I’m not friends with so-and-so anymore,” you may want to ask about it.

Another change in #behavior to look for in #teens is #school performance. If they’re suddenly getting D’s and F’s when they used to get good grades, and they’re blaming fatigue or an inability to concentrate, it might be a sign of #depression.

Another thing to worry about in #teens is #self-harm; the most common form is cutting. #Teens may cut because they are in intense distress, and the cutting makes them stop ruminating on whatever upsets them.

The most serious thing to look for is if your #child is thinking about or attempting #suicide. If you hear your #child talking about dying, wishing they could disappear, or hurting themselves, it’s important to take it seriously and have an open and honest conversation about what’s happening. Though #parents often worry that talking about #suicide will make the problem worse, in fact, the evidence is clear that it helps #kids to express their feelings, and it gives you an important opportunity to gauge whether they are at risk of hurting themselves and should be taken to the #emergencyroom.

#Substanceabuse may also be a symptom of #depression in #teens. Dr. Friedlander notes that #parents would have to determine the purpose of the #substanceuse to find out if it’s linked to #depression. What is your #teen trying to achieve by smoking or drinking? What are they trying to avoid? “Anhedonia, the inability to experience pleasure, is a symptom of #depression,” Dr. Friedlander explains. “If being high is the only way the #child can have fun, that’s a sign they may be depressed.”

How #parents can help with treatment

#Depression is treatable. The most common, evidence-based treatment for #depression is #cognitivebehavioraltherapy (#CBT), which teaches #kids to notice and challenge negative, destructive thought patterns. There are several forms of #CBT adapted for #children and #teenagers with #depression, including #DBT and #IPT.

Medications are also used, sometimes in combination with therapy. The most frequently used #antidepressant medications include SSRIs (selective serotonin reuptake inhibitors), like Zoloft, Prozac, and Lexapro, and SNRIs (serotonin-norepinephrine reuptake inhibitors), like Strattera and Cymbalta. 

When it comes to treating younger #kids, the parents usually need to be involved more. #Parents of an eight-year-old, for example, will need to help schedule activities, make sure the #child attends them, and provide incentives to continue completing the activities. With #teens, parents’ involvement in the treatment of their #depression varies. “Some are motivated enough to follow through on a treatment regimen with minimal support and prefer privacy over involving their #parents,” Dr. Friedlander notes. Others need more support or incentives.  

If you think your #child or #teenager is suicidal, you can call the #NationalSuicidePreventionLifeline at 1-800-273-8255 or 911 if there is an emergency. Don’t wait — the risk of #suicide in #children and #teenagers is very real. 
https://standingabovethecrowd.com/2023/08/jamesdonaldson-on-mentalhealth-depression-at-different-ages/