Jan 1, 2007 Table of Contents

Please note: This information was current at the time of publication. But medical information is always changing, and some information given here may be out of date. For regularly updated information on a variety of health topics, please visit familydoctor.org, the AAFP patient education Web site.

Information from Your Family Doctor

Depression in Children and Teens

Am Fam Physician. 2007 Jan 1;75(1):83-84.

See related article on childhood and adolescent depression.

What is depression?

Depression is an illness that makes you feel sad or hopeless. If your child has depression, he or she may seem less confident or lose interest in things he or she used to enjoy. Your child may have trouble focusing, or seem grouchy or angry. He or she may not want to go to school. His or her eating habits may change. Some children with depression have aches and pains.

Depression is a serious illness. It is not your child's fault if he or she is depressed.

What causes depression?

Depression may be caused by an imbalance of chemicals in the brain. It can be triggered by stressful events, like losing a parent or loved one, the breakup of a relationship, abuse, or a physical illness. Depression also can run in families.

How is depression treated?

Depression can be treated with counseling or with medicines called antidepressants, or both. Counseling usually is used for mild or moderate depression. Counseling and medicine together are used for more severe depression.

Are antidepressants addictive?

No. They balance chemicals in the brain. They do not cause a “high.” But the body gets used to having the medicine, so your child may have side effects like headache or dizziness if the medicine is stopped too quickly. Your doctor will talk with you about stopping the medicine slowly when your child is ready.

Can antidepressants cause suicide?

There may be a link, but it is not known for sure if taking these medicines can cause someone to try suicide. Remember that depression makes people more likely to try suicide. To be safe, antidepressants have a warning label about the risk of suicidal actions. These actions include talking about suicide and hurting themselves. You should watch your child carefully for suicidal behavior when he or she is taking an antidepressant.

What should I do if my child talks about suicide?

Your child needs to be watched by an adult. Call your child's doctor right away or take your child to the nearest emergency room. The doctor will be able to find out your child's suicide risk.

Where can I get more information?

Your doctor

American Academy of Family Physicians

Web site: http://familydoctor.org

American Academy of Child and Adolescent Psychiatry

Web site: http://www.aacap.org

Telephone: 1-202-966-7300

American Psychiatric Association

Web site: http://www.psych.org

Telephone: 1-888-35-PSYCH (1-888-357-7924)

American Psychological Association

Web site: http://www.apa.org

Telephone: 1-800-374-2721

Depression and Bipolar Support Alliance

Web site: http://www.dbsalliance.org

Telephone: 1-800-826-3632

Girls and Boys Town Hotline

Web site: http://www.girlsandboystown.org/hotline/index.asp

Telephone: 1-800-448-3000

Mental Health America

Web site: http://www.nmha.org

Telephone: 1-800-969-6MHA (1-800-969-6642)

National Alliance on Mental Illness

Web site: http://www.nami.org

Telephone: 1-800-950-NAMI (1-800-950-6264)

National Institute of Mental Health

Web site: http://www.nimh.nih.gov

Telephone: 1-866-615-6464

This handout is provided to you by your family doctor and the American Academy of Family Physicians. Other health-related information is available from the AAFP online at http://familydoctor.org.

This information provides a general overview and may not apply to everyone. Talk to your family doctor to find out if this information applies to you and to get more information on this subject.

Copyright © 2007 by the American Academy of Family Physicians.
This content is owned by the AAFP. A person viewing it online may make one printout of the material and may use that printout only for his or her personal, non-commercial reference. This material may not otherwise be downloaded, copied, printed, stored, transmitted or reproduced in any medium, whether now known or later invented, except as authorized in writing by the AAFP. Contact afpserv@aafp.org for copyright questions and/or permission requests.

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