Depression in children

Education of the parents and child about depression is important. It is important to explain to the patient and caregiver that:

• Depression is common in children and teenagers

• Depression may present as feelings of anger, moodiness, and increased anxiety rather than predominantly as sadness

• A pediatrician, family doctor, child psychiatrist, or a counselor may all be asked to treat a patient with depression

• There are different types of treatment, including psychotherapy, medication, or both

• There are different choices of medications, and they often take several weeks before there is any apparent improvement

• Most medications used to treat depression are well tolerated by most people

• Frequent visits with the doctor after starting a medication are important to make sure that the medication is safe, is helping, and is not causing adverse effects

• Treatment changes may be required

• It is important that the patient actively participates in the treatment, and works with the doctor to find the best treatment for them (although it is normal for children and adolescents to have periods of treatment noncompliance)

• Caregiver involvement is critical to depression treatment success.