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Depression - adolescents; Teenage depression
Depression can change the way teenagers see themselves, their lives, and the people around them. Teenagers who are depressed usually see everything more negatively. They can't imagine that any problem or situation can be solved in a positive way.
Some or all of these symptoms of depression may be present:
Sometimes a person's behavior may change, or there may be problems at home or school without any symptoms of depression:
If these symptoms last for at least 2 weeks and affect your mood or ability to function, get treatment.
Suicide is a risk for all teenagers with depression. See: Suicide and suicidal behavior for more information on how to recognize and treat suicidal feelings.
True depression in teens is often difficult to diagnose, because normal teenagers have up and down moods. These moods may go back and forth over a period of hours or days.
Sometimes when children or adolescents are asked, they will say that they aren't happy or sad. Health care providers should always ask children or adolescents about symptoms of depression.
The health care provider will perform a physical examination and order blood tests to rule out medical causes for the symptoms. The doctor will also check for signs of substance abuse. The following can cause, or occur because of depression:
The health care provider will also check:
Information from family members or teachers can often help identify depression in teenagers.
US Preventive Services Task Force. Screening and treatment for major depressive disorder in children and adolescents: US Preventive Services Task Force Recommendation Statement. Pediatrics. 2009;123:1223-1228.
Zuckerbrot RA, Cheung AH, Jenson PS, Stein REK. Identification, assessment, and initial management guidelines for adolescent depression in primary care. Pediatrics. 2007;120:e1299-e1312.
Cheung AH, Zuckerbrot RA, Jenson PS, Ghalib K. Treatment and ongoing management guidelines for adolescent depression in primary care. Pediatrics. 2007;120:e1313-e1326.
Bostic JQ, Prince JB. Child and adolescent psychiatric disorders. In: Stern TA, Rosenbaum JF, Fava M, Biederman J, Rauch SL, eds. Massachusetts General Hospital Comprehensive Clinical Psychiatry. 1st ed. Philadelphia, Pa: Mosby Elsevier;2008:chap 69.
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