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Depression - adolescents; Teenage depression
Treatment options for adolescents with depression include:
Treatment should be tailored to the teenager, and the symptoms. Families often help in treating adolescent depression.
The first medication tried is usually a type of antidepressant called a selective serotonin reuptake inhibitor (SSRI). Fluoxetine (Prozac) and escitalopram (Lexapro) are the only SSRIs approved for treating major depression in adolescents (ages 12 - 17). Fluoxetine is also approved for children age 8 and older.
NOTE: SSRIs and other antidepressants carry a warning that they may increase the risk of suicidal thoughts and actions in children and adolescents. Other evidence has not showed that these drugs increase suicide risk in children.
Doctors are still prescribing SSRIs and other antidepressant medications to adolescents with depression. Several important facts about taking any antidepressants include:
Not all antidepressants are approved for use in children and teens. For example, tricyclic antidepressants are not approved for use in teens.
Almost all adolescents with depression benefit from some type of talk therapy. Talk therapy is a good place to talk about their feelings and concerns, and to learn ways to deal with them.
Types of talk therapy include:
Sometimes people with severe depression, or those who are suicide risks may need to stay in the hospital for treatment.
Adolescents with depression should learn to:
Depression usually responds to treatment. Getting the right treatment as early as possible may prevent further episodes. However, about half of very depressed teens will keep having problems with depression as adults.
Adolescents with other mental health problems usually need longer and more intensive treatment.
There are numbers you can call from anywhere in the United States, 24 hours a day, 7 days a week: 1-800-SUICIDE or 1-800-999-9999.
Call your health care provider right away if you notice one or more of these suicide warning signs:
See: Suicide and suicidal behavior for more information
Call your health care provider if you notice:
NEVER IGNORE A SUICIDE THREAT OR ATTEMPT!
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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