Part III: Youth Dealing with Depression

We all feel sad from time-to-time – it's a normal and appropriate response to disappointment and loss.

  • Dec. 19, 2014 6:00 a.m.

Dr. David Smith

From normal blues to debilitating depression: recognizing the signs and symptoms to help your child or teen

**********

We all feel sad from time to time.

It is a normal and appropriate response to disappointment and loss. But how do you tell whether your child or teen is experiencing normal sadness or suffering from clinical (or major) depression that may need expert help?

Telling the difference can be difficult as the symptoms of depression can be different in children and teens from adults. In young children, it may express itself by being excessively clingy, frequently crying, expressing fear that they or others will die, losing interest in toys or friends, losing interest in school or refusing to go, frequent headaches, stomachaches or feeling sick.

In older children and teens, along with many of those symptoms can come others like withdrawal and social isolation. Other symptoms can be a lack of energy, extreme boredom, inability to concentrate or communicate, loss of friends, or lack of desire to see friends. Changes in patterns of eating and sleeping (either too much or too little) are common signs, as is being unable to get out of bed or off the couch. If your teen has previously been involved in sports and hobbies, depression may show up as an inability to enjoy or partake in activities that used to bring pleasure. Also common are feelings of excessive regret, guilt and remorse and increased irritability, aggression and hostility, as well as extreme sensitivity to rejection, criticism or failure. Sometimes untreated anxiety can turn into depression when the child or youth feels overwhelmed by their fears. One or two such symptoms usually aren’t enough to make a diagnosis, but a pattern of sadness or loss of interests or pleasure combined with three or four such symptoms extending over two weeks or longer is more suggestive of clinical depression.

For parents, some of these symptoms can seem at times like normal teenage angst, lack of motivation or even misbehaviour. In fact, up until about two decades ago, it was thought that depression was primarily an adult disorder that rarely affected children or teens. Any symptoms displayed were put down to “a phase” – moodiness, over-dramatization, or self-indulgence.

“Snap out of it!” many a parent would bark – thinking erroneously that cajoling or scolding might help.

More: Part II: Fear Not – There is Help for Children and Youth with Anxiety (Dec. 16, 2014)

Now we know much better. Depression is a serious mental health issue that affects about two per cent of B.C. children and adolescents every year. It is more common in girls, but it may be that depressed boys and teenage males display other behaviours like aggression, substance use, and delinquency, which can mask the depression.

The risk of experiencing an episode of depression rises with age and with family history. While sometimes depression comes seemingly out of the blue, it can also be triggered in susceptible youth (with a genetic predisposition or with low self-esteem, perfectionist tendencies, for example) by trauma, anxiety, guilt or regret, or the death of a loved one or other significant loss.

On its own, depression is bad enough, but its hopelessness and despair, with the inability to see a brighter future, can also lead to suicide, which is the second leading cause of death among 15-24 year olds.

Fortunately, depression is highly treatable and youth are more likely to respond well to treatment if they receive it early. Treatment can consist of psychotherapy to teach youths how to address thoughts and behaviours that can lead to depression. Also, anti-depressant medication can be very effective at reversing depression and keeping relapses at bay.

If your child seems to be showing symptoms of depression, talk to your family doctor, a mental health professional or the mental health clinicians through the Ministry of Children and Family Development (MCFD).

Call Service BC at 1-800-663-7867 to find the MCFD office nearest to you. Their experts will screen for depression and help your child access the most appropriate treatment if needed.

We do know that healthy diets, regular exercise, good sleep, and the ability to talk about problems with people who care are all protective against depression or relapses. Information and support are available through a number of websites, such as: ok2bblue.com, dwdonline.ca, heretohelp.ca; mindyourmind.ca; keltyresources.ca, mindcheck.ca, openmind.ca.

For youth with suicidal thoughts please call the B.C. youth crisis line 1-800-suicide, visit youthinbc.ca to chat with a counsellor in real time, or go to the Emergency Department of your nearest hospital.

**********

Dr. David Smith is an adolescent and adult psychiatrist and the medical director of the Okanagan Psychiatric services for Interior Health. This series of columns on common child and youth mental health issues is a project of the Child and Youth Mental Health and Substances Use Collaborative. The Collaborative involves multiple individuals, organizations and ministries all working together to increase the number of children, youth, and their families receiving timely access to mental health services and support in the Interior Health and Vancouver Island regions. The Collaborative is jointly funded by Doctors of BC and the government of B.C.

. .

 

Just Posted

Okanagan Water Board opens floodgates with call for grant applications

Water Conservation and Quality Improvement program open from Armstrong to Osoyoos

Free public transit in Revelstoke this New Year’s Eve

City council approved the budget to cover the cost

Grizzlies’ goalie name KIJHL star of the week

Noah Desouza had an amazing game on Dec. 6

Snowfall warning issued for Coquihalla Highway

Up to 25 cm of snow is expected to fall in the region by Thursday

Revelstoke schools graffitied

Revelstoke Secondary School and Begbie View Elementary were defaced last weekend

VIDEO: Octopus, bald eagle battle after bird ‘bites off more than it can chew’ in B.C. waters

B.C. crew films fight between the two feisty animals in Quatsino off north Vancouver Island

Raptors fans show Kawhi the love in his return to Toronto

Leonard receives championship ring, leads new club to win

Process to identify those killed in Gabriola plane crash could take days

Canadian flight museum suggests Alex Bahlsen of Mill Bay died in Tuesday’s crash

Disturbing find: Shuswap family seeking Christmas tree locates several animal carcasses

Black bear, a coyote and five deer found dumped in gravel pit west of Salmon Arm

RCMP uncover meth in arrest of Sicamous woman linked to alleged pellet gun shooting

Police say methamphetamine and other drugs found in car driven by suspect

Pawsative Pups: Help your dog love their crate

Lisa Davies is a new columnist for Black Press who writes about dog training

Spark Joy: The art of giving and receiving

Barb and Wendy at Simply Spark Joy help you to create a clutter free home on the Black Press Media

Coldstream surf shop welcomes winter with paddle

Winter Chill event Saturday, Dec. 21, on Kal Lake is ‘food’-raiser for food bank

‘Honest mistake:’ RCMP says B.C. cannabis shop can keep image of infamous Mountie

Sam Steele wearing military, not RCMP uniform in image depicted in Jimmy’s Cannabis window

Most Read