Depression is a serious mood disorder that can take the joy from a child's life. It is normal for a
child to be moody or sad from time to time. You can expect these feelings after the death of a
pet or a move to a new city. But if these feelings last for weeks or months, they may be a sign of
depression.

Experts used to think that only adults could get depression. Now we know that even a young
child can have depression that needs treatment to improve. As many as two out of 100 young
children and eight out of 100 teens have serious depression.

Still, many children don't get the treatment they need. This is partly because it can be hard to
tell the difference between depression and normal moodiness. Also, depression may not look
the same in a child as in an adult.

If you are worried about your child, learn more about the symptoms in children. Talk to your
child to see how they are feeling. If you think your child is depressed, talk to your doctor or a
counsellor. The sooner a child gets treatment, the sooner they will start to feel better.

What are the symptoms?
A child may be depressed if they:
• Are irritable, sad, withdrawn, or bored most of the time.
• Do not take pleasure in things they used to enjoy.

A child who is depressed may also:
• Lose or gain weight.
• Sleep too much or too little.
• Feel hopeless, worthless, or guilty.
• Have trouble concentrating, thinking, or making decisions.
• Think about death or suicide a lot.

Both very young children and grade-school children may lack energy and become withdrawn.
They may show little emotion, seem to feel hopeless, and have trouble sleeping. Often they will
lose interest in friends and activities they liked before. They may complain of headaches or
stomach aches. A child may be more anxious or clingy with caregivers.
Depression can range from mild to severe. In its most severe form, depression can cause a
child to lose hope and want to die.

Whether depression is mild or severe, there are treatments that can help.

How is depression diagnosed?
To diagnose depression, a doctor may do a physical examination and ask questions about your
child's past health. You and your child may be asked to fill out a form about your child's
symptoms. The doctor may ask your child questions to learn more about how he or she thinks,
acts, and feels.

How is it treated?
Usually one of the first steps in treating depression is education for the child and his or her
family. Teaching both the child and the family about depression can be a big help. It makes
them less likely to blame themselves for the problem. Sometimes it can help other family
members see that they are also depressed.

Counselling may help the child feel better. The type of counselling will depend on the age of the
child.

Medicine may be an option if the child is very depressed. Combining antidepressant medicine
with counselling often works best. A child with severe depression may need to be treated in the
hospital.

There are some things you can do at home to help your child start to feel better.
• Encourage your child to get regular exercise, spend time with supportive friends, eat
healthy foods, and get enough sleep.
• See that your child takes any medicine as prescribed and goes to all follow-up
appointments.
• Make time to talk and listen to your child. Ask how they are feeling. Express your love
and support.
• Remind your child that things will get better in time.

What should you know about antidepressant medicines?
Antidepressant medicines often work well for children who are depressed. But there are some
important things you should know about these medicines.

• Children who take antidepressants should be watched closely. These medicines may
increase the risk that a child will think about or try suicide, especially in the first few
weeks of use. If your child takes an antidepressant, learn the warning signs of suicide,
and get help right away if you see any of them.

Common warning signs include:
o Talking, drawing, or writing about death.
o Giving away belongings.
o Withdrawing from family and friends.
o Having a plan, such as a gun or pills.
• Your child may start to feel better after one to three weeks of taking antidepressant
medicine. But it can take as many as six to eight weeks to see more improvement. Make
sure your child takes antidepressants as prescribed and keeps taking them so they have
time to work.
• A child may need to try several different antidepressants to find one that works. If you
notice any warning signs or have concerns about the medicine, or if you do not notice
any improvement by three weeks, talk to your child's doctor.
• Do not let a child suddenly stop taking antidepressants. This could be dangerous. Your
doctor can help you taper off the dose slowly to prevent problems.