What is the danger of teenage depression and how can you help your child cope with it?

During adolescence, the child begins to recognize himself as an individual. He forms his own views, values, and opinions. Along with new, interesting experiences, as a rule, come the first disappointments. School bullying, failed first love, conflicts with adults - all this leaves an imprint on the psyche. Some teenagers successfully cope with temporary difficulties and easily return to everyday life, while other children have a hard time experiencing bad events, which indicates a tendency towards teenage depression.

Content:

• About the phenomenon of depression in children and adolescents The essence of the phenomenon
• Types of depression
• Age and gender characteristics
• Differences from depression in adults

Treatment options

Teenage depression often goes unnoticed by adults. Parents often interpret symptoms of apathy and sadness as signs of laziness, so the child is left without support.

Signs of a mental disorder cannot be ignored. First you need to show support and offer help. If your teen is not in the mood to talk, give him time. Explain that you love him, no matter what, and want to help him understand the current situation. It should be remembered that the teenager must want to visit the doctor on his own. Pressure, blackmail and threats are unacceptable.

Treatment of teenage depression includes several stages:

1. Pharmacotherapy – prescribing medications: sedatives, antidepressants, sedatives.
2. Psychotherapy helps to understand the root causes of the disease.
3. Social therapy – helps improve social communication skills and reduce problems in interpersonal relationships.

Parents are recommended to come to an appointment with a psychologist/psychotherapist together with their child.

Hospitalization is required for prolonged, severe depression. Most often, therapy is carried out on an outpatient basis.

About the phenomenon of depression in children and adolescents

In recent years, there has been an unprecedented increase in rates of depression in children and adolescents. The self-isolation regime, the transition to distance learning, and the general tense situation in the world have had an impact.

Let's figure out whether depression occurs in childhood, and how it differs from the adult state.

The essence of the phenomenon

According to the results of a survey conducted in 2021 among Russian schoolchildren from grades 5 to 11, 42.2% of respondents reported a state of depression.

Just some 20-25 years ago, child psychiatrists denied the existence of this disease in people under 18 years of age. But it was soon proven that depression does exist in children and adolescents , it’s just that its manifestations differ from what can be diagnosed in adults.

What are the dangers of depression in adolescence? It gradually begins to destroy the child’s personality, preventing him from living a full life and freely communicating with people close to him.

Depression cannot be overcome by willpower; it is impossible to follow the advice of others to “stop being sad and start enjoying life.”

The term "depression" comes from the Latin word "deprimo", which means "to press down", "to suppress". This is a mental disorder, the main symptoms of which are:

• reduced (depressed) mood;
• disturbance of mental activity;
• behavioral changes.

Most scientists agree that the appearance of depression signals that something is going wrong in a person’s life. Certain changes are necessary for the patient to begin to feel better.

A teenager is under intense pressure from teachers and parents, plus he has to build relationships with peers, try to be accepted and not rejected. And at this time, a hormonal storm is raging in the body, which makes the psyche even more fragile and vulnerable than before.

Therefore, very often a child is in a state of depression without realizing it, and the task of adults is to identify the problem of their son or daughter in time and competently help him.

Types of depression

Doctors identify several types of depression that can appear in adolescence:

Reactive

The most common type of depression in teenagers.

Reactive depression is a depressed mental state caused by external factors. It can arise as a reaction to events or situations, for example due to severe emotional shock (death of a close relative, pet, parental divorce, etc.).

Alarming

With this type of depression, a teenager is overcome by obsessive fears of various types: fear of death, fear of contracting a virus, fear of the unknown, etc.

Dysthymia

This is the mood disorder that is most difficult for parents and professionals to recognize. The child looks passive and finds it difficult to concentrate on completing any task. Sleep and appetite disturbances may occur.

Melancholic

Characterized by a sad and depressed state. The teenager loses interest in life and often talks about the meaninglessness of the future.

As a rule, parents without the help of specialists are not always able to determine what type of depression a child has, because many of the symptoms may be similar.

Age and gender characteristics

Although scientists have recorded manifestations of depression in children of early and preschool age, the peak period for the occurrence of this disorder is considered to be between 12 and 18 years of age .

At the age of 12-14 years, depression is often “masked” as school phobia (fears associated with educational activities). The child becomes lethargic, lethargic, and has difficulty absorbing educational material. His performance declines and he becomes reluctant to attend school. He feels unsuccessful and lonely.

Between the ages of 14 and 18, teenagers are concerned about choosing a future profession, successfully passing exams and, of course, building relationships with the opposite sex. During this period, they may experience symptoms of depression such as sleep disturbances, irritability, increased anxiety and fear of the future.

Depression has also been shown to have different effects on the brain activity of boys and girls. Accordingly, their symptoms of the disorder will be different.

For boys:

1. Depression is often long-term, leading to alcohol or drug use. In this way, teenagers “close themselves off” not only from personal problems, but also from the whole world.
2. More often than in girls, depressive disorder in boys ends in suicide attempts.

For girls:

1. Girls suffer from depression 2 times more often than boys.
2. Depressive disorder is more often episodic than long-term.
3. Experiencing depression, the girl “withdraws into herself”, becomes withdrawn and unsociable.

Differences from depression in adults

Depression in adolescence tends to have different symptoms than depression in adults.

What occurs in teenagers:

• irritability, hostility, outbursts of anger;
• increased sleepiness (especially during the day);
• hypersensitivity to critical remarks. Teenagers often see criticism where there is none;
• complaints of discomfort in the body (stomach pain, headaches, etc.)
• isolation, reluctance to communicate with a large circle of people, while communication with loved ones may remain.

What occurs in adults:

• decreased ability to enjoy life;
• lethargy, lethargy, apathy;
• diurnal mood swings (usually an adult feels worse in the morning);
• a feeling of loneliness, a desire to reduce contacts with everyone, including loved ones.

Read more about depression in adults in the article Cry from the Heart: Depression and how to deal with it?

Encourage exercise

Physical and mental health are inextricably linked. Depression is made worse by inactivity, insufficient sleep and poor diet. Unfortunately, teenagers are known for their unhealthy habits: staying up late, eating junk food, and spending hours on their phones and other electronic devices. As a parent, you can combat this behavior by creating a healthy, supportive home environment.

During depression, the body seems to freeze and does not want to expend additional energy on physical movements. When a person begins to move actively, it is as if he is sending his brain a signal that everything is returning to normal.

The problem is that most teenagers don’t even like the word “sport.” So think outside the box: take him on a hike, let him walk the dog, ride a bike or skateboard - almost anything that involves physical activity will do.

Set limits on phone and computer use. Teens often go online to escape their problems, but as screen time increases, physical activity and the desire to go out with friends decrease. Both of these things are a recipe for worsening symptoms.

Provide your child with nutritious and balanced meals. Make sure your teen gets the nutrition they need for optimal brain health and mood support: healthy fats, quality protein, and fresh produce. Eating a lot of sugary, starchy foods is a quick way to make things worse.

It is also believed that teenagers need a lot of sleep - about 9-10 hours. Make sure your teen gets this rest.

3

Causes of teenage depression

The cause of depression in adolescents, as a rule, is a combination of factors that have a detrimental effect on their fragile and vulnerable psyche.

These include:

Hormones

Hormonal changes in the body or chemical imbalances that cause mood swings, angry outbursts, irritability and increased anxiety.

Conflicts with peers

The child may be an outcast in class or be bullied, which increases his feelings of loneliness and inferiority. The teenager feels like a loser who has no reason and nothing to love and respect.

Family troubles

A student may be very worried about excessive parental demands on him, quarrels and conflicts, as well as when parents are indifferent to his successes and achievements.

Problems with studies

High academic loads, pressure from teachers and fear of exams have an adverse effect on the fragile children's psyche.

Traumatic event in the life of a teenager

The death of someone close, an accident, and so on.

Personality characteristics

Depression can be caused by:

• youthful maximalism (the desire to divide everything into “white” and “black”);
• increased sensitivity to critical remarks;
• worries about the “imperfection” of one’s appearance.

Who may be at risk for developing depressive disorders?

1. Children with other mental problems (anorexia, anxiety disorder, etc.).
2. Victim or witness of violence.
3. Teenagers with chronic diseases (asthma, diabetes, etc.).
4. Using alcohol or drugs.

Know when to seek professional help

Lifestyle changes and support are the right steps, but sometimes they are not enough. If you feel the problem is serious, don't hesitate to seek professional help from a mental health professional.

When choosing a specialist, be sure to listen to your child’s opinion and let him make his own choice. It is this tactic that will not infringe on his pride, and there is a chance of finding a therapist with whom the child will be comfortable.

Unfortunately, many parents choose antidepressants because they are much cheaper than other treatments. Therefore, resort to them only in extreme and advanced cases. Therapists usually start with simple conversations and often find the cause of the problems.

Antidepressants were developed and tested in adults, so their effects on young, developing brains are not yet fully understood. Some researchers are concerned that exposure to drugs such as the famous Prozac may interfere with normal brain development, especially how the brain manages stress and regulates emotions.

Antidepressants also come with risks and side effects, including a number of safety concerns specific to children and young people. Therefore, if your child takes them, carefully monitor their psychological state - panic attacks, excessive anxiety and aggression may indicate that they are negatively affecting his body.

4

What are the signs that indicate that a child is depressed?

Parents should be well versed in the signs of teenage depression in order to be able to identify what is happening to their child in time.

As we have already said, depression is characterized by changes in the behavior, mood and thinking of a teenager.

Emotional changes:

• feeling of sadness and longing;
• depressed mood, increased tearfulness;
• irritability, outbursts of anger, even for minor reasons;
• loss of joy of life and interest in usual activities;
• frequent conflicts with friends and family;
• painful reaction to failures;
• increased anxiety, fears;
• feelings of inadequacy and worthlessness;
• excessive self-criticism, increased feelings of guilt.

Behavioral changes:

• sudden weight loss/gain;
• sleep disorders (insomnia/excessive sleepiness);
• motor restlessness/retardation;
• apathy, loss of strength, feeling of constant fatigue;
• frequent complaints of pain in the abdomen, head, etc.;
• auto-aggression (self-mutilation, cutting, etc.);
• indifference to one’s own appearance/its sudden change;
• rebellious, protest behavior;
• desire for loneliness, solitude.

Changes in mental activity:

• difficulty concentrating, decreased concentration;
• constant “scrolling” of gloomy and disturbing thoughts in the head;
• slowing down the rate of speech;
• forgetfulness, memory impairment.

In order for a diagnosis of depression to be made, a teenager must exhibit at least five of these symptoms throughout the day for 2 weeks.

It is also important for parents to pay attention to their children’s statements.

It's time to sound the alarm if a teenager:

• often talks or jokes about death;
• talks about the meaninglessness of his future or experiences strong fear of it;
• is indifferent to himself and his own health;
• speaks derogatorily about himself: “I am worthless,” “It would be better if I died,” etc.

"Masks" of teenage depression

Sometimes it can be difficult to identify depression in adolescents, since it can “disguise” itself as various conditions.

Case No. 1. Broken heart

The mother of 13-year-old Dima turned to the school psychologist. She complained that she did not understand why her child had changed so dramatically. If before he was calm and obedient, now it’s as if he has been replaced: he began to skip classes, got involved with bad company, and is constantly rude to his parents. And recently she found a package of smoking mixture in his jacket pocket.

The psychologist invited Dima for a consultation, and it turned out that the boy was depressed. He is not interested in either his new company or the use of harmful substances. He just wanted to “drown out” his worries about the girl he liked. When he confessed his feelings to her and proposed dating, she refused him and called him a loser and a “stupid.”

Transitional age

What is adolescence? By the age of 13–16, our innate properties have already reached their maximum development, and the person is ready to enter adulthood. What does it mean to be an adult? This means making a contribution to society, using your talents for the benefit of others.

Children mature and are pushed out of the safety net of the parental family. There are differences in how boys and girls experience adolescence. It is at this stage of psychosexual development that gender roles are separated. Boys, repeating the millennia-old experience of our ancestors, are grouped into flocks - models of the ancient human flock, which provided a collective system of security and safety for all individuals. Teenage girls, like our ancestors, strive to please boys. The ancient female received the protection, security and alimentation necessary for survival from the male, and this is still the root of the female psyche.

Transitional age is a period of testing the implementation of acquired properties. It doesn't always go easy

It is important to distinguish the transitions associated with this period, which we all go through, from the symptoms of depression in adolescents

Prevent the irreparable

The responsibility for the lives of children lies with us. To prevent the worst from happening, we are obliged to protect children. People are not born suicides. Every child suicide is a consequence of our wrong actions, oversight or ignorance.

These tragedies can be prevented by understanding not only children, but also ourselves. Being in a fulfilled, balanced state, aware of the psyche - ours and the child's - we can convey to children a feeling of security and safety. We know how to behave so as not to cause hidden resentment or increase the feeling of loneliness and defenselessness in those whose protection is our natural duty.

We can teach children to understand themselves and others, and they will not become depressed or feel like victims, unknowingly causing aggression in their direction.

We receive ideal psychoanalysis through the spoken word at the “System-vector psychology” training. Yuri Burlan most accurately reveals our properties and states in their cause-and-effect relationships. We begin to realize what we are made of, what lives us. By studying the structure of the collective human soul, we understand our characteristics, their meaning and the meaning of the differences between us. An internal answer arises to the main question: “Who am I?” Systems thinking opens up opportunities for maximum realization of innate properties for any person. For a sound specialist, this can be a real salvation: on the one hand, revealing the hidden is its specific role, on the other, the skill of systems thinking leads to the habit of focusing outward, and this is the most direct way out of depression and the first means of preventing it.

Authors Svetlana Rychina, Oksana Agadzhanova Reactor Tamara Tkachenko Proofreader Natalya Konovalova

The article was written using materials from Yuri Burlan’s online training “System-vector psychology”

Diagnosis of depressive symptoms in children and adolescents

It is often difficult for parents to diagnose depression in their child themselves. Then methods come to the rescue by which you can determine depressive disorder using test questions.

We have collected the most famous of them:

1. Beck Depression Inventory
2. Zung Self-Rating Depression Scale
3. Methodology for diagnosing depressive states according to Zhmurov V.A.
4. Maria Kovacs Childhood Depression Questionnaire

After answering the questions, the teenager can independently determine that he is depressed, or his parents can do this for him.

But it is important to understand that only a doctor can make a diagnosis of depression. The specialist will separate depression from similar conditions (for example, neurosis) and prescribe appropriate therapy for the child.

How long will the treatment last?

Overcoming depression can take time; in this regard, unfortunately, no time frame guarantees can be made. According to Russian recommendations, treatment should continue for 4–6 months after remission, since shorter periods lead to an increased risk of relapse of depression. Therefore, the teenager will need a lot of support. Remember, depressive disorders are treatable! This is not a life sentence, and the teenager will not be registered with a psychiatrist if he does not pose a threat to himself.

How can parents help their child cope with their condition?

A depressed teenager needs help and support from loved ones.

Tips for Dealing with a Depressed Teen

Psychologists give moms and dads a number of tips on how to talk to their own child:

1. Show your child that you understand his feelings and are ready to share them with him. A teenager needs to know that you are on his side, no matter what happens.
2. Be attentive to his statements. Listen without moralizing, criticizing or unsolicited advice.
3. Even if the problem seems insignificant and far-fetched to you, do not devalue the teenager’s experiences. Remember that at this age situations are felt and perceived differently, and what you think is a minor misunderstanding can be the end of the world for your child. Understand his feelings.
4. Do not raise your voice to a teenager, avoid conflicting, defiant and aggressive intonations.
5. Provide room for independence, always give the child the right to choose, and do not make all decisions for him.
6. Limit custody, let your son or daughter feel that you trust them. Let your child learn from his own mistakes rather than follow your example.
7. Celebrate even your child's small successes. Talk more often about how important he is to you and others.
8. If it is difficult for your son or daughter to tell you about his experiences, advise him to keep a personal diary, to which he can entrust everything that worries and worries him.
9. Stay close to your child. The teenager should know that he can always turn to you for help and get it.
10. Find a common interest and engage in hobbies with your child. This could be a simple walk before bed or attending joint master classes and sections.

When do you need specialist help?

If symptoms of depression begin to interfere with your life and the life of your child, depriving it of its former colors, then it is time to consult a specialist.

In almost every city there are centers for psychological assistance for teenagers, where you can come with your son or daughter.

To begin with, it is better to consult with a psychologist . During a conversation with the child, he will be able to understand the causes of depression and find, together with the teenager, ways to solve this problem.

But if depression lasts more than one month, the child talks more and more often about death or hurts himself, parents need to consult a psychiatrist .

If the doctor suggests hospitalization, do not refuse it. We are talking about the life and health of your child.

Long-term, protracted depression in a teenager can develop into:

• alcoholism or drug addiction;
• suicide attempts;
• deviant behavior (arson of cars, violence against others, theft of valuables, etc.);
• problems with learning, child leaving school;
• conflicts with family and friends, even running away from home.

"Empathy" - studio of practical psychology

Children and teenagers with various emotional problems come to Empathy. We help them overcome difficulties. To do this, our team has specialists who have been working with children and adults for 17 years, helping to deal with internal problems.

Adolescence is a period of personality development. And our task is to help the child not go astray. We help teenagers and parents find and maintain the harmony in which everyone can live and develop comfortably.

“Empathy” runs psychological groups for teenagers, where kids can share important experiences, get support and feedback, learn how to build relationships with peers and find friends. Here a teenager can share his problems, and we will help him understand and understand himself. In this format of communication, support, respect and trust in peers are formed, and the prerequisites for the development of depression in a child go away by themselves.

Of course, we cannot talk about a universal panacea, but psychological work in a group is obviously a prevention of depression; if necessary, we also refer the teenager and parents to specialists with a more specialized profile. You can read about how to invite your child to participate in a psychological group here.

If you are faced with misunderstanding within your family, or have discovered signs of depression in a child, contact us for help. We are waiting for you at the Studio of Practical Psychology “Empathy”.

Methods for treating depression in children and adolescents

Currently, the following types of therapy are used to treat depressive conditions in children and adolescents:

Drug therapy

As a rule, the necessary medications are prescribed by a psychiatrist. Under no circumstances should you give your child any medications on your own!

If you notice side effects from treatment in a teenager, do not stop taking the drug, first consult with your doctor.

Pathogenesis

There are biological prerequisites for the formation of the disease that can be tested in a medical setting. We are talking about a deficiency of neurotransmitters in brain synapses (norepinephrine, dopamine), and an increase in cortisol levels. Disorders of melatonin secretion are characteristic. Patients exhibit morphological changes in the amygdala and frontal cortex.

Most children with depression experience a lack of maternal love. Many experienced social and economic changes and acute stress before the onset of the disease. The disease is more often diagnosed in children who, before the disease, were already quite introverted, anxious, vulnerable and neurotic.