Virtual Care for Depressive Disorders in Teens and Children
Explore information and articles on depressive disorders in teens and children, as well as how Bradley REACH can help.
About Depressive Disorders in Teens and Children
Depressive disorders, commonly referred to as depression, are serious mental health conditions that can affect individuals of all ages, including teenagers and children. Depression is characterized by persistent feelings of sadness, hopelessness, and a loss of interest or pleasure in activities. Recognizing the signs, understanding the causes, and seeking appropriate support and treatment are crucial in helping teenagers and children effectively manage their depressive disorders.
Types of Depressive Disorders:
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Major depressive disorder is characterized by persistent feelings of sadness, worthlessness, and a loss of interest in activities. Symptoms may include changes in appetite and sleep patterns, decreased energy levels, difficulty concentrating, feelings of guilt or hopelessness, and recurrent thoughts of death or suicide. To be diagnosed with MDD, symptoms must be present for at least two weeks and must significantly interfere with daily functioning.
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Persistent depressive disorder, also known as dysthymia, involves a chronic low mood that lasts for at least two years in children and one year in adolescents. Symptoms may be less severe compared to MDD, but they persist for a longer duration and can significantly impact a child's daily functioning and overall well-being.
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DMDD is a condition primarily diagnosed in children who experience frequent and severe temper outbursts. These outbursts are inconsistent with developmental age and occur in multiple settings. In between the outbursts, children may exhibit a persistently irritable or angry mood. DMDD is often associated with significant impairment in social, academic, and family functioning.
Causes and Risk Factors:
The development of depressive disorders in teens and children is influenced by various factors, including:
Genetics: A family history of depression or other mood disorders increases the risk of developing depressive disorders in children and adolescents.
Brain Chemistry: Imbalances in neurotransmitters, such as serotonin, norepinephrine, and dopamine, may play a role in the development of depressive disorders.
Stressful Life Events: Stressful life events, such as loss, trauma, abuse, or significant changes in family dynamics, can contribute to the onset of depression in susceptible individuals.
Psychological Factors: Low self-esteem, negative thinking patterns, and difficulty coping with emotions or stress can make individuals more vulnerable to depressive disorders.
Biological Factors: Certain medical conditions, such as chronic illnesses or hormonal imbalances, may increase the risk of depression in children and adolescents.
Treatment and Support:
Depressive disorders in teens and children are treatable conditions, and early intervention is crucial for successful management. The following approaches are commonly used:
Therapy: Psychotherapy such as interpersonal therapy and cognitive behavioral therapy (CBT) can help identify problematic interpersonal and thought patterns, develop healthier coping mechanisms, and address underlying issues contributing to depression.
Supportive Environment: Creating a supportive and understanding environment for children and teens with depressive disorders is crucial. This includes open communication, active listening, and providing reassurance and emotional support.
Lifestyle Modifications: Encouraging a healthy lifestyle can play a significant role in managing depressive disorders. This includes regular physical activity, a balanced diet, sufficient sleep, and engaging in activities the child or teen enjoys.
Partial Hospitalization Programs: Partial programs can be an effective diversion from inpatient care and to support discharge (step down) from inpatient treatment. They incorporate telehealth into their program which allows patients to participate in the program while living safely at home. It makes it easy for families to play an active role in their teenager’s care.
Intensive Outpatient Programs: IOPs are ideal for adolescents who need more care than weekly outpatient appointments can provide. The IOP aims to help participants work on emotional and behavioral issues and prevent the need for higher levels of care.
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To discuss how partnership with Bradley REACH can make high-quality care more accessible to your young patients, please contact us at bradleyreach@lifespan.org.
