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Well&Good 2003, Issue 4

What is depression?


Depression is more than getting a bad case of the blues. It is a mood disorder and it can and does affect adolescents. It can affect anyone at any time.

"Untreated depression probably has an even greater impact on children and adolescents than it does on adults," says James Beeghly, M.D., UI Department of Psychiatry, "because young people are going through critical developmental stages." It is important to get treatment for depression before teens react to the pain by turning to drugs or alcohol--before things get out of hand.

Suicide is the third leading cause of death in

10- to 24-year olds. "We are improving our understanding of depression in this age group and are making steady progress in learning how to treat it," Beeghly says.

Having depression doesn't mean that person is weak, or a failure, or isn't trying. It means they need help.

People suffering from depression should remember they are not alone. Help is available.

Good news

While the recovery rate from a single episode of major depression in children and adolescents is quite high, episodes are likely to recur. Prompt identification and treatment of depression can reduce its duration and severity.

Treatments include:

  • Psychotherapy--talking about feelings with a trained professional.
  • Medication--can effectively treat depression. Antidepressant medications are not uppers and are not addictive.
  • Combination--two is sometimes better than one. Treatment can help most depressed people start to feel better in a few weeks.

For further information or to make an appointment, contact UI Behavioral Health at 319-384-8999, ext. 1003, or toll free at 877-384-8999, ext 1003. Trained professionals are available 24 hours a day, seven days a week, to answer your questions and provide referrals.

Signs of depression

Contrary to popular thought, not all adolescents experience intense emotional fluctuations that verge on a psychiatric disorder. Adolescents who are depressed may be hypersensitive and overreact to minor problems or embarrassments. "Any major change

in a child or adolescent's school performance, friendships, hygiene, habits, or recreational substance use should be the cause of increased suspicion of depression," says Beeghly. Other signs include:

  • Lack of interest in friends and activities
  • Absences from school
  • Drop in academic performance
  • Withdrawal from family, decreased communication
  • Increased crying, irritability, anger, mood swings, reckless behavior
  • Recurrent thoughts of death or suicide
  • Talking about or attempting to run away
  • Sadness, inappropriate overwhelming guilt
  • Expresses feelings of hopelessness, worthlessness
  • Significant changes in appetite, body weight, and sleep patterns
  • Drug or alcohol abuse

The stats*

  • Approximately 2.5 percent of young children and 8.3 percent of adolescents suffer from depression. Fifty percent of those have at least one other psychiatric disorder.
  • Of children treated for major depression, 66 to 70 percent will experience a relapse.
  • Of adolescents with untreated major depression, 20 to 30 percent will develop bipolar disorder.

*From the National Institute of Mental Health

Risk factors

  • A family history of depression--especially if parents exhibited same tendencies when young
  • Abuse or neglect
  • Chronic illness.such as cancer
  • Trauma, including.natural disasters
  • Loss of a close friend.or parent
  • Breakup of a romantic relationship
  • Attention, conduct,.or learning disorder


For more information:

Listed above are several Web sites that offer additional information on this topic. University of Iowa Health Care does not sponsor or endorse these sites, or guarantee the accuracy of the information contained on these sites. These links are here for general information only, and should not be used for personal diagnosis or treatment. If you have any questions, please contact UI Health Access.

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Last modification date: Fri Dec 21 11:01:28 2007
URL: http://www.uihealthcare.com /news/wellandgood/2003issue4/depression.html