• No one should be alone in this. We can help.
If you - or someone you know - are having thoughts about suicide, call 1-800-273-TALK (8255). Calls are connected to a certified crisis center nearest the caller's location. Services are available 24 hours a day, seven days a week.                                                                            If you - or someone you know - are having thoughts about suicide, call 1-800-273-TALK (8255). Calls are connected to a certified crisis center nearest the caller's location. Services are available 24 hours a day, seven days a week.
Advertisement

Main Menu
Sponsored Links
Donate to DF
Latest Forum Topics
No posts were found
Search

Find a Therapist
Powered by Good Therapy
Lindsay  Lindsay

Depression and teens

Learning that your teen has depression can be terrifying for a parent – concerns range from getting the right treatment to general safety. It was estimated in 2013 that 8 percent of high school students attempted suicide one or more times in the previous 12 months, according to the Centers for Disease Control and Prevention.

And now, a reanalysis of data in The BMJ last week found that Paxil, one of the most prescribed antidepressants on the market, is ineffective and even harmful for treating major depression in adolescents.

The new findings are in contrast to the original study from 2001. Researchers of the original industry-funded study found Paxil, just one of a group of serotonin re-uptake inhibitors, was safe and effective. The reanalysis showed that a number of adolescents from the original study did experience increased thoughts of suicide. But the suicidal thoughts were simply counted as generic adverse events and not clearly presented in the results.

For a long time, there have been some indications that these medicines may raise the rates of thoughts of self-harm in adolescents. This led the U.S. Food and Drug Administration in 2007 to issue a “black box” warning about increases in suicidal thoughts. In December 2014, the warning was revised to state that attempts at self-harm decreased in patients ages 24 and older with anti-depressant use, but there was no change on the warning for adolescents.

During this nearly decade long discussion, most psychiatrists and many other mental health professionals felt that the warnings were too strict. As a result, they thought many teens were not getting the help that they needed – while others worried that these medicines were possibly harmful. 

What has followed in the wake of this latest reanalysis are stories in the press which have raised the issue of the safety and effectiveness of some antidepressant medications for adolescents.  

 

So the question for parents is what should they do for their possibly depressed adolescent? 

 The American Academy of Child and Adolescent Psychiatry presents a well-reasoned, thoughtful way to approach depression for parents. First, a mental health professional should evaluate to determine if it is truly depression or a reaction to something that has happened. Grief and loss are normal human responses. For example, the death of a beloved grandparent, loss of friends due to a move, or a break up with a significant other can result in irritability or a few nights of poor sleep p but this does not mean clinical depression.

After taking a detailed history, a licensed mental health professional will recommend treatment if the patient meets the criteria for depression.

  • First line treatment, as AACAP recommends, should be cognitive or interpersonal psychotherapy for mild to moderate depression.
  • For moderate depression that does not respond to psychotherapy or severe depression, medication should be considered as an additional treatment, not a stand-alone intervention. 

The research outcomes are very clear for cognitive therapy in particular. Learning how to more objectively assess situations and solve problems is an effective treatment for depression. The results for patients are usually good or better than medication. Combined psychotherapy with medication for more severe cases usually results in faster improvement and a lower dose of medication. Problems come up when medication only is prescribed with no other treatment, especially if a good diagnostic evaluation has not been done. 

Sometimes depression is presented as simply a “chemical imbalance” of low serotonin levels, and medications are presented as a way to fix that. However, there are many ways to improve one’s chemical balance including psychotherapy, exercise, better diet, and a routine sleep schedule. A healthier lifestyle in general can help enormously. 

With this said, the answer for parents is complex when it comes to teens and anti-depressants. No individual responds exactly the same way and for any one patient, the medications can be a great help and for others not so much. Like all medications, anti-depressants have positive effects and negative side effects, and both need to be monitored. 

Depression is a real disorder, requiring a comprehensive treatment plan that includes psychotherapy, some lifestyle changes, and potentially medication. If your child is depressed, work with your primary care provider to identify a mental health provider skilled at working with adolescents to make sure that your child receives the comprehensive treatment they need.

Read more at Philly.com Depression News

 

 


 
This Month In Pictures
decabyss.jpg
Members Online
0 Users Online
Guests
Visible
No users online.
Follow Us On Twitter
Like Us On Facebook
Medical News
  • Dementia: Bilingualism may help brain conserve resources and resist decline
    New research suggests years of bilingualism alters the brain to use resources more efficiently when concentrating, giving insights to successful aging.
    Psychology / Psychiatry News From Medical News Today
    Monday, 16 January 2017 09:00
  • Benzodiazepines and related drugs increase stroke risk among persons with Alzheimer's disease
    The use of benzodiazepines and benzodiazepine-like drugs was associated with a 20 per cent increased risk of stroke among persons with Alzheimer's disease, shows a recent study from the University...
    Psychology / Psychiatry News From Medical News Today
    Monday, 16 January 2017 08:00
  • Is Neurofeedback an Effective Treatment for ADHD?
    What is neurofeedback and does it work when treating ADHD? What should be considered when using neurofeedback and what should be expected from treatment?
    ADHD News From Medical News Today
    Monday, 16 January 2017 08:00
  • Schizophrenia could directly increase risk of diabetes
    People with early schizophrenia are at an increased risk of developing diabetes, even when the effects of antipsychotic drugs, diet and exercise are taken out of the equation, according to an...
    Psychology / Psychiatry News From Medical News Today
    Monday, 16 January 2017 02:00
  • Annual report examines state of college student mental heath
    Despite increased demand for counseling centers on college campuses, students aren't necessarily getting sicker.
    Mental Health News From Medical News Today
    Monday, 16 January 2017 02:00
  • Natural Remedies for ADHD
    Learn about natural remedies for treating the symptoms of ADHD. This article looks how supplements and lifestyle changes may be able to help.
    ADHD News From Medical News Today
    Monday, 16 January 2017 02:00
  • Can chair yoga relieve osteoarthritis pain?
    A new randomized control study is the first to show that chair yoga can help to reduce pain in seniors with lower extremity osteoarthritis.
    Pain / Anesthetics News From Medical News Today
    Sunday, 15 January 2017 02:00
  • Musicians have faster reaction times
    New research demonstrates that musical training improves reaction time to auditory and tactile stimuli. The findings open the door to new types of therapy.
    Psychology / Psychiatry News From Medical News Today
    Saturday, 14 January 2017 02:00
  • What are the risks and benefits of cannabis use? New report sheds light
    The National Academies of Sciences, Engineering, and Medicine have analyzed over 10,000 studies to better understand the benefits and harms of cannabis.
    Mental Health News From Medical News Today
    Friday, 13 January 2017 11:00
  • Can Marijuana Help Treat ADHD?
    Learn if marijuana affects ADHD and if medical marijuana is available as a treatment. What are the risks, and can marijuana treat children with ADHD?
    ADHD News From Medical News Today
    Friday, 13 January 2017 08:00
  • Scientists find new mechanism for memory formation
    New research investigates how we form memories, and discovers that apart from the hippocampus, a previously neglected brain area plays a crucial role.
    Psychology / Psychiatry News From Medical News Today
    Friday, 13 January 2017 02:00
  • Bacterial protein structure could aid development of new antibiotics
    Bacterial cells have an added layer of protection, called the cell wall, that animal cells don't.
    Pharma Industry / Biotech Industry News From Medical News Today
    Friday, 13 January 2017 02:00
Suicide Prevention Lifeline
suicidepreventionlifeline.org
Andertoon
Daily Toon Click to enlarge
ANDERTOONS.COM PSYCHIATRY CARTOONSPsychiatry Cartoonsby Andertoons
Tweets Liked by ~ Lindsay (@DepressionForum)
Depression Forums - A Depression & Mental Health Community Support Group
Copyright © 2014 The Depression Forums Incorporated - A Depression & Mental Health Social Community Support Group. All rights reserved.
The Depression Forums are intended to enable members to benefit from the experience of other members who have faced similar mental health issues by sharing their experiences.
* DF does NOT vouch for or warrant the accuracy, completeness or usefulness of any posting or the qualifications of any person responding.
Use of the Forums is subject to our Terms Of Service (TOS) and forum guidelines which prohibit advertisements, solicitations or other commercial messages by members, or false, defamatory, abusive, vulgar, or harassing messages and may subject violators to be banned from the forums.
All postings reflect the views of the author but become the property of DepressionForums.org. Your personal information will never be shared with others.
If you have any questions on how it will be used, please see our our privacy policy.
Information supplied on Depression Forums should not be relied upon and is not a substitute for medical advice from a health professional or doctor.
* DF © is an acronym for DepressionForums.org