
- With Mayo Clinic psychiatrist
David Mrazek, M.D.
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David Mrazek, M.D.
David Mrazek, M.D.
Dr. David A. Mrazek is chair of the Department of Psychiatry and Psychology at Mayo Clinic, Rochester, Minn., and a professor of psychiatry at College of Medicine, Mayo Clinic. Dr. Mrazek has developed a federally funded psychiatric pharmacogenomics research program and implemented clinical psychiatric pharmacogenomics services at Mayo Clinic.
He has received numerous awards including the Award for Creativity in Psychiatric Education from the American College of Psychiatrists and the Agnes Purcell McGavin Award for Distinguished Career Achievement in Child and Adolescent Psychiatry from the American Psychiatric Association. He currently serves as chairman of the board of the American Board of Psychiatry and Neurology.
Dr. Mrazek has focused his current efforts on using pharmacogenomics testing to improve clinical care. One of his specific goals is to decrease the risks of taking psychiatric medications.
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Depression blog
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June 18, 2009
When to seek help for teen depression
By David Mrazek, M.D.
Being a teenager can be a challenging time. Some of the normal teenage changes can mimic depression.
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Here are some tips on how to recognize teen depression:
- Having thoughts of wanting to die or hurt yourself
- Isolating yourself from family or friends
- Feeling sad, blue or down in the dumps
- Feeling very irritable (like your fuse is very short), and snapping at people
- Losing interest in things you normally enjoy doing
If you're a teenager and think you have depression, tell someone you trust how you're feeling. Don't ask people to keep a secret if you're thinking of harming yourself. You deserve to be happy. Having teen depression doesn't mean you're a bad person or that you can't handle life. It is like having diabetes or other illnesses.
One book worth looking at that discusses some of the stress teens go through is "Fighting Invisible Tigers: Stress Management for Teens," by Earl Hipp.
22 comments posted
December 16, 2011 8:33 p.m.
My family doesn't like me, my friends get mad at me if I'm upset about anything. I have very little self worth/esteem. I come home late every day to avoid my family. People ask me why I put so much stress on my self, but I don't know. I hate it when people compliment me, all i think about is an insult somebody told me. My family has bad days so they take it out on me. If I mess anything up like spill something even if I'm not at home or with my family I start crying because I'm scared of rejection or people not liking me anymore. I'm looking for an easy way out. I can't take this. I've cried myself to sleep for as long as I can remenber. I just cant do it anymore.
- C
September 23, 2011 6:52 a.m.
:'( i am being abused from the world i sometimes think i just dont fit in it.i never had a friend since i was 9 and i go out of the house for english class once a week. that is a terrible life i always wish i had a friend or some one who cared about me. i am being raised in classical mode but i only can be raised modern but nobody seems to understand. my aunt she is a doctor she told me that i am a teen . she told me i am being raised classical so i have to get used to it. 95% of kids in america or Europe are being raised modern way.
- bet
September 23, 2011 6:39 a.m.
hello all of you. i wanted to say what is actually a teen. a teen is when you start feeling alone keep secrets about your life ..... and feel depressed it does not matter the age. this was wat my aunt doctor said. but ACTUALLY I MY SELF never was a preteen i became a teen since i was 10 years old.
- bet
September 23, 2011 6:34 a.m.
i became a teen about 1 year ago. and i was depressed from then. i am sad always. sometimes i shout at my little sister and make her cry. i have no friends at all i had one on the internet but she blocked me for no reason. i told my mom about my depression but it seemed she doesn't care. i am always tired to do any thing so i work with pc and play chat games and chat but my grandpa said if u do it again i'll take away your pc. actually i had a pretty hard life from when i was born
- bet
September 7, 2011 9:29 a.m.
what if you have told your family but they dont seem they care? they dont see a problem and no one else will help? whats the point?
- justine
August 16, 2011 3:55 a.m.
Unfortunately there many people that suffer from a degree of depression that seems unbearable. Perhaps they don’t seek help, and therefore never get the chance to help themselves. Even so, to think of killing oneself is a very drastic step and most people need another factor to push them over the edge, without which they will remain resigned to their feelings and continue to suffer in silence.
- newport
March 22, 2011 12:49 a.m.
There are also a lot of boarding schools which are a proven program which can help get your teen back on the right track. They specializes in helping troubled teens who struggle with depression, anxiety, low self-esteem, anger, defiance, drug abuse, failure in school, laziness, and poor family relationships.
- parenting teens
March 11, 2011 1:13 a.m.
I believe that I have been suffering with depression for over seven years, starting when I was around seven or eight years old. Over the years, it has slowly worsened, but I always ignored my symptoms, hoping to overcome it. But as the last few months have passed by, I believe it has gotten even worse. Thoughts of suicide and self-harm are almost always in the back of my mind, and thoughts of drug and alchohol abuse have escalated as well. I am debating on whether or not to contact a counselor or therapist. I am unsure of how to tell my family about my problems, for I am ashamed about my depression, about always feeling hopeless and worthless. I want help, but I do not know where to begin, or how. If you have any information on how I might go about finally talking about my condition, please share it.
- S
December 28, 2010 9:46 p.m.
I understand how everyone feels. I have been depressed for 2 years and at the beginning someone I was friends with didn't undestand she was always saying don't be negative and you don't have to think that way. But that's the thing about depression, I fight so hard trying to do things that make mehappy and it doesn't work. Have no one to talk to and don't have anyone I consider a best friend. It seems like I can tell my mom since she also suffers with depression but I can't. Depression makes you sad and believe that there no way out.
- No name given
November 10, 2010 3:12 p.m.
we recently had a suicide in the family ... and my son is having a hard time .... as we all are .... i guess i am looking for help .... prayers ..... and hope thank you to all the kids that ask for help or who step out and not keep thoughts of suicide a secret!!!!! i find hope and healing through sharing and through my personal relationship with Jesus
- faith
October 15, 2010 7:42 p.m.
I think I may be depressed but I have no idea how to tell my family about it. I think i'm depressed because I always feel like throwing up/or to tired to do anything.
- Hi
June 28, 2010 3:14 p.m.
I am wondering if there are things that happen that might contribute to bipolar becoming a reality. The mother of 2 of my grandchildren was bipolar. Their mother and father split when they were about 2. Their step-mother is very strict (the opposite of their mother) and has been verbally abusive to them and there is an obvious difference in the treatment of boys and girls in the house. Literally girls rule. I don't see much of them since they finished Kindergarten after having had sole care of them for a good part of their first 16 months (mother was sick) and they visited a minimum of 2 days a week, usually more, after that. We were very close and still feel that way. Their mother died a few years ago...a shock to all of us. We miss her more than we knew we could. I am not allowed to visit without an invitation that only comes for birthdays and holidays and each years they are allowed to visit me less and less - now more than 2 months between. From what they say, we miss each other equally. They are not blind as to how they are treated at home. There is hate involved and a lot of boredom and inequality does not go unnoticed. Step-mom is the 'boss' in the house. They can't walk out the back door w/o asking her. I think the step-mother means well but neither will listen to outside opinions or advice. Is any of this of concern as far as bipolar?
- Marg
January 1, 2010 3:47 a.m.
to N/A who wrote on 12.8 as well: AMEN. i think i found my twin. i just want to let you know that i have had the exact same problem. two years ago i wasnt allowed to have a birthday party because my grades were too bad. my family didnt understand and i had to fake around my younger sister so i didnt set a bad example for her.i tell my one friend a lot "i hate." i never finish the sentence because i dont know how to. you said you dont want to die but you just want to "stop". that sounds like something i would say. i always think of new york city because thats where i want to grow up and move to. maybe then ill be happy. i got so depressed i started cutting myself. a lot. & i know exactly what you mean about the little girl that used to be carefree. where did she go.? except for me, its not high school thats crushing me. its the world. good luck and god bless. i just wanted you to know your not alone.
- jordan
December 14, 2009 9:09 p.m.
To N/A who wrote in on 12/8: Please talk to your parents about how you are really feeling (be totally honest with them). I'll bet they don't realize how hard things have been for you. If they did, they would almost certainly stop worrying so much about the grades and start focusing on how you are feeling on the inside. I'm sure they love you alot.
- jcv
December 8, 2009 1:06 a.m.
It's not that I want to die. I just want to... stop. I can't stop thinking, "What's the point?" I'm failing six out of eight classes, have been ripped apart from friends who mean the world to me, my family just doesn't understand. I don't want to put any negitive pressure on my younger siblings, I love them too much. My parents love to point out the things that I'm doing wrong, which feels like everything to me right now. I feel torn and don't want to get up and live life anymore. I always am trying to think of the beach, my favorite place. I like to think about living near there when I get older and being able to cope with things again. I try to think of a good thing. My 15th birthday later this month for example. But it just gets taken away by my parents saying "no party this year, your grades are too bad!" And than hopelessness settles in again. What happened to the old me? The younger me who used to have not a care in the world? Suddenly I hit my very first year of high school and it's just... crushing me.
- N/A
October 12, 2009 9:37 p.m.
i have control of where i can go. i'm able to drive. i'm always afraid i will do something rash. but i just don't see the point of getting out of bed anymore. i still think about suicide alot, but i've filed it away. i don't even know if i have a problem or not. my life isn't screwed up enough to have a problem.
- No name given
August 20, 2009 5:09 p.m.
for all the young people out there - don't give up. life is such a beautiful thing. i know what it was like to be dealing with depression at such a young age. my entire time in school i grew up as a prime target for people to make fun of. i was never accepted. i had low self esteem and i had a bad self-image. it was hard for me too. but i got through it and i know you can get through it too. there are so many positive things in life that you can enjoy. the first step you need to take is for you to learn to love yourself. find something that will make you happy. pets, reading, music, drawing, painting, writing- anything that makes your mood better. there are so many things out there for you. try to look at the brighter side of things. little things, how you can breathe the air around you, you have a house to live in. . . don't be discouraged. wake up every morning, look in the mirror and say out loud: i am beautiful. or i am handsome. today is going to be an awesome day. or if you are going to be doing something, i'm going to do this today and give it my best- if it doesnt turn out like i hoped then i'm going to try it again and again! even if you don't believe it, even though you will probably feel silly doing that, but what you are doing is helping you hear YOURSELF being POSITIVE. sooner or later it will be easier for you to see things in a brighter light. it's a hard thing to do, but you can do it. i wish you all the best in every happiness.
- sandra
July 6, 2009 2:40 p.m.
I am thirteen and I have a very hard life. I fear I have had depression for 5 years, and don't know what to do. 'Telling someone you trust' Doesnt fit for me. I have nothing to do, I cant do anything. I have been trying to hide it for many, many years, and now I fear I have a mental illness, and I need help. But I cant get any. What can I do?
- none
June 29, 2009 2:49 a.m.
My friend is really sad and I just want her to feel better but I don't really know how to help her the way I want to...
- Han
June 27, 2009 8:07 p.m.
I have had deppression for a year and and half and have been trying to hide it from the people around me because i am at boarding school and now i have started to cut myself and dont know where to go to for help and im not sure what my parents are going to say
- Bel
June 23, 2009 3:07 p.m.
I feel bad that the people at church don't want to get to know me but some do. None of them wants to call me through Video Relay because I am deaf/hard of hearing. The church threatned to kick me out for some reasons. They got mad at me because I called and emailed too much. I don't have anyone to call/email me for 41/2 years. I feel bad inside. What should I do about those who don't want to be my friends? I feel mistreated by them. I need your ideas or suggestions on this. Thanks!
- James
June 21, 2009 12:13 p.m.
about a year ago i became depressed and for about a month i hid it from everyone, but that was my mistake. if you are depressed someone needs to know.
- No name given

22 comments posted