With Mayo Clinic psychiatrist Gabrielle J. Melin, M.D.

We all know that adolescence can be a tumultuous time. Many changes occur simultaneously and it can be difficult to navigate this successfully. Your child may not understand why they are feeling the way they are. They may not share their feelings with parents. They may talk to friends or peers.

Watch for these signs of depression in teens:

• Withdrawal from friends, family, hobbies, sports and other activities
• Depressed mood
• Worsening school performance
• Decreased energy and/or motivation
• Anger, irritability or rage
• Being very sensitive (possibly overreacting) to criticism
• Poor self-esteem or guilt
• Decreased concentration, difficulty making decisions
• Restlessness
• Changes in sleep or eating habits
• Suicidal thoughts

If you know someone who is exhibiting several of these signs for days or weeks, have them seen by their pediatrician or health care provider. If active suicidal ideation is present with a plan and means, then proceed to the nearest emergency department. Treatment may involve talk therapy or medication.

A warning from the FDA was issued several years ago regarding the use of antidepressants. Emergence of significant restlessness, agitation, suicidal thoughts or behaviors are quite rare, but can occur. This needs to be discussed so the teenager is aware of possible side effects as are the parents. There is no evidence that antidepressants cause people to commit suicide. Keeping an open, two-way line of communication is very important. As in adults, teenage depression is treatable.

Please share your experiences with depression in teens.

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