Teen depression is a serious mental health problem that causes a persistent feeling of sadness and loss of interest in activities. It affects how your teenager thinks, feels and behaves, and it can cause emotional, functional and physical problems. Although depression can occur at any time in life, symptoms may be different between teens and adults. Issues such as peer pressure, academic expectations and changing bodies can bring a lot of ups and downs for teens. But for some teens, the lows are more than just temporary feelings — they’re a symptom of depression.
Teen depression isn’t a weakness or something that can be overcome with willpower — it can have serious consequences and requires long-term treatment. For most teens, depression symptoms ease with treatment such as medication and psychological counseling.
Symptoms
Depression symptoms can vary in severity, but changes in your teen’s emotions and behavior may include
Emotional Changes
- Feelings of sadness, which can include crying spells for no apparent reason
- Frustration or feelings of anger, even over small matters
- Feeling hopeless or empty
- Irritable or annoyed mood
- Loss of interest or pleasure in usual activities
- Loss of interest in, or conflict with, family and friends
- Low self-esteem
- Feelings of worthlessness or guilt
- Fixation on past failures or exaggerated self-blame or self-criticism
- Extreme sensitivity to rejection or failure, and the need for excessive reassurance
- Trouble thinking, concentrating, making decisions and remembering things
- Ongoing sense that life and the future are grim and bleak
- Frequent thoughts of death, dying or suicide
Behavioural Changes
- Tiredness and loss of energy
- Insomnia or sleeping too much
- Changes in appetite — decreased appetite and weight loss, or increased cravings for food and weight gain
- Use of alcohol or drugs
- Agitation or restlessness — for example, pacing, hand-wringing or an inability to sit still
- Slowed thinking, speaking or body movements
- Frequent complaints of unexplained body aches and headaches, which may include frequent visits to the school nurse
- Social isolation
- Less attention to personal hygiene or appearance
- Angry outbursts, disruptive or risky behavior, or other acting-out behaviors
- Self-harm — for example, cutting or burning
- Making a suicide plan or a suicide attempt
Causes
- Brain chemistry:Neurotransmitters are naturally occurring brain chemicals that carry signals to other parts of your brain and body. When these chemicals are abnormal or impaired, the function of nerve receptors and nerve systems changes, leading to depression.
- Hormones:Changes in the body’s balance of hormones may be involved in causing or triggering depression.
- Inherited traits:Depression is more common in people whose blood relatives — such as a parent or grandparent — also have the condition.
- Early childhood trauma:Traumatic events during childhood, such as physical or emotional abuse, or loss of a parent, may cause changes in the brain that increase the risk of depression.
- Learned patterns of negative thinking:Teen depression may be linked to learning to feel helpless — rather than learning to feel capable of finding solutions for life’s challenges.
When to see a Doctor
If depression signs and symptoms continue, begin to interfere in your teen’s life, or cause you to have concerns about suicide or your teen’s safety, talk to a doctor or a mental health professional trained to work with adolescents. Your teen’s family doctor or pediatrician is a good place to start. Or your teen’s school may recommend someone.
Depression symptoms likely won’t get better on their own — and they may get worse or lead to other problems if untreated. Depressed teenagers may be at risk of suicide, even if signs and symptoms don’t appear to be severe. If you’re a teen and you think you may be depressed — or you have a friend who may be depressed — don’t wait to get help. Talk to a health care provider such as your doctor or school nurse. Share your concerns with a parent, a close friend, a spiritual leader, a teacher or someone else you trust.
Risk Factor
Many factors increase the risk of developing or triggering teen depression, including:
- Having issues that negatively impact self-esteem, such as obesity, peer problems, long-term bullying or academic problems
- Having been the victim or witness of violence, such as physical or sexual abuse
- Having other mental health conditions, such as bipolar disorder, an anxiety disorder, a personality disorder, anorexia or bulimia
- Having a learning disability or attention-deficit/hyperactivity disorder (ADHD)
- Having ongoing pain or a chronic physical illness such as cancer, diabetes or asthma
- Having certain personality traits, such as low self-esteem or being overly dependent, self-critical or pessimistic
- Abusing alcohol, nicotine or other drugs
- Being gay, lesbian, bisexual or transgender in an unsupportive environment
Complication
- Alcohol and drug misuse
- Academic problems
- Family conflicts and relationship difficulties
- Suicide attempts or suicide
Prevention
- Take steps to control stress,increase resilience and boost self-esteem to help handle issues when they arise
- Practice self-care,for example by creating a healthy sleep routine and using electronics responsibly and in moderation
- Reach out for friendship and social support,especially in times of crisis
- Get treatment at the earliest sign of a problemto help prevent depression from worsening
- Maintain ongoing treatment, if recommended,even after symptoms let up, to help prevent a relapse of depression symptoms
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