As the leader for the specialty of Preventive Medicine and physicians dedicated to prevention, ACPM improves the health of individuals and populations through evidence-based health promotion, disease prevention, and systems-based approaches to improving health and health care. The following bookmarks are available to move around the Clinical Reference Document. Adolescent depression is a serious disorder with a high risk of suicidality, recurrence, and chronicity. GLAD-PC can also be applied to other forms anger management handouts pdf depression, such as dysthymia.
The presence of five or more of nine symptoms the have persisted for a two week period AND represent a change from previous functioning. Insomnia or hypersomnia every day. Fatigue or loss of energy nearly every day. Feeling of worthlessness or excessive or inappropriate guild nearly every day. Symptoms should not meet criteria for mixed bipolar disorder. Symptoms cause clinically significant distress or impairment in social, occupational or other important areas of functioning.
GLAD-PC Toolkit, pages 52-54 summarize diagnostic criteria for severity. Mild depression is defined as 5 to 6 symptoms that are mild in severity with only mild impairment in functioning. In contrast, severe depression is present if a patient experiences all 9 of the DSM-IV symptoms. Moderate depression falls between mild and severe categories. In addition, adolescents often have other psychiatric disorders, such as behavior disorders or substance abuse problems. Children and teens that cause trouble at home or at school may actually be depressed but not know it. Because the child may not always seem sad, parents and teachers may not realize that the behavior problem is a sign of depression.
Simply asking the child if he or she is depressed or thinking about suicide can be helpful. Decreased interest in activities previously enjoyed. Lack of motivation, persistent boredom, low energy level. Missed classes, absences from school or poor performance in school. Social isolation, lack of connection with friends and family.
Low self-esteem and guilt, feelings of failure. Extreme sensitivity to rejection or failure. Increased irritability, anger, or hostility. Difficulty with relationships, little interest in maintaining friendships. Frequent unexplained symptoms of physical illnesses. Thoughts or expressions of suicide or self-destructive behavior. The median duration of a major depressive episode for clinically referred youths is about 8 months and for community samples, about 1 to 2 months.