Depression is treatable. Early identification and treatment helps children reach their full potential. Children who show signs of depression should be evaluated by a pediatrician and referred to a child psychiatrist. Early assessment can help provide a comprehensive treatment plan. The treatment could involve combination of:
Short term psychotherapy
There are many types of therapies, but research has shown cognitive behavioral therapy to be most effective. Cognitive behavioral therapy focuses on how a person thinks and believes. Children with depression have patterns, which skews the way they perceive the world. During the therapy sessions, the psychologist works with the child to identify dysfunctional thoughts. Other therapies include play therapy (children express their difficult feelings through art, playing activities, music), interpersonal therapy (interpersonal relationships and coping mechanisms), family therapy (exploring family relationships).
Medications
Use of antidepressant medication on children can be risky. SSRI’s (Selective Serotonin Reuptake inhibitors) are believed to show the most effective at this time. These include Prozac (for children ages 8 and up) and Zoloft. There are concerns about using paroxetine (Paxil) or venlafzxine (Effexor) with depressed children and adolescents. Compared to adults, adolescents are more likely to become agitated or to develop a mania while they are taking an SSRI.
