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How to manage depression in childhood

How to manage depression in childhood. Dr Lesley Carew. Prevalence . 2.5% of children 8.3% adolescents 40% recurrence within 2 years. Recognising depression. Somatic complaints Sleep and appetite disturbances Behavioural problems Scholastic underachievement

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How to manage depression in childhood

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  1. How to manage depression in childhood Dr Lesley Carew

  2. Prevalence • 2.5% of children • 8.3% adolescents • 40% recurrence within 2 years

  3. Recognising depression • Somatic complaints • Sleep and appetite disturbances • Behavioural problems • Scholastic underachievement • Withdrawal from social activities

  4. Identifying the reason why • Family factors • Individual factors

  5. Family factors • Genetic predisposition • Parental functioning • Family stressors

  6. Individual factors • Premorbid anxiety disorder • ADHD and learning difficulties • Medical illness • Developmental transitions • Peer issues

  7. Management • Psychoeducation • Therapy • Medication

  8. Psychoeducation • Debilitating condition • Predisposing, precipitating, protective and perpetuating factors • Impact upon individual child’s current functioning and future development

  9. Therapy • Who needs the therapy? • What is the purpose of the therapy?

  10. Therapies • Individual : Cognitive behavioural therapy Inter-personal therapy • Family therapy • Group therapy

  11. Medication • Family history, severity, chronicity, response to therapy • Treatment plan: goals, review • Choice of medication

  12. Suicide • Child at risk • Suicide and SSRIs

  13. N.B. • DEPRESSION IN CHILDHOOD IS A SERIOUS, DEBILITATING CONDITION REQUIRING A MULTI-DISCIPLINARY INTERVENTION. • AIM FOR REMISSION AND RELAPSE PREVENTION

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