Depression is a common illness in teenagers and is readily treatable with drugs, therapy, or -- most often -- a combination. Dr. Stuart Goldman, codirector of the mood disorder program at Children's Hospital, said children never should be placed on medication without a careful psychiatric evaluation and regular psychotherapy.
There are three common variants of depression in children:Dysthymia, or milder depression, with an average duration of 3.5 years.
Major depression, episodes of which typically last about 7 months.
Bipolar disorder, a combination of depression and elevated mood.
Patients should not discontinue antidepressants without consulting their doctor.The risk of suicidal behavior associated with an antidepressant is greatest in the weeks after patients begin the medication or change the dose.Parents whose children start taking antidepressants should watch for changes that may signal worsening depression or increased risk of suicide, including anxiety, agitation, panic attacks, insomnia, irritability, hostility, impulsivity, uncontrollable restlessness and mania, according to the US Food and Drug Administration.
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