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Last Updated on May 31, 2018

Signs of Depression in Children (And How to Help Them to Overcome It)

Signs of Depression in Children (And How to Help Them to Overcome It)

Children, just like adults, can be depressed. Sometimes seemingly normal children with no major life issues can become depressed. It is the result of a chemical imbalance in the brain that causes clinical depression to occur. There are specific signs that you should recognize in your child if they are depressed. Getting them help and treatment is crucial to their mental wellness.

In this article, we will look into the signs of depression in children and how parents can help them to overcome it.

Signs of depression in children

The DSM (Diagnostic and Statistical Manual of Mental Disorder) is the widely accepted instruction guide that professionals utilize for diagnosing mental disorders. The DSM characterizes a Major Depressive Episode as depressed behaviors that consistently last for two weeks or longer. Therefore, if your child has been “down in the dumps”, feeling hopeless or having sadness for more than two weeks, it should be cause for concern and investigated.

Below are signs of depression according to the DSM manual. The individual must have at least five of these behaviors present for a period of two weeks or longer to be officially diagnosed as having MDD (Major Depressive Disorder). Below is a summary/generalization from the DSM manual:

  • Feelings of deep sadness or depressed mood that last most of the day (for two weeks or more). For children they can present as irritable rather than sad.
  • Diminished interest in activities (again majority of the day or all the time).
  • Significant weight loss (not through dieting), or a decrease in appetite. In children, they fail to make expected weight gains while growing.
  • Difficulty sleeping (insomnia).
  • Either a slowing of psychomotor abilities/actions or an apparent agitation of these psychomotor abilities. This means that they either have moments that lack purpose and seem to be done because of agitation and tension or there is a significant slowness/retardation of their speech and physical actions.
  • Fatigue and loss of energy.
  • Feelings of worthlessness or excessive guilt every day.
  • Difficulty thinking, making decisions, or concentrating every day. This may be reflected in their grades.
  • Preoccupation with death and dying or suicidal thoughts.

Please note that if your child is suffering from the loss of a loved one and is processing through the stages of grief, it is normal to have these signs of depression. If they seem to be stuck in the depression stage, then it is time to pursue grief counseling to help them along in the grieving process.

However, if they are not suffering from a bereavement or a medical condition that would cause the above symptoms, then they should be taken to a professional for possible diagnosis and treatment of MDD (Major Depressive Disorder).

How to help your child with depression

Depression is not to be taken lightly. Especially if suicidal thoughts are present. The child’s feelings and emotions are real and must be taken seriously. According to the National Institute of Mental Health (NIMH), suicide is the number two cause of death for individuals between the ages of 10 and 34.[1]

Professional help is recommended if you believe your child fits the criterion for MDD (Major Depressive Disorder). You can take your child to their paediatrician for an evaluation and referral. Depending on the severity of the symptoms, they may benefit from medication such as anti-depressants.

Most professionals do not dispense medication as the first remedy for depression. Instead therapy is the first line of defense against depression, with medication being paired with therapy if the therapy is not enough or the symptoms are severe enough.

Testing

There are assessment tools that professionals can utilize to help in properly determining whether your child is depressed. The three tools used in assessing depression in children are:

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  • The Children’s Depression Rating Scale (CDRS)
  • Children’s Depression Inventory (CDI)
  • Clinical Global Impression (CGI)

Taking your child to a professional mental health counselor, psychologist or psychiatrist can help ensure proper testing and assessment occurs.

Therapy

There are many types of therapy available today. It is important to find a professional that specializes in childhood depression and the treatment of such.

Cognitive behavioral therapy is one of the leading therapy methods in treating childhood depression. For younger children, play therapy is useful in treating childhood depression as children are often able to better communicate through play than conversation alone.

What parents can do at home to help their depressed child

Besides seeking for professional help, there are a couple of things that parents can do at home to help their depressed child:

1. Talk with your child about their feelings in a compassionate and empathetic manner.

It can feel high pressure to sit face to face and ask your child about their feelings. However, going on a walk, playing a board game or playing alongside your child (chose whichever is age appropriate for your child) can allow them to relax and open up about their feelings.

Ask your child open ended questions that require more than a simple yes or no to engage in more meaningful conversations. Never judge while they are being open and honest with you because it will inevitably cause them to shut down and move away from being open with you.

It is okay to allow for periods of silence during the conversations because sometimes the child is processing their thoughts and emotions during your time together. You don’t have to fill the space and entire time with talking as silence at times is helpful.

2. Provide activities that help them relax and de-stress.

For smaller children, there are simple ways to help them relax.

Provide play opportunities that they find relaxing such as coloring, painting, working with Play-do or clay, or playing with sand and sand toys. Again, find activities that interest your child and are age appropriate are helpful in making them relaxed.

3. Limit screen time.

Technology is not helpful in making your child less depressed. It can often be an escape that keeps them from further opening up about their feelings and emotions.

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Limit time in front of the TV, laptop, smart phone, video games and tablets, etc. Any electronics that seem to prevent your child from face to face interactions should be limited. Ask Dr. Sears cites that researchers have found kids who have higher levels of screen time are at greater risk for anxiety and depression.[2]

Provide alternate activities to replace the screen time such as hiking, crafting, drawing, constructing, biking and playing outside, etc. Some children may be so dependent on their screen time as their source for entertainment that they may need you to participate in alternate activities alongside them in order to get engaged in the activities.

You can’t simply tell your child to go outside to play if they are suffering from depression, lack friends and are used to sitting down and playing video games each day after school. Go outside with your child and do a nature hike or take your child to a playground and have fun together to get them engaged in these alternate activities.

4. Promote outdoor time and physical activities.

Encourage your children to take part in activities that especially involve nature such as nature hikes. Do these activities with them to help them engage in the activities. Again this is an opportunity for open conversations to occur and quality time to take place.

5. Help your child when problems and difficult tasks arise.

Assist them by helping them break down the task into smaller and more manageable parts. Children with depression often have difficulty taking on large problems and tasks and find them overwhelming. Helping them by breaking down the task into smaller and more manageable tasks will assist in helping raise their confidence when the small tasks are mastered.

Small tasks mastered lead to bigger tasks being mastered over time. It is a process over time, patience and a willingness to work alongside your child. This does not mean doing the task or taking on the problem solely yourself. Many times all the child needs is for you to break down the larger task into smaller more manageable tasks and for you to patiently talk your child through the completion of these smaller tasks.

6. Help your child reduce life stress.

When children are depressed, they have greater difficulty handling life activities in general. Cut back on activities that cause stress to increase and look for ways to help reduce stress in your child’s life.

7. Foster a positive home atmosphere.

Reduce or eliminate negative attitudes, language and conversations. Also avoid raised voices, passive aggressive behaviors and any form of physical violence in the home.

Make your home a safe haven for your child instead of an atmosphere that is ever volatile (in words, emotions or physically). Make it a calm environment that makes your child feel safe and secure mentally, emotionally and physically.

8. Help your child see the positive in life situations.

Point out the positives in a situation rather than the negatives. Help them see the bright side of any situation.

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Be a model of seeing the positive in life by speaking words that are uplifting, encouraging and positive. Resist the temptation to voice negative thoughts that come to mind as your child can feed off your emotions and words.

9. Believe your child when they talk about how they are feeling.

Listen to them patiently and take their words seriously. Do not discount or minimize their feelings. Express empathy and compassion when they do open up about their feelings. Help them utilize “I feel” statements in expressing their emotions.

10. Keep watch for suicidal behaviors.

Such behaviors include your child/teen researching this topic online, them giving away their possessions and a preoccupation with death.

Seek professional help immediately with the presentation of suicidal behaviors or thoughts. Keep this number on hand and use it when in doubt: National Suicide Prevention Lifeline Phone Number 1-800-273-8255.

11. Keep all prescriptions, alcohol, drugs and weapons locked and away from children and teens.

This is a given for all children, but even more imperative for children who are depressed as they have an increased likelihood to abuse drugs and alcohol. They also have an increased likelihood to attempt suicide. So keep weapons and tools such as ropes and knives that can used for suicide out of the child’s ability to use.

12. Spend quality one-on-one time with your child.

Make the time during your day, every day, to spend quality time with your child. You may have limited time and cannot provide an hour or more a day to dedicate to one-on-one time with your child, but you should provide a minimum of 20 minutes a day with your child spending quality one-on-one time together. Try the suggested activities listed in point #3.

13. Be an encouragement and supporter of your child.

Show love and not frustration or anger because of the situation and your child’s condition. Help keep your attitude positive so your child can also see the positive.

Provide daily words of affirmation that are not based on end results (such as a grade or a win) but instead praise the effort they put forth. If you praise the outcome, they will be disappointed when their efforts don’t pan out. If they are praised for their efforts regardless of the outcome, their confidence is built based upon something that they can control (the effort they put into things).

14. Help your child to live a healthy lifestyle.

Sleep is a very important factor in your child’s mood. Not getting enough sleep can cause an entire day to be upset. According to Sleep Aid Resource, children between the ages of 3 and 18 need between 8 and 12 hours of sleep each night:[3]

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    Ensure your child is eating a healthy and balanced diet, getting physical activity/exercise daily and plenty of sleep time.

    15. Help your child foster positive relationships and friendships with their peers.

    Set up play dates for your younger child and encourage older children to invite friends over to your home.

    16. Talk about bullying.

    It can be one of the causes of your child’s depression, so discuss their life outside of home and their interactions with their peers. Help them recognize bullying and discuss how to handle bullying properly.

    17. Help your child follow the treatment plan outlined by their doctor, counselor, psychologist or psychiatrist.

    Make sure you know the treatment plan that your child’s health care professional has outlined for child. This may include counseling session recommendations, medications and recommendations to follow through with in the home. Completing the plan will help provide optimal results for your child in the long run. A plan doesn’t work unless it is followed.

    18. Recognize that professional treatment takes time to show results.

    Don’t expect results for the first few weeks. It may take a month or longer, so be patient and understanding with your child.

    Depression in children is curable

    Depression in children can happen for a variety of reasons. It is quite treatable.

    Professional help is recommended if your child can possibly be diagnosed with a depressive episode. There are interventions that can be implemented in a professional setting, at home and at school. The key is having a plan of action to help your child.

    Ignoring the problem or hoping the depression will just go away is not a good plan. Treatment is imperative to curing depression in children.

    The first step is talking to your child’s paediatrician to get the ball rolling. He or she will refer you to specialists in your area that can help your child overcome and conquer their depression one day at a time. With you by their side, each step of the way you will get through it together and it is quite possible for your relationship with your child to be strengthened in the process as well. That can be your silver lining or positive outlook on the situation at hand.

    Featured photo credit: Unsplash via unsplash.com

    Reference

    [1]National Institute of Mental Health: Suicide
    [2]Ask Dr. Sears: It’s a Virtual World: Setting Practical Screen Time Limits
    [3]Sleep Aid Resource: Sleep Chart

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    Dr. Magdalena Battles

    Doctor of Psychology

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    Last Updated on August 13, 2018

    5 Exercises To Improve Intimacy and Create a Better Relationship

    5 Exercises To Improve Intimacy and Create a Better Relationship

    Making love can be simultaneously the most pleasurable and the most stressful experience that we share with another human being. It is a natural conclusion of the ritual of intimacy we engage in with a person we find attractive on both a physical and psychological level. Yet, we are far removed from our animalistic roots, and that which was once a matter of instinct has become somewhat complex. This is a good thing; we have grown as a society, and there are many factors involved when it comes to the relationship between sexual partners. However, we have also lost a great deal of the physical prowess our primitive ancestors had.

    They engaged in a huge amount of physical activities daily — activities that ensured their cardiovascular system and muscles were in great shape, which allowed them to have healthy libidos, strong erections, and the muscular strength, limberness and endurance to maintain different positions for a long time without getting exhausted. Luckily, we can regain some of these animalistic traits with the right kind of training. Here are some essential exercises that will help improve your relationship, but making you more confident in intimate settings, which means that you’ll have more satisfying intercourse.

    Don Juan

      1. Cardio for Stamina

      If you’re out of shape, the first thing you’ll notice during intercourse is that you start to breathe heavily, sweat profusely and tire easily. This means you’ll have to shift your posture frequently and limit yourself to a few positions you feel comfortable with or significantly slow down the pace. A high BMI has also been linked to potential problems with erectile dysfunction. Cardiovascular exercises like running, jumping rope, swimming and cycling will build up your aerobic stamina and enable you to perform longer before becoming fatigued, thus having better intercourse. They’ll also help manage your weight, possibly helping performance.

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      Triathlon symbol
        • Running – 10-20 minutes a day (1-3 miles a day is more than enough)
        • Jumping rope – 5-20 minutes a day
        • Swimming – 30 minutes a day
        • Cycling – 30 minutes a day

        The time in minutes denotes time spent actively performing the exercise, and you need to factor in a bit more time for warming up before and cooling down after the exercises.

        These exercises can be performed every day or every other day, and the goal is to work on both endurance and speed. Don’t just go at a snail’s pace; constantly try to improve your time or add some mileage.

        2. Strength-Training for Your Lower Body and Core

        The next thing you’ll need to focus on is improving both the strength and muscular endurance of the hip flexors, abdominals and spinal erectors. These are the muscles engaged in thrusting and circular motions, and they also stabilize your body in a number of different positions. The legs also play an important role, particularly in standing and kneeling positions. Here are a few exercises that will help you strengthen up this area:

        Barbell squats
          • Heavy barbell squats – set up at a power rack at the gym and make sure you use proper form and weights that you can lift 3-8 times. Do this exercise before anything else in the gym for 4-5 sets to get big and powerful legs, as well as tighten up the muscles of the core. This is useful for both men and women, particularly if you enjoy the woman-on-top positions and standing positions. You can do hack squats on the machine if your gym lacks a power rack, but you won’t get the core-strengthening benefits

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          Zercher squat
            • Zercher squatsthis type of squat is a perfect way for guys to strengthen their body for standing positions where the woman is lifted off the ground. Build up a foundation of strength first, and then use lighter weights and go for 10-12 repetitions to focus on muscle endurance.

            Glute bridge
              • Glute bridgethis exercise is great for working the glutes and hip thrusters, and should be done for ultra-high reps —up to 100 — to increase muscle endurance. Once you become stronger in this movement, you can upgrade to the barbell glute bridge and keep the reps high — around 10 to 15.

              Hyperextensions
                • Hyperextensions – excellent for strengthening the spinal erectors, this exercise (or a variation of it) may be done in most gyms and even at home. Do 2 to 3 sets of 10 to 12 repetitions at the end of your workout.

                Ab wheel rollout
                  • Ab wheel rollout – this is a great exercise for strengthening the abs, and requires only a piece of inexpensive equipment. It will help you stay stable and hold positions longer without getting tired during intercourse. Do three sets of this workout for as many repetitions as you can.

                  Cross body crunch
                    • Cross body crunchthis exercise improves your ability to perform explosive twisting motions, particularly good for improving your stamina in the spoon position where you’e lying on your side. Do 2 to 3 sets of this exercise at the end of your workout.

                    Incorporate these exercises into your routine 2 to 3 times a week.

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                    3. Upper-Body Strength Training

                    Upper-body strength plays an important role in many popular sex positions where the arms are used to provide a stable base or hold onto the partner. These including missionary, doggy style, the stand and carry (with the woman holding onto the man’s neck) and others. Use these simple exercises to improve upper body strength and endurance:

                    Plank exercise
                      • Plank – while bench pressing is great for building a big chest, you will find yourself in need of static strength, muscle endurance and a strong core. This exercise is a great way to increase the amount of time you are able to hold positions that require you to support yourself with your arms. For added difficulty, straighten out your arms like at the top of a pushup and hold as long as you can.

                      Close grip pushups
                        • Close pushups – a pushup variation that focuses on triceps, which are the first to give out during a prolonged missionary or similar position. Go for very high reps, 20 t0 50, to work on muscle endurance.

                        Chin ups
                          • Chin-ups – A great upper back and biceps builder, this exercise will also target the core if you try to be as straight as possible when lifting yourself up. You can jump to help make things easier, or just hold as long as you can if you aren’t strong enough to perform a single chin up. Do 3 to 4 sets for as many reps as you can.

                          These exercises, done about three times a week, will help you develop a strong upper body that can keep going and hold you up for extended periods of time.

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                          4. Pelvic-Floor Exercises

                          You don’t have to perform these at the gym, although you could do them after your workout without anyone even noticing. The idea behind Kegel exercises is to improve blood flow to the sex organs and strengthen the muscles of the pelvic floor in both men and women. By locating these muscles and tightening and relaxing them for intervals of 5 seconds for 10 to 15 repetitions at a time, several times a day, you can improve pleasure and performance during sex. Women can tighten their vaginal walls for increased pleasure to both them and their partner, while men can delay ejaculation by tightening these muscles.

                          5. Flexibility Moves for Legs and Hips

                          Lion stretching

                            If you want to avoid getting cramps — or even worse, pulling a muscle during intercourse — you should do a few simple stretches every day. The more limber you are, the more comfortable you’ll be with more exotic poses. Here are a few simple stretches to improve hip and leg flexibility:

                            Take a few minutes to warm up with some light running or jumping jacks before stretching, and spend some 10 minutes on these stretches. You can do them in the morning and at night, or shortly before intercourse.

                            With just a few hours a week devoted to exercise, you can improve your relationship significantly. If you focus on these exercises, over time, you just might become dynamite in bed.

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