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Last Updated on January 12, 2021

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

    More by this author

    Dr. Magdalena Battles

    A Doctor of Psychology with specialties include children, family relationships, domestic violence, and sexual assault

    50 Single Mom Quotes On Staying Strong And Loving Parenting Tips from the Pros: How to Teach Children Not to Lie Signs of Depression in Children (And How to Help Them to Overcome It) 15 Ways to Practice Positive Self-Talk for Success Why Self-Compassion Is More Important Than Self-Esteem

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    Published on April 9, 2021

    What Is Mindfulness And How It Helps Your Mental Wellness

    What Is Mindfulness And How It Helps Your Mental Wellness

    Mindfulness has become a popular buzzword in the health and wellness industry. However, few people truly understand what it is. My aim here is to teach you what mindfulness is and how it helps your mental wellness. By the end of this article, you will understand the meaning and benefits of mindfulness. Additionally, you will develop the ability to integrate mindfulness into your daily life.

    What Is Mindfulness?

    Mindfulness is approximately 2500-years-old with deep roots in the Eastern world as a spiritual, ethical, and philosophical practice. These roots are intimately connected to the Buddhist practice of vipassana meditation.[1]

    Mindfulness continues to be practiced as a cultural and spiritual tradition in many parts of the world. For Buddhists, it offers an ethical and moral code of conduct. For many, mindfulness is more than a practice—it is a way of life.[2]

    However, mindfulness has evolved in the Western world and has become a non-religious practice for wellbeing. The evolution began around 1979 when Jon-Kabat Zinn developed Mindfulness-Based Stress Reduction (MBSR).[3] Since then, mindfulness has emerged in the health and wellness industry and continues to evolve.

    It is important to recognize the distinctions between mindfulness as a clinical practice and mindfulness as a cultural practice. The focus of this article is on the clinical model of mindfulness developed in the West.

    Many researchers have integrated aspects of Buddhism and mindfulness into clinical psychiatry and psychology. Buddhism has helped to inform many mental health theories and therapies. However, the ethical and moral codes of conduct that drive Buddhist practices are no longer integrated into the mindfulness practices most-often taught in the Western world.[4] Therefore, Western mindfulness is often a non-spiritual practice for mental wellness.

    Mindfulness aims to cultivate present moment awareness both within the body and the environment.[5] However, awareness is only the first element. Non-judgmental acceptance of the present moment is essential for true mindfulness to occur. Thoughts and feelings are explored without an emphasis on right, wrong, past, or future.

    The only necessary condition for mindfulness to occur is non-judgmental acceptance and awareness of the present moment. Mindfulness can be practiced by anyone, anywhere, and at any time. It does not need to be complex even though structured programs exist.

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    How Mindfulness Helps Your Mental Wellness

    Along with MBSR, other models have been developed and adapted for use by clinical counselors, psychologists, and therapists. These include Mindfulness-Based Cognitive Therapy (MBCT), Acceptance and Commitment Therapy (ACT), and Dialectical Behavior Therapy (DBT).[6]

    Structured models of mindfulness allow researchers to study its benefits. Research has uncovered an abundance of benefits including mental, physical, cognitive, and spiritual. The following is not a comprehensive list of all its benefits, but it will begin to uncover how mindfulness helps mental wellness.

    Benefits on Your Mental Health

    Practicing mindfulness can have positive impacts on mental health. It has been positively associated with desirable traits, such as:

    • Autonomy
    • Agreeableness
    • Conscientiousness
    • Competence
    • Empathy
    • Optimism

    Mindfulness helps to improve self-esteem, increase life satisfaction and enhance self-compassion. It is associated with pleasant emotions and mood. Overall, people who practice this appear to be happier and experience more joy in life. Not only does it increase happiness but it may also ward off negativity.

    Mindfulness helps individuals to let go of negative thoughts and regulate emotions. For example, it may decrease fear, stress, worry, anger, and anxiety. It also helps to reduce rumination, which is a repetition of negative thoughts in the mind.

    MBSR was originally designed to treat chronic pain. It has since evolved to include the treatment of anxiety and depression. Clinical studies have shown that MBSR is linked with:

    • Reduced chronic pain and improved quality of life
    • Decreased risk of relapse in depression
    • Reduced negative thinking in anxiety disorders
    • Prevention of major depressive disorders
    • Reducing substance-use frequency and cravings

    However, more research is needed before these clinical studies can be generalized to the public. Nevertheless, there is promising evidence to suggest MBSR may be beneficial for mental health.[7]

    Benefits on Your Cognitive Health

    Mindfulness has many important benefits for cognitive health as well. In a study of college students, mindfulness increased performance in attention and persistence. Another study found that individuals who practice it have increased cognitive flexibility. A brain scan found increased thickness in areas of the brain related to attention, interception, and sensory processing.[8]

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    To explain this another way, practicing mindfulness can improve the ability to shift from one task to the next, increase attention span and increase awareness of bodily sensations and the environment. Therefore, it has the potential to literally change your brain for the better.

    Harvard researchers are also interested in studies of the brain and mindfulness. One researcher studied how brain changes are sustained even when individuals are not engaged in mindfulness. Their research suggests that its benefits extend beyond the moments of mindfulness.[9]

    Another study found that the benefits of mindfulness training lasted up to five years. In this particular case, individuals participating in mindfulness activities showed increased attention-span. Mindfulness has also been shown to increase problem-solving and decrease mind wandering.[10]

    What Is Mindfulness Meditation?

    Mindfulness can be practiced in many different ways. However, most practices include these elements:

    • An object to focus awareness on (breath, body, thoughts, sounds)
    • Awareness of the present moment
    • Openness to experience whatever comes up
    • Acceptance that the mind will wander
    • The intention to return awareness to the object of focus whenever the mind wanders

    A practice that encompasses these elements is typically called mindfulness meditation. Most mindfulness meditations will be practiced between 5 to 50 minutes, per day.[11]

    There is truly no right or wrong way to practice mindfulness. Most mindfulness meditations are done seated with an object of focus related to the breath, body, thoughts, emotions, or sounds. However, daily activities such as walking or eating can be practiced as a form of mindfulness meditation, as long as the aforementioned elements are in place.

    Four Mindfulness Meditations and Their Benefits

    Not all forms of mindfulness are created equal. Each practice has unique goals, structure, and benefits. The following four mindfulness meditations are linked with improved mental wellness related to vitality, happiness, and attention.

    The results come from a study designed to explore the benefits of these four practices. All of these stem from traditional Buddhist practices.[12]

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    1. Loving-Kindness Meditation

    Loving-kindness is a form of meditation that focuses on sending love and compassion to others. It may begin with kindness for the self and extend outward towards close family and friends, communities, nations, and the world. Loving-kindness may even involve sending love and compassion towards enemies.

    The study found that eight-weeks of loving-kindness meditation increased feelings of closeness to others. However, it did not reduce negative feelings towards enemies. Additionally, one week of loving-kindness mixed with compassion training increased the amount of positive feelings participants experienced.[13]

    2. Breathing Meditation

    Breathing meditation is a practice where the focus remains on the breath. Whenever the mind begins to wander, the attention is brought back to the breath.

    In many different mindfulness and yoga practices, specific breathing (pranayama) practices are taught. However, for beginners, simple diaphragmatic breathing that focuses on each inhale and exhale is sufficient.

    The effects of breathing meditation relate to attention. Breathing meditation is linked to changes in the way information is processed. Buddhist monks who practiced breathing meditation were able to process a greater amount of information than monks who practiced compassion meditation.

    3. Body Scan Meditation

    A body scan is as simple as it sounds. Attention is brought to each part of the body. Participants can choose to start from the top of the head or the bottom of the feet. It can be helpful to imagine a warmth or a color spreading from one body part to the next as each part begins to relax.

    When body scan and breathing are combined, there are many benefits. Interoceptive sensitivity is the mind’s ability to focus on bodily cues. It is strengthened by body scanning. Body scanning also helps with attention and focus.[14]

    4. Observing Thoughts Meditation

    In observing thoughts meditation, the focus is on the thoughts. This is an opportunity to practice non-judgmental observation. It is also a practice of non-attachment.

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    Within the study, participants practiced structured observation of thoughts. First, they brought their attention to their thoughts and labeled them within several categories: past, present, future, self, or others. Then, they practiced observing their thoughts without an emotional reaction.[15]

    The benefits of this practice were robust. First, participants showed great improvement in the ability to observe their thoughts without judgment. Second, the practice greatly reduced rumination. As a result, participants had fewer emotional reactions to their thoughts and developed greater self-awareness around their thinking patterns.

    In summary, there are many different ways to practice mindfulness meditation. The choice may be determined by the benefits each practice offers. For example, body scanning can increase bodily awareness. Thought-observation can increase self-awareness and decrease rumination. Regardless, every practice may increase positivity, energy, and focus.[16]

    Considerations Before You Begin Practicing Mindfulness

    Mindfulness is still a relatively new concept in clinical research. Critics worry that its benefits have been overstated. There is also concern that the Western world has changed it into something most Buddhists would not recognize.[17]

    Mindfulness is a state of mind that builds self-awareness. As a result, it may force individuals to face difficult emotions, memories, and thoughts. In a study of long-term, intense mindfulness practices, 60% of participants reported at least one negative outcome. Some cases are related to depression, anxiety, and psychosis.[18]

    There is no one-size-fits-all approach to mental wellness. Mindfulness offering promising results but there are also risks involved. Working with a therapist may be a great way to start a mindfulness practice while monitoring for risk.

    Final Thoughts

    Mindfulness is a powerful practice that has deep roots in Buddhism. It is a practice of present-moment awareness, acceptance of the present moment, and non-judgment of thoughts, emotions, or circumstances.

    It has many benefits that may increase mental wellness. However, there are also some risks to consider. Overall, you should consider your unique profile before beginning a practice or consider working with a therapist at the start.

    More About Practicing Mindfulness

    Featured photo credit: Simon Migaj via unsplash.com

    Reference

    [1] NCBI: A Perspective on the Similarities and Differences Between Mindfulness and Relaxation
    [2] Sage Journals: Mindfulness in Cultural Context
    [3] Greater Good Magazine: What is Mindfulness?
    [4] Sage Journals: Mindfulness in Cultural Context
    [5] Greater Good Magazine: The State of Mindfulness Science
    [6] NCBI: Effects of Mindfulness on Psychological Health: A Review of Empirical Studies
    [7] NCBI: Mindfulness Meditation and Psychopathology
    [8] NCBI: Effects of Mindfulness on Psychological Health: A Review of Empirical Studies
    [9] The Harvard Gazette: When Science Meets Mindfulness
    [10] Greater Good Magazine: The State of Mindfulness Science
    [11] NCBI: A Perspective on the Similarities and Differences Between Mindfulness and Relaxation
    [12] ResearchGate: Phenomenological Fingerprints of Four Meditations: Differential State Changes in Affect, Mind-Wandering, Meta-Cognition, and Interoception Before and After Daily Practice Across Nine Months of Training
    [13] ResearchGate: Phenomenological Fingerprints of Four Meditations: Differential State Changes in Affect, Mind-Wandering, Meta-Cognition, and Interoception Before and After Daily Practice Across Nine Months of Training
    [14] ResearchGate: Phenomenological Fingerprints of Four Meditations: Differential State Changes in Affect, Mind-Wandering, Meta-Cognition, and Interoception Before and After Daily Practice Across Nine Months of Training
    [15] ResearchGate: Phenomenological Fingerprints of Four Meditations: Differential State Changes in Affect, Mind-Wandering, Meta-Cognition, and Interoception Before and After Daily Practice Across Nine Months of Training
    [16] Greater Good Magazine: How to Choose a Type of Mindfulness Meditation
    [17] NCBI: Has the Science of Mindfulness Lost Its Mind?
    [18] NCBI: Has the Science of Mindfulness Lost Its Mind?

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