Distinguishing Clinical Depression From the "Blues"
Parents may inaccurately attribute their
child?s depressed mood as a case of "the
blues," when, in fact, their child is
clinically depressed. The youth will
continue to have problems associated
with the depression until it is recognized
and treated. These factors distinguish
clinical depression from "the blues":
1) Clinical depression is a medical
illness, not a normal reaction
to life situations causing
temporary sadness.
2) Clinical depression persists for
weeks, months or years and affects
not only mood but also how the body
functions (e.g., eating, sleeping and
energy level) and how the youth
thinks. Youth with clinical depression
will continue to have problems at
home, with peers, in the classroom,
and/or on the job, and may die by
suicide. "The blues" will only affect
the youth?s mood and functioning
briefly and generally does not result
in suicidal thinking.
3) Clinical depression will generally
only improve with psychiatric
treatment; "the blues" will improve
after talking with a good listener.
Where to Go for Help
Families can ask their primary care
physician or the school?s consulting child
psychiatrist, child development specialist,
counselor, psychologist or nurse for the
names of local mental health practitioners
who have successfully treated depression
in youth. Families should then ask the
mental health practitioner for his or her
qualifications and views on evaluating and
treating depression in youth.
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