Let's Talk About Teen Depression

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					Let’s Talk About Teen
Teen Depression
 Approximately 4 out of 100
  teenagers get seriously
  depressed each year.
 Everyone gets sad now and then
 That’s not depression
What is Depression?
 Depression is defined as an
  illness when the feelings of
  sadness, hopelessness, and
  despair persist and interfere with
  a person’s ability to function.
 Teenage girls are at especially
  high risk, as are minority youth.
 Most people with depression can
  be helped with treatment.
 Most depressed people never get
  the help they need.
 When depression isn't treated, it
  can get worse, last longer, and
  prevent you from getting the
  most out of your life.
     Signs of Depression:
 When someone has five or more
  of these symptoms most of the
  time for 2 weeks or longer, that
  person is probably depressed:
 Frequent sadness, tearfulness,
 Hopelessness
 Social isolation, poor
     Signs of Depression:
 Decreased interest in activities
 Inability to enjoy previously
  favorite activities
 Persistent boredom; low energy
 Alcohol and drug abuse
 Self-Injury
    Signs of Depression:
 Poor concentration
 A major change in eating and/or
  sleeping patterns
 Talk of or efforts to run away
  from home
 Thoughts or expressions of
  suicide or self-destructive
     Signs of Depression:
 Low self esteem and guilt
 Extreme sensitivity to rejection or
 Increased irritability, anger, or
 Difficulty with relationships
 Frequent complaints of physical
  illnesses, such as headaches and
 You feel sad or cry a lot and it
  doesn't go away.
 You feel guilty for no real reason;
  you feel like you're no good;
  you've lost your confidence.
 Life seems meaningless or like
  nothing good is ever going to
  happen again.
 You have a negative attitude a lot
  of the time, or it seems like you
  have no feelings.
 You don't feel like doing a lot of
  the things you used to like-- like
  music, sports, being with friends,
  going out-- and you want to be
  left alone most of the time.
 It's hard to make up your mind.
  You forget lots of things, and it's
  hard to concentrate.
 You get irritated often. Little
  things make you lose your
  temper; you overreact.
 Your sleep pattern changes; you
  start sleeping a lot more or you
  have trouble falling asleep at
  night. Or you wake up really early
  most mornings and can't get back
  to sleep.
 Your eating habits change; you've
  lost your appetite or you eat a lot
 You feel restless and tired most
  of the time.
 You think about death, or feel like
  you're dying, or have thoughts
  about committing suicide
Why do people get depressed?
There is no single cause for depression.
  Factors include:
 genetics
 environment
 medical conditions
 life events
 certain thinking patterns that affect a
  person's reaction to events.
Brain's response to stressful
   Death of someone close to you
   Relationship problems
   Low self esteem
   Poverty
   Homelessness
   Substance abuse
What Happens in the Brain
 chemicals neurotransmitters
  assist in transmitting messages
  between nerve cells in the brain.
 Certain neurotransmitters regulate
 When they are not available in
  sufficient quantities, the result can be
Types of Depression
 Major depression – short
  lasting and severe
 Dysthymia - longer-lasting but
  less severe
 Adjustment disorder with
  depressed mood (depressive
  reaction to a specific life event)
Types of Depression
 Bipolar disorder (also
  sometimes called manic
  depressive illness) involves
  periods of major depression
  mixed with periods of mania.
 Mania is the term for abnormally
  high mood and extreme bursts of
  unusual activity or energy.
Treatment for Depression
 Having depression doesn't mean
  that a person is weak, or a
  failure, or isn't really trying... it
  means they need TREATMENT.
 Most people with depression can
  be helped with COUNSELING,
  provided by a professional
 Means talking about feelings with
  a trained psychologist who can
  help you change the
  relationships, thoughts, or
  behaviors that are causing the
 When you're depressed, you're in
  a rut, and you can't see anything
 Used to treat depression that is
  severe or disabling.
 Antidepressant medications are
  not "uppers" and are not
 Medication might be necessary, in
  addition to counseling.
 Most often, counseling alone is
 With treatment, most depressed
  people start to feel better in just
  a few weeks.
 There's help out there
Myths about depression
 MYTH: It's normal for teenagers
  to be moody; Teens don't suffer
  from "real" depression.
 FACT: Depression is more than
  just being moody. And it can
  affect people at any age,
  including teenagers
Myths about depression
 MYTH: Telling an adult that a
  friend might be depressed is
  betraying a trust. If someone
  wants help, he or she will get it.
Myths about depression
 FACT: Depression, which saps
  energy and self-esteem,
  interferes with a person's ability
  or wish to get help. It is an act of
  true friendship to share your
  concerns with an adult who can
  help. No matter what you
  "promised" to keep secret, your
  friend's life is more important
  than a promise.
Myths About Depression
 MYTH: Talking about
  depression only makes it
 FACT: Talking about your
  feelings to someone who can
  help, like a psychologist, is the
  first step towards beating
Myths About Depression
 Talking to a close friend can
  also provide you with the
  support and encouragement
  you need
 Talk to your parents or school
  counselor about getting
  evaluated for depression.
 The Link Between Depression
          and Suicide
 Majority of suicide attempts and
  suicide deaths happen among teens
  with depression
 About 1% of all teens attempts
  suicide and about 1% of those suicide
  attempts results in death (that means
  about 1 in 10,000 teens dies from
The Link Between Depression
         and Suicide
 For adolescents who have depressive
  illnesses, the rates of suicidal thinking
  and behavior are much higher.
 Most teens who have depression
  think about suicide, and between
  15% and 30% of teens with serious
  depression who think about suicide
  go on to make a suicide attempt.
 The Link: Depression and

 It's not hard to see why serious
  depression and suicide are
 Serious depression (with both major
  depression and bipolar illness)
  involves a long-lasting sad mood
  that doesn't let up
    The Link: Depression and
 Depression also distorts a person's
 They focus only on their failures and
 Exaggerate these negative things.
 Depressed thinking can convince
  someone there is nothing to live for.
    The Link: Depression and
 Loss of pleasure in things you once
 Involves thoughts about death
 Negative thoughts about oneself
 A sense of worthlessness
    The Link: Depression and
 A sense of hopelessness
 Low energy
 Noticeable changes in appetite or
    The Link: Depression and
 The hopelessness can make it seem
  like there will be nothing good in the
    The Link: Depression and
 Helplessness can make it seem like
  there's nothing you can do to change
  things for the better.
 And the low energy that is part of
  depression can make every problem
  (even small ones) seem like too much
  to handle.
  What Else Puts Teens at Risk
          for Suicide?
 Teens with conduct disorder are at
  higher risk
 Teens with conduct disorder have
  problems with aggression and may be
  more likely than other teens to act in
  aggressive or impulsive ways to hurt
  themselves when they are depressed
  or under great stress
  What Else Puts Teens at Risk
          for Suicide?
 Substance abuse problems also put
  teens at risk for suicidal thinking and
  What Else Puts Teens at Risk
          for Suicide?
 Alcohol and some drugs have
  depressive effects on the brain.
 Misuse of these substances can bring
  on serious depression, especially in
  teens prone to depression because of
  their biology, family history, or other
  life stressors.
  What Else Puts Teens at Risk
          for Suicide?
 Alcohol and drugs alter a person's
 Interfere with the ability to assess
  risk make good choices, and think of
  solutions to problems.
  What Else Puts Teens at Risk
          for Suicide?
 Many suicide attempts occur when a
  teen is under the influence of alcohol
  or drugs.
 Teens with substance abuse problems
  often have serious depression or
  intense life stresses, too, further
  increasing their risk.
  What Else Puts Teens at Risk
          for Suicide?
 Social, academic, and personal
  pressures such as:
 Physical or sexual abuse
 Witness one parent abusing another
  at home
 Lots of arguing and conflict at home.
 Violence in their neighborhood
 What Else Puts Teens at Risk
         for Suicide?
 Parent with a drug or alcohol
 Struggles with concerns about
  sexuality and relationships
 What Else Puts Teens at Risk
         for Suicide?
 Body image and eating problems
 Learning problems or attention
  problems that make it hard for them
  to succeed in school
 A recent loss or crisis
Types of Suicidal Behaviours

 Teen girls attempt suicide far more
  often (about nine times more often)
  than teen guys
 Guys are about four times more likely
  to succeed when they try to kill
 Teen guys tend to use more deadly
  methods, like guns or hanging.
Types of Suicidal Behaviours

 Girls who try to hurt or kill
  themselves tend to use overdoses of
  medications or cutting.
 More than 60% of teen suicide deaths
  happen with a gun.
 Suicide deaths can and do occur with
  pills and other harmful substances
  and methods.
Types of Suicidal Behaviours
 Sometimes a depressed person plans
  a suicide in advance.
Types of Suicidal Behaviours
 Many times, though, suicide attempts
  are not planned in advance, but
  happen impulsively, in a moment of
  feeling desperately upset.
 Suicide attempts can occur under
  conditions like the following because
  some teens - at least for the moment
  - see no other way out:
Types of Suicidal Behaviours
   Situations like:
   a breakup,
   a big fight with a parent
   an unintended pregnancy,
   being harmed by abuse or rape
   being outed by someone else
   being victimized in any way can cause
    a teen to feel desperately upset.
Types of Suicidal Behaviours
 Sometimes teens who feel or act
  suicidal mean to die and sometimes
  they don't.
 Sometimes a suicide attempt is a
  way to express the deep emotional
 Hope that someone will get the
  message they are trying to
Types of Suicidal Behaviours
 Teens who attempt suicide as an
  answer to problems tend to try it
  more than once
 Suicide attempts are highest during
  middle adolescence
Types of Suicidal Behaviours
 By 17 or 18, the rate of teen suicide
  attempts lowers dramatically
 With maturity, teens learn to tolerate
  sad or upset moods, learn how to get
  support, develop better coping skills
  to deal with disappointment or other
Warning Signs - What to Look For

 Pulling away from friends or family
  and losing desire to go out
 Trouble concentrating or thinking
 Changes in eating or sleeping habits
Warning Signs - What to Look For

 Major changes in appearance (for
  example, if a normally neat person
  looks very sloppy - as if they're not
  taking the usual care of themselves )
 Talk about feeling hopeless or feeling
 Talk about suicide
Warning Signs - What to Look For

 Talk about death
 Talk about "going away"
 Self-destructive behavior (drinking
  alcohol, taking drugs, or driving too
  fast, for example)
Warning Signs - What to Look For

 No desire to take part in favorite
  things or activities
 Giving away of favorite possessions
 Very happy and cheerful moods after
  being depressed or sad for a long time
  (this may mean that a person has
  decided to attempt suicide and feels
  relieved to have found a "solution")
Getting Help
 If you have a friend or classmate who
  you think is considering suicide, get
  help right away rather than waiting
  to see if he will feel better.
Getting Help
 Even if your friend or classmate
  swears you to secrecy, you must get
  help as soon as possible - your
  friend's life could depend on it.
 A person who is seriously thinking
  about suicide is depressed - and isn't
  able to see that suicide is never the
  answer to his problems.
Getting Help

Suicide isn't the answer -
 it's a permanent solution
 to a temporary problem.

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