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Betsi Cadwaladr University Health Board

North Wales Child and Adolescent Mental Health Service

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Depression


What is depression?


Most people, children as well as adults, feel low or ‘blue’ occasionally. Feeling sad is a normal reaction to experiences that are stressful or upsetting. However, when these feelings go on and on, take over your usual self and interfere with your whole life, it can become an illness. This illness is called ‘depression’.


How common is it?


Depression usually starts in the teen years, more commonly as you near adulthood. It is less common in children under 12 years old. It can affect anybody, although it is also more common in girls compared to boys.


How do I know if I have depression?


Some of the symptoms you are suffering from depression include:



If you have all or most of these signs, and have had them over a long period of time, it may mean that you are depressed. You may find it very difficult to talk about how you are feeling.


What causes depression?


There is no specific cause for depression. It is usually caused by a mixture of things, rather than any one thing alone such as:



What can I do if I am feeling low?


You can try a few things to see if it helps you feel better.   


Simply talking to someone you trust, and who you feel understands, can lighten the burden. It can also make it easier to work out practical solutions to problems. For example, if you feel unable to do your homework, letting your family and teachers know can be helpful for you to get some support to complete your work.


Here are some things to try:



How parents / family and teachers can help?


When you have depression, you may feel ashamed and guilty of the way you are. You may worry about upsetting others especially family, or being told you are making it up or blamed it is your fault by telling them how you feel. It can also be very hard to put your feelings into words. However, many young people in the same situation feel a sense of relief at being understood once they have talked about it. Letting others know about how you feel is important for getting the right help and support.


When should I get more help?


Many young people will get better on their own with support and understanding. If the depression is dragging on and causing serious difficulties, it's important to seek treatment. Sometimes when you are feeling low, you may think or try to use drugs or alcohol to forget your feelings. You may see no hope and feel like running away from it all. Doing this only makes the situation worse. When this happens it is important that you let others know and get help.


Where can I get help?


Your GP, or sometimes school nurse, will be able to advise you about what help is available and to arrange a referral to the local Child and Adolescent Mental Health Service (CAMHS). They will see you and your family and discuss what is the right treatment for you.


How is depression treated?


When the depression is not very bad, which means you are still able to do your daily activities like going to school, you may find psychological therapies also called talking therapies helpful.


Cognitive Behavioural Therapy (CBT) is one of these which is effective for treating depression.


Other talking therapies can be helpful. These can be family therapy and interpersonal therapy, both of which may be available from your local CAMHS.


When your depression is severe and has been going on for long time, you may find it difficult to even talk about it. In this situation, medications can help to lift your mood.


Medications called ‘antidepressants’ are usually used for this condition. They need to be prescribed by specialist child and adolescent psychiatrists after a careful assessment. If you are given medication, you may need a physical health check-up beforehand, and then you will need regular check-ups once you have started the medication.


Medications are usually given for a few months and sometimes may need to be taken for a longer time. It is important that if you are prescribed medication that you take it the way it has been prescribed for you (i.e. the right dose and timing).


Remember you are not alone - depression is a common problem and can be overcome.


Useful Websites:


Young Minds

Provides information and advice on child mental health issues

www.youngminds.org.uk


Depression Alliance

Help and information about depression, depression symptoms and self help groups

www.depressionalliance.org


Childline

Provides a free and confidential telephone service for children: Helpline 0800 1111

www.childline.org

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