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Young Children Can Experience Depression Too, and It’s Crucial to Recognize It
It all started in second grade. Suddenly, I felt like I had no friends or I simply believed I didn’t. I found myself crying frequently and worrying excessively about things that seemed trivial—like homework or offhand comments. This behavior, typically associated with adults, was rather alarming for someone my age. Deep down, I knew something was profoundly wrong. I even thought the world would be better off without me. I felt unloved and trapped in a dull existence, punctuated only by moments of sheer terror. Looking back, I realize that by the age of 7, I was ensnared in a deep depression—a reality that went unnoticed by both my parents and teachers.
I’m not the only one affected. The American Academy of Pediatrics (AAP) indicates that 1% of preschoolers, 2% of school-aged kids, and 5% to 8% of teenagers experience major depressive disorder. Dysthymia, a less severe form of depression, affects 0.6% to 1.7% of prepubescent children and 1.6% to 8% of teens. This means that in every elementary school across America, there are likely two or three children struggling with these issues. The AAP describes childhood depression and dysthymia as “common but frequently unrecognized.” Like me, many children suffer in silence, without the awareness of the adults responsible for their care.
Recognizing the Signs of Depression in Children
Detecting major depressive disorder in children can be challenging. For a diagnosis, a child must display at least five of the nine symptoms listed by the AAP. However, these symptoms can be elusive. For instance, if a child is frequently irritable, it may seem normal, but persistent irritability over time could signal a deeper issue. I was often labeled as “sensitive,” and my tears were dismissed rather than understood. This sensitivity was not a flaw; rather, it was a mask for the profound sadness and fear I experienced.
Another significant indicator is recurrent thoughts of death, which can be difficult to identify since parents can’t read their child’s mind. If a child expresses a preoccupation with death or makes comments suggesting they wish they weren’t here, this should prompt immediate concern and a consultation with their pediatrician.
A loss of interest in activities that once brought joy is another warning sign. If your child suddenly loses interest in beloved toys or hobbies—like a girl who no longer cares about her riding lessons or a boy who doesn’t want to play baseball—this is more than just a passing phase. It’s important to differentiate between typical changes in preferences and a deeper emotional struggle.
Fatigue is another common symptom. Children may either sleep excessively or become lethargic, preferring to lounge in front of the TV instead of engaging in activities they previously enjoyed.
Feelings of worthlessness can also manifest in children. I believed no one cared about me, and I often prayed for a different family, convinced that I wasn’t worth loving. I felt isolated, even when I had friends who cared for me.
Cognitive challenges, such as difficulty concentrating or declining grades, are additional signs of depression. As my depression progressed, my once manageable math skills deteriorated, further exacerbating my feelings of inadequacy.
Children may experience either hypersomnia or insomnia. I spent countless nights awake, consumed by fears that were unfounded but felt all-consuming. Physical symptoms like stomachaches, headaches, and anxiety can also indicate underlying depression, often accompanied by behavioral issues. It’s not uncommon for childhood depression to coexist with other mental health conditions, such as anxiety disorders or ADHD. I personally grapple with anxiety and ADD alongside my depression.
The Importance of Seeking Help
I never received treatment for my childhood depression. Common approaches include psychotherapy and, in some cases, medication, such as SSRIs, which should be managed by healthcare professionals.
Reflecting on my experiences, I wish I had received help. Untreated childhood depression can lead to serious consequences, including relationship issues, recurring depressive episodes, reckless behavior, academic struggles, and even suicidal tendencies. I have faced many of these challenges and continue to deal with anxiety and depression as an adult. I firmly believe that had I received early treatment, my life would have been significantly different.
It’s frightening to consider that children can experience depression. Parents may feel guilty, leading to denial about their child’s struggles. If you suspect your child is battling depression, don’t delay in seeking help. If they display any of the symptoms mentioned, consult your pediatrician. They can guide you to professionals who can provide the necessary support and care. Remember, depression is a serious issue that no child should face alone, and you can be their ally in this journey.
Additional Resources
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Summary
Young children can experience depression just like adults, yet their symptoms often go unnoticed. Signs of depression include persistent irritability, loss of interest in previously enjoyed activities, feelings of worthlessness, and changes in sleep patterns. It’s crucial for parents to recognize these signs and seek professional help if they suspect their child is struggling. Early intervention can prevent long-term consequences and provide children with the support they need.