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Depression in the Young What We Can Do to Help Them         Why are we so blind to childhood depression ? Depression in children does not always look like depression in adults. If we use only the list of adult symptoms, we will miss the vast majority of children and adolescents suffering from depression.         Based on the wrenching and unexpected suicide death of her son, Ben, at age fourteen, Minnesota author and lecturer Trudy Carlson discusses depressive illness in young people and explains aspects of available treatments for each. by Trudy Carlson Paperback 172 Pages Pub 1/98 Author's Site         Well organized, thoroughly researched, and conversationally written, Carlson's frank, explicit guide through illness, treatment, medication, and psychotherapies is designed with the layman in mind. Based on personal experience chronicled in the second half of her earlier work, THE SUICIDE OF MY SON, Carlson's latest book contains detailed chapters dedicated to the recognition and treatment of depressive illness in the young, as well as their effects on the family, friends, classmates, and physicians involved with the sufferer. Direct and personal, written from the heart of someone who has been there, Carlson's forthright book is recommended reading as a helpful, hopeful guide through the traumatic maze of childhood depression and treatment.         Excerpt Why are we so blind to childhood depression? McKnew, Cytryn and Yahraes (1983) give us their opinion: Perhaps the biggest reason is that many depressed children are often the 'nicest' boys and girls on the block and the best behaved kids in school. Go into a classroom and you'll find that the kids in the back rows are the quiet ones, the ones that don't give anyone any trouble, though we know now that many of them are depressed . . . Unless you know a depressed child quite well and are really looking for signs of depression, you probably won't notice anything wrong. Depression in children does not always look like depression in adults. Depression in youngsters and adults is fundamentally the same illness, but depressed young people rarely have long, sad faces. They frequently have beautiful wide smiles, trying hard not to be a burden to others, attempting to make the best of their painful lives. If we use only the list of adult symptoms, we will miss the vast majority of children and adolescents suffering from depression. Copyright © 1998 by Trudy Carlson.         Table of Contents Chapter 1 Introduction: If You're so Smart, How Come Your Son is Dead? Chapter 2 Depression in perspective: Incidence of depression Historical perspective Types of depressive illness dysthymia - chronic low mood seasonal depression reactive depression recurring unipolar depression bipolar illness Multiplicity of depressive conditions Chapter 3 The Symptoms of Depression in the Young: Symptoms in Childhood persistent sadness low self-concept provocative, aggressive behavior proneness to be disappointed easily physical complaints inability to concentrate energy fluctuations eating problems bladder and bowel problems excessive fearfulness impulsivity A Perspective on childhood depression Adolescent depression anxiety and alcohol/drug use hormones disappointments in love personality factors a goal Chapter 4 What's To Be Done: Cognitive Therapy all-or-nothing thinking over-generalization mental filter disqualifying the positive jumping to conclusions mind reading the fortune teller error magnification and minimization emotional reasoning "should" statements labeling and mislabeling personalization Implications and application of cognitive therapy Interpersonal Therapy (IPT) Cognitive Therapy and IPT: A useful class for helping today's problems Chapter 5 Anxiety and Suicide Prevention: Non-medication treatment for anxiety information on the biological nature of anxiety teaching breathing techniques teaching the use of visualization teaching the use of affirmations teaching that alcohol and drug abuse are ineffective means of self-treating anxiety The use of prescription drugs for anxiety Chapter 6 Medication: Lithium the story behind the discovery lithium for young patients the use of lithium as a maintenance medication for bipolar illness the use of medications for acute episodes of mania or depression the importance of continuing maintenance medicines for bipolar clients new findings regarding the medicines for bipolar illness why is it so important to treat persons with bipolar illness maintenance medication for recurring unipolar depression Tricyclic antidepressants The story behind the discovery The use of tricyclic medication MAO inhibitors The story behind the discovery The use of MAO inhibitors The SSRIs The story behind their development Some facts about SSRIs Some specifics about Prozac, Zoloft, Paxil and Effexor Rational for caution A personal comment regarding Prozac The fourth class - Wellbutrin The use for students with ADHD The use for adults A personal comment on Wellbutrin New vs old medications Chapter 7 Suicide: Suicide in the young Children at risk Adolescents at risk Attempters vs completers What are young attempters or completers trying to do? Prevention programs in the past Warning signs previous suicide attempts suicide talk Chapter 14 Suicide (continued) making arrangements personality or behavioral change clinical depression The use of warning signs The need for screening A no-blame approach Is reduction of the suicide rate an attainable goal? Chapter 8 When Everything You've Tried Seems Like Failure Appendix 1 I. Screening instrument for Fourth - Sixth Grade II Recommended curriculum for 7th - 12th Grade A. General Recommendation for Parents, Teachers and Health Professionals B. Special Information for Health Professionals Appendix 2 A. Works Cited B. Further References

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