- Psychological Issues
Sure, everybody feels sad or blue now and then. But if you’re sad most of the time, and it’s giving you problems with:
the problem may be DEPRESSION.
The good news is that you can get treatment and feel better soon. Approximately 4% of adolescents get seriously depressed each year. Clinical depression is a serious illness that can affect anybody, including teenagers. It can affect your thoughts, feelings, behavior, and overall health.
Most people with depression can be helped with treatment. But a majority of depressed people never get the help they need. And, when depression isn’t treated, it can get worse, last longer, and prevent you from getting the most out of this important time in your life.
Here’s how to tell if you or a friend might be depressed.
First, there are two kinds of depressive illness: the sad kind, called major depression, and manic-depression or bipolar disorder, when feeling down and depressed alternates with being speeded-up and sometimes reckless.
You should get evaluated by a professional if you’ve had five or more of the following symptoms for more than two weeks or if any of these symptoms cause such a big change that you can’t keep up your usual routine.
Or, if you don’t know where to turn, the telephone directory or information operator should have phone numbers for a local hotline or mental health services or referrals.
Depression can affect people of any age, race, ethnic or economic group.
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 psychotherapy, medicine, or both together.
Medication has been developed that effectively treats depression that is severe or disabling. antidepressant medications are not “uppers” and are not addictive. Sometimes, several types may have to be tried before you and your doctor find the one that works best.
Treatment can help most depressed people start to feel better in just a few weeks.
So remember, when your problems seem too big and you’re feeling low for too long, YOU ARE NOT ALONE. There’s help out there and you can ask for help. And if you know someone who you think is depressed, you can help: Listen and encourage your friend to ask a parent or responsible adult about treatment. If your friend doesn’t ask for help soon, talk to an adult you trust and respect – especially if your friend mentions suicide.
Most people who are depressed do not commit suicide. But depression increases the risk for suicide or suicide attempts. It is not true that people who talk about suicide do not attempt it. suicidal thoughts, remarks, or attempts are ALWAYS SERIOUS… if any of these happen to you or a friend, you must tell a responsible adult IMMEDIATELY… it’s better to be safe than sorry…
Sometimes people get seriously depressed after something like a divorce in the family, major financial problems, someone you love dying, a messed up home life, or breaking up with a boyfriend or girlfriend.
Other times – like with other illnesses – depression just happens. Often teenagers react to the pain of depression by getting into trouble: trouble with alcohol, drugs, or sex; trouble with school or bad grades; problems with family or friends. This is another reason why it’s important to get treatment for depression before it leads to other trouble.
A lot of depressed people, especially teenagers, also have problems with alcohol or other drugs. (Alcohol is a drug, too.) Sometimes the depression comes first and people try drugs as a way to escape it. (In the long run, drugs or alcohol just make things worse!) Other times, the alcohol or other drug use comes first, and depression is caused by:
And sometimes you can’t tell which came first…the important point is that when you have both of these problems, the sooner you get treatment, the better. Either problem can make the other worse and lead to bigger trouble, like addiction or flunking school. You need to be honest about both problems – first with yourself and then with someone who can help you get into treatment…it’s the only way to really get better and stay better.
Depression is a real medical illness and it’s treatable.
Myths about depression often prevent people from doing the right thing. Some common myths are:
Myth: It’s normal for teenagers to be moody; teens dont suffer from real depression.
FACT: Depression is more than just being moody, and it can affect people at any age, including teenagers.
Myth: Telling an adult that a friend might be depressed is betraying a trust. If someone wants help, he or she will get it.
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.
Myth: Talking about depression only makes it worse.
FACT: Talking through feelings with a good friend is often a helpful first step. Friendship, concern, and support can provide the encouragement to talk to a parent or other trusted adult about getting evaluated for depression.
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For free brochures on depression and its treatment, call: 1-800-421-4211.
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All material in this fact sheet is in the public domain and may be copied or reproduced without permission from the Institute. Citation of the source is appreciated.
NIH Publication No. 01-4162
Reprinted June 2001
Updated: May 03, 2002