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Depression is a serious disease that affects adults, teenagers, and children.  Everyone has had periods of sadness in their life, perhaps due to a death or a loss, so how does a parent recognize when things have gone beyond a temporary bout of the ‘blues’?

A doctor or therapist can diagnosis depression, and will ask you or your teenager questions about mood, sleeping, eating, enjoyment of activities, fatigue, ability to concentrate, and thoughts of death.  However, parents are often the first ones to recognize that something might not be okay.  By familiarizing yourself with some of the symptoms of depression, you can help identify the problem and assist with getting the appropriate help.

Some questions to ask yourself:

  1. Is your teenager sad most of the day, most every day for 2 weeks or so?  (If your child’s mood is irritable instead, this can also be due to depression.)
  2. Has your teenager recently shown a significantly decreased interest in things/activities that were previously enjoyed?
  3. Has your teenager had a significant change in appetite or sleep or physical activity?  (either increasing or decreasing.)
  4. Has your teenager been having a hard time concentrating?
  5. Is your teenager having feelings of worthlessness or inappropriate guilt?
  6. Has your teenager been thinking or talking repeatedly about death or suicide?

The first 2 questions are the most significant.  If you’ve answered yes to either of those, consider reaching out for professional guidance.  If you also answered yes to one or more of the following questions, consider it even more evidence that a professional’s involvement is needed.  A pediatrician, child psychologist, or a mental health therapist is your best choice for the next step.  Mental health therapists can have several different credentials, for example “Licensed Clinical Social Workers (LCSW), Licensed Professional Counselors (LPC,) or Marriage and Family Therapists (MFT.)”  If you have health insurance, you can call your customer service number and ask about mental health benefits, and for a referral to a therapist who specializes in children and teenagers.  Your workplace might also offer EAP benefits including a short number of counseling sessions—these are often free or very inexpensive.  Most communities also have “Help Lines” or free  or low-cost counseling organizations.

It is very important to take depression seriously.  Please call someone today if you suspect your teenager is depressed—there are many effective treatments that can help.



Deep down, all parents want to believe that their little ones are happy and healthy. Accordingly, if you’re a parent who feels that your kid seems a little angrier than he or she should, you’re probably responding to a legitimate problem. In other words, it’s good for you to worry about this issue, and there are a few possible factors to rule out before deciding that it will just “go away.” Notice that I switch pronouns (he, she) throughout the article because both boys and girls can display the same types of anger problems.

Is he getting bullied?

If you see an uptick in anger, the culprit may be bullying. If your son seems angrier than usual, he may be getting bullied at school by one or more other students. Those students could be boys or girls; they could be in the same grade, they could be older or younger; and they could be bullying your son in the school bathroom or cafeteria, on the playground or on the way to or from school. To find out whether he has been getting bullied, ask him yourself; have your co-parent (if you have one) ask him; and call the school to ask a teacher and guidance counselor to ask him. The point: One person asking once will rarely uncover the truth.

Is she feeling anxious or depressed?

Depression in kids often looks different than it does in adults. With kids, their depression often makes them appear irritated or agitated. If they are feeling anxious, they may get nervous by any number of triggers: socializing on the playground; eating in the cafeteria; walking to school; or taking the bus. With kids, they are more likely to tell you what’s really going on if you ask them a question and give them multiple choice answers.

Does she have a chemical imbalance that calls for a psychiatric evaluation?

Some children are more prone to anger based on their personality and other biological factors (the chemical makeup in their brain). If your child is angry often and has always been prone to angry outbursts, you can call a local mental health clinic and ask for a psychiatric evaluation. The evaluation would involve a licensed psychiatrist asking you and your child a lot of questions about mood, behavior at home, and behavior at school. In some cases, the psychiatrist will recommend that the child try a daily psychiatric medication; in other cases, the psychiatrist will say the child probably doesn’t need meds, and the child will be referred for psychotherapy instead.

Important reminders about anger

As frustrating as an angry kid can be for the parents, never punish your child for his feelings. In other words, you punish the acting out behavior when the kid is angry, but you don’t punish the kid for feeling angry. I always tell families I’m working with the same thing: “Anger by itself is fine and even healthy in doses, but it’s the way the child expresses the anger that may be a problem.” One final comment to parents: Parents often get disillusioned in managing an angry child, telling themselves that their poor child will always be angry and that his life will suffer because of it. The good news is that many children who have anger problems when they’re young work those problems out by the time they’re older, so don’t worry that the problem will last forever. In fact, providing the most empathetic and helpful feedback when they do get angry may make all the difference.