Depression and self-harm in children and adolescents Flashcards
epidemiology of depression in young peoepl
2% of primary school children
no gender bias
4-8% in adolescnece
F:1 2:1
how do syx of depression in young people differ to adults
same core syx but have a different presentation
core syx of depression 3
low mood
anhedonia
reduced energy levels
other syx of depression
Reduced self-esteem and confidence
Ideas of guilt and worthlessness
Pessimistic views of the future, thoughts about self-harm or suicide
Reduced concentration and attention
Change in psychomotor activity
Disturbed sleep
Changes in appetite
how long do syx of depression have to be present for
at least 2 weeks
examples of the different presenation of depression in young people compared to adults 6
mood-variable
-irritable, argumentative, defiant,aggressive, angry
-can brighten for periods
sleep
-inital insomia> early morning wakeing
behaviour
-social withdrawal
-school performance
somatic complaints
slow insidious onet of syx
how does the assessment of depression in young people differ to adults 6
greater emphasis on collateral history
issues of capacity and consent
speak to young person and parents separately as well as together
focus on social history
focus on protective factors
-family relationship
-external support
-indivudal strengths
co-morbidity
-ASD
-ADHD
-learning difficulties
assessment of risk in depression in young people (and adults) 2
always ask about sucicidal thoughts
greater emphasis on:
-self harm
-risky behaviours
-impulsivity/ ambivalence
-risk of exploitation/abuse
how does management of depression differ in young people compared to adults
greater school/ social services/ family invovlemnt
psychoeduation
psych therapies:
-CBT
-Family therapy
-play/art therapy
pharmacotherapy
-only w specialist advice
-fluoxetine only licensed anti-depressant
-start low go slow
what is the only licensed antidepressant in under 18yo
flyoxetine
