As a teenager, you know that these
school years can be complicated and demanding. Deep down, you are not
quite sure of who you are, what you want to be, or whether the choices
you make from day to day are the best decisions.
Sometimes the many changes and pressures you are facing threaten to
overwhelm you. So it isn't surprising that from time to time you or one
of your friends feels "down" or discouraged.
But what about those times when a friend's activity and outlook on
life stay "down" for weeks and begin to affect your
relationship? If you know someone like this, your friend might be
suffering from depression. As a friend, you can help.
FIND OUT MORE ABOUT DEPRESSION.
Q. What is depression?
A. Depression is more than the blues or the blahs; it is more than
the normal, everyday ups and downs. When that "down" mood,
along with other symptoms, lasts for more than a couple of weeks, the
condition may be clinical depression. Clinical depression is a serious
health problem that affects the total person. In addition to feelings,
it can change behavior, physical health and appearance, academic
performance, and the ability to handle everyday decisions and pressures.
Q. What causes clinical depression?
A. We do not yet know all the causes of depression, but there seems
to be biological and emotional factors that may increase the likelihood
that an individual will develop a depressive disorder. Research over the
past decade strongly suggests a genetic link to depressive disorders,
depression can run in families. Bad life experiences and certain
personality patterns such as difficulty handling stress, low
self-esteem, or extreme pessimism about the future can increase the
chances of becoming depressed.
Q. How common is it?
A. Clinical depression is a lot more common than most people think.
It affects 10 million Americans every year. One-fourth of all women and
one-eighth of all men will suffer at least one episode or occurrence of
depression during their lifetimes. Depression affects people of all ages
but is less common for teenagers than for adults. Approximately 3 to 5
percent of the teen population experiences clinical depression every
year. That means among 100 friends, 4 could be clinically depressed.
Q. Is it serious?
A. Depression can be very serious. It has been linked to poor school
performance, truancy, alcohol and drug abuse, running away, and feelings
of worthlessness and hopelessness. In the last 25 years, the rate of
suicide among teenagers and young adults has increased dramatically.
Suicide often is linked to depression.
Q. Are all depressive disorders alike?
A. There are various forms or types of depression. Some people
experience only one episode of depression in their whole life, but many
have several recurrences. Some depressive episodes begin suddenly for no
apparent reason, while others can be associated with a life situation or
stress. Sometimes people who are depressed cannot perform even the
simplest daily activities - like getting out of bed or getting dressed;
others go through the motions, but it is clear they are not acting or
thinking as usual. Some people suffer from bipolar depression in which
their moods cycle between two extremes - from the depths of despair to
frenzied heights of activity or grandiose ideas about their own
Q. Can it be treated?
A. Yes, depression is treatable. Between 80 and 90 percent of people
with depression - even the most serious forms - can be helped. Symptoms
can be relieved quickly with psychological therapies, medications, or a
combination of both. The most important step toward treating depression
- and sometimes the most difficult - is asking for help.
Q. Why don't people get the help they need?
A. Often people don't know they are depressed, so they don't ask for
- or get - the right help. Teenagers and adults share a problem - they
often fail to recognize the symptoms of depression in themselves or in
people they care about.
BE ABLE TO TELL FACT FROM FICTION.
Myths about depression separate people from the effective treatments
now available. Friends need to know the facts. Some of the most common
myths are these:
Myth: Teenagers don't suffer from "real" depression.
Fact: Depression can affect people at any age or of any race, ethnic,
or economic group.
Myth: Teens who claim to be depressed are weak and just need to pull
themselves together. There's nothing anyone else can do to help.
Fact: Depression is not a weakness, but a serious health disorder.
Both young people and adults who are depressed need professional
treatment. A trained therapist or counselor can help them learn more
positive ways to think about themselves, change behavior, cope with
problems, or handle relationships. A physician can prescribe medications
to help relieve the symptoms of depression. For many people, a
combination of psychological therapy and medication is beneficial.
Myth: Talking about depression only makes it worse.
Fact: Talking through feelings may help a friend recognize the need
for professional help. By showing friendship and concern and giving
uncritical support, you can encourage your friend to talk to his or her
parents or another trusted adult, like a teacher or coach, about getting
treatment. If your friend is reluctant to ask for help, you can talk to
an adult - that's what a real friend will do.
Myth: People who talk about suicide don't commit suicide.
Fact: Many people who commit suicide have given warnings to friends
and family. A signal or warning may be a statement such as "I wish
I were dead," "I can't take it anymore; I want out," or
"My parents would be better off without me." Some people even
tell a friend about a plan to kill themselves before they actually do.
If a friend talks like this, take it seriously! Immediately make a
responsible adult aware of what your friend has said.
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. And many parents may not
understand the seriousness of depression or of thoughts of death or
suicide. It is an act of true friendship to share your concerns with a
school guidance counselor, a favorite teacher, your own parents, or
another trusted adult.
KNOW THE SYMPTOMS
The first step toward defeating depression is to define it. But
people who are depressed often have a hard time thinking clearly or
recognizing their own symptoms. They may need your help. Check the
following boxes if you notice a friend or friends with any of these
symptoms persisting longer than two weeks.
Do they express feelings of .Sadness or "emptiness"?
.Hopelessness, pessimism, or guilt? .Helplessness or worthlessness?
Do they seem .Unable to make decisions? .Unable to concentrate and
remember? .To have lost interest or pleasure in ordinary activities -
like sports or band or talking on the phone? .To have more problems with
school and family?
Do they complain of .Loss of energy and drive - so they seem
"slowed down"? .Trouble falling asleep, staying asleep, or
getting up? .Appetite problems, are they losing or gaining weight?
.Headaches, stomach aches, or backaches? .Chronic aches and pains in
joints and muscles?
Has their behavior changed suddenly so that .They are restless or
more irritable? .They want to be alone most of the time? .They've
started cutting classes or dropped hobbies and activities? .You think
they may be drinking heavily or taking drugs?
Have they talked about .Death .Suicide - or have they attempted
FIND SOMEONE WHO CAN HELP
If you checked several of the boxes, a friend may need help. Don't
assume that someone else is taking care of the problem. Negative
thinking, inappropriate behavior, or physical changes need to be
reversed as quickly as possible. Not only does treatment lessen the
severity of depression, treatment also may reduce the length of time
(duration) your friend is depressed and may prevent additional bouts of
If a friend shows many symptoms of depression, you can listen and
encourage him or her to ask a parent or teacher about treatment. If your
friend doesn't seek help quickly, talk to an adult you trust and respect
- especially if your friend mentions death or suicide.
There are many places in the community where people with depressive
disorders can be diagnosed and treated. Help is available from a family
doctor, mental health specialists in community mental health centers or
private clinics, and from other health professionals. The key here
is to GET help if you think your or a
friend is depressed.
MORE INFORMATION IS AVAILABLE
If you want more information about depression, its symptoms, and ways
to get treatment, write:
DEPRESSION/Awareness, Recognition, and Treatment (D/ART) National
Institute of Mental Health Public Inquiries, Room c-05 5600 Fishers Lane
Rockville, MD 20857 ??
For IMMEDIATE help call: 1-800-SUICIDE
- Parent's Resource Center
Copyright © 1997-2003 [PRC]. All rights reserved.
Revised: November 14, 2006