Stage 2 EAL – Academic Literacy Study
Depression in adolescents
SACE no: 313398R
Depression in adolescents
Depression is one of the most prevalent mental disorders that can affect people’s life severely. Research shows as the origin of one’s depression can often trace back to teenage years, the mental condition is capable of influencing an adolescent’s cognition, personality, and behaviour, (Hankin, 2006). Despite the fact that one in eight adolescents is affected by depression, teenage depression is often unrecognised as young people often have trouble expression emotion (Blackdoginstitute.org.au, 2018). The difficulty of distinguishing moods swing from depression in adolescents also contributed to the ignorance of adolescent depression, as they tend to experience emotions intensely. However, with an accurate diagnosis which identifies the problem and effective clinical management which involves psychological intervention and medical treatment, adolescent depression can be restrained and eventually cured (Thapar et al., 2012). This report examines the definition, symptoms, causes, impacts, and treatments of adolescent depression.
Known as the major depressive disorder, depression is a mental illness that leads to persistent sadness and loss of pleasure in daily activities (Parekh, 2017). Adolescent depression can cause significant negative impacts on the way a teenager thinks, feels, and behaves, as it occurs at a stage when young people go through rapid personal changes (Lynch and Duval, 2011).
It is important to distinguish the difference between depression and the feeling of sadness of grief, which is natural and normal responses to negative experiences such as the end of an intimate relationship or death of a loved one. Although both grief and depression are capable of causing intense sadness and withdrawal from daily activities, the time duration between the two often differs. Grief is temporal as the feeling often decreases within two weeks, while untreated depression usually lasts for months or even longer (Encyclopedia Britannica, 2013). Furthermore, contrary to people in grief who tend to experience sadness in waves intermixing with positive memories from the past, depression is persistent and frequently accompanied with self-loathing and a sense of worthlessness (Parekh, 2017).
Signs and Symptoms of depression in adolescents
Although depression could occur at any stage of life, symptoms of such a condition could differ from adolescents to adults. Also, it can be hard to distinguish adolescent depression from emotional turmoil. Therefore, it is crucial to look for specific emotional, as well as behavioural signs and changes to identify depression (Blackdoginstitute.org.au, 2018).
When an adolescent is suffering from depression, the most noticeable change is the persistent feeling of sadness, which are often accompanied with feeling moody or irritable (Encyclopedia Britannica, 2013). If the teenager is unwilling to express his/her emotions, behaviours such as crying for no obvious reason or sudden outbursts of anger over trivial matters may indicate the person is experiencing intense emotional changes (Mayo Clinic, 2017).
The feeling of emptiness and hopelessness acts as another common symptom of adolescent depression (Mayo Clinic, 2017). The emotion is often identified by the teenager’s reduced capacity to experience pleasure in activities. Vary in severity, the teenager may experience loss of pleasure in executing hobbies he/she used to enjoy, lack of motivation in performing current activities, disinterest in anything in the future (Raising Children Network, 2016). The person might describe as feeling “numb” or “empty”. Other shifts such as a reduced desire for social interactions, feeling guilt or worthlessness, having difficulty concentrating, thinking, as well as making rational judgements are also signs of adolescent depression.
Adolescent depression also evokes physical symptoms. Teenagers who are depressed might have significant changes in weight or appetite (Blackdoginstitute.org.au, 2018). Change in sleeping patterns, which lead to insomnia or sleeping too much is another physical sign of a young person experiencing depressed mood (Raising Children Network, 2016). Additionally, though people generally associate tiredness with depression, restlessness such as fast pacing, rapid speech rate, as well as inability to sit still are also symptoms of depression (Raising Children Network, 2016). It is suggested if major symptoms are shown by an adolescent and depression is suspected, an official assessment should be instantly sought by a mental health professional.
Causes of depression in adolescents
The single reason that causes adolescent depression is yet to be found. However, research suggests a combination of factors, including biochemical, genetic, and environmental elements could contribute to the occurrence of it.
Research involving brain-imaging technologies demonstrate that the brains of adolescents who suffer from depression are structurally different from the brains of normal adolescents (Psychology Today, 2011). Teenagers with depression are found to have parts of the brain that govern the release of hormones and neurotransmitters, which are critical in regulating emotion and cerebral communication, abnormal or damaged. This leads to changes and impairments of the nervous system as well as nerve receptors, eventually causing depression (Mayo Clinic, 2017).
Depression runs in families, which means the mental condition can be passed down through family trees (Mayo Clinic, 2017). Adolescents whose parents or blood relatives have depression are more likely to develop the condition.
As teenagers’ coping mechanisms are yet to be fully-developed, traumatic events in the early stages of life can lead to a long-lasting effect on their mental health (WebMD, 2015). Life events such as loss of a parent, physical or emotional abuse and other traumatic experiences could trigger adolescent depression to a significant extent. Furthermore, adolescents who are frequently exposed to negative mentality are more prone to depression. Being persistently subjected to pessimistic thinking from their closed ones, teenagers often develop a sense of hopelessness rather than the motivation to overcome them when encountering challenges, potentially leading to depression (Mayo Clinic, 2017).
Impacts of depression in adolescents
Depression is capable of affecting adolescents in multiple aspects of life. Firstly, depression significantly influences teenagers’ education. Due to the condition, teenagers’ attendance rate, memory function, and the ability to concentrate could be affected, leading to substantial inhibition of academic performance (Ryan, 1987). Also, research suggests depression could increase the occurrence of dangerous behaviours among teenagers (Shanok and Lewis, 1977). Adolescents with depression are considerably more likely to perform substance abuse and other behaviours that involve the juvenile legal system. Additionally, depression leads to self-harm behaviours (Gould et al., 1998). As depressed youths are often subjected to emotions of feeling empty and numb, self-harm behaviours usually serve as a mean to increase affective experiences (Gould et al., 1998). By cutting or stabbing themselves, depressed individuals can feel “real” or “alive” through the pain and the excitement of performing such behaviours. Furthermore, depression raises suicide rates among adolescents. Approximately 60 % of depressed teenagers have a suicidal thought, and 30% attempt suicide once or multiple times (Sheldon, Cook and Peterson, 2009). Suicide is often the result of the combination of the mental condition, interpersonal conflict, and substance abuse (Gould et al., 1998).
Treating depression in adolescents
Treatment of adolescent depression is often achieved by psychotherapy and pharmacotherapy. While the therapy should correspond to the type as well as the severity of the patient, a combination of counselling and medication is proved effective for most of the depressed teenagers (Mayo Clinic, 2017).
Also known as psychological counselling, psychotherapy helps the patient to overcome depression through personal interaction and talking with a mental health professional. Cognitive behaviour therapy (CBT) and interpersonal therapy (IPT-A) are two of the most effective psychotherapy treatments for adolescent depression (WebMD, 2015). CBT consists of sessions which teaches depressed adolescents the methods to improve communication skills, coping skills, and problems solving. The therapy also trains the patient to acquire techniques of combating negative mentality and regulating one’s emotion (Legg, 2016). Contrary to CBT, IPT-A empathises on the changes in current interpersonal relationships with the patient’s significant others and discovering new personal identity (Legg, 2016). The therapy is found to be effective in treating acute depression within adolescents, as it improves the patient’s social functioning significantly, reducing the clinical severity of depression symptoms to a great extent, which leads to lower hospitalisation rates and suicidality (Mufson and Fairbanks, 1996).
Although psychotherapy plays a significant role in treating adolescent depression, it is sometimes necessary to utilise medication considering the severity and history of the patient. Due to their mild nature which evokes fewer side effects, selective serotonin reuptake inhibitors (SSRIs) are among one of the most frequently prescribed antidepressants when dealing with adolescent depression (Legg, 2016). However, every patient responds differently to medication. Therefore, close physical and emotional monitoring is always preferred, as it helps to access and identify any potential adverse effects. If major improvements and no unusual behaviour are observed, pharmacotherapy session is generally considered safe to performed (Sheldon, Cook and Peterson, 2009).
As one of the most common mental illnesses among adolescents, adolescent depression is able to cause functional impairment and a considerable amount of suffering. Depression in adolescents is generally evoked by abnormalities in biochemical releasing, genetic makeup, and hostile environment. It can cause symptoms such as persistent sadness and meaninglessness, which lead to very negative impacts on youth’s wellbeing, self-harm behaviours, even suicide. However, with proper treatments involving psychotherapy and pharmacotherapy, depression symptoms can be reduced, and the condition can be finally treated.
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Blackdoginstitute.org.au. (2018). Depression in adolescents ; young people. online Available at: https://www.blackdoginstitute.org.au/docs/default-source/factsheets/depressioninadolescents.pdf?sfvrsn=2 Accessed 29 Jun. 2018.
Encyclopedia Britannica. (2013). depression | Definition, Symptoms, Causes, ; Treatment. online Available at: https://www.britannica.com/science/depression-psychology Accessed 23 Jun. 2018.
GOULD, M., KING, R., GREENWALD, S., FISHER, P., SCHWAB-STONE, M., KRAMER, R., FLISHER, A., GOODMAN, S., CANINO, G. and SHAFFER, D. (1998). Psychopathology Associated With Suicidal Ideation and Attempts Among Children and Adolescents. Journal of the American Academy of Child ; Adolescent Psychiatry, 37(9), pp.915-923.
Hankin, B. (2006). Adolescent depression: Description, causes, and interventions. Epilepsy ; Behavior, 8(1), pp.102-114.Legg, T. (2016). Adolescent Depression: Causes, Symptoms, and Diagnosis. online Healthline. Available at: https://www.healthline.com/health/adolescent-depression#causes Accessed 2 Jul. 2018.
Lynch, V. and Duval, J. (2011). Forensic nursing science. St. Louis: Elsevier/Mosby, p.453.
Mayo Clinic. (2017). Teen depression – Symptoms and causes. online Available at: https://www.mayoclinic.org/diseases-conditions/teen-depression/symptoms-causes/syc-20350985 Accessed 29 Jun. 2018.
MUFSON, L. and FAIRBANKS, J. (1996). Interpersonal Psychotherapy for Depressed Adolescents: A One-Year Naturalistic Follow-up Study. Journal of the American Academy of Child ; Adolescent Psychiatry, 35(9), pp.1145-1155.
Raising Children Network. (2016). Teenage depression: warning signs ; help. online Available at: http://raisingchildren.net.au/articles/depression_teenagers.html Accessed 29 Jun. 2018.
Ryan, N. (1987). The Clinical Picture of Major Depression in Children and Adolescents. Archives of General Psychiatry, 44(10), p.854.
Sheldon, C., Cook, M. and Peterson, J. (2009). Adolescent Depression: An Update and Guide to Clinical Decision Making. online PubMed Central (PMC). Available at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2766285/ Accessed 30 Jun. 2018.
Thapar, A., Collishaw, S., Pine, D. and Thapar, A. (2012). Depression in adolescence. The Lancet, 379(9820), pp.1056-1067.
Parekh, R. (2017). What Is Depression?. online Psychiatry.org. Available at: https://www.psychiatry.org/patients-families/depression/what-is-depression Accessed 23 Jun.
Psychology Today. (2011). Causes of Depression. online Available at: https://www.psychologytoday.com/us/basics/depression/causes-depression Accessed 29 Jun. 2018.
Shanok, S. and Lewis, D. (1977). Medical histories of delinquent and nondelinquent children: an epidemiological study. American Journal of Psychiatry, 134(9), pp.1020-1025.
WebMD. (2015). Causes of Depression. online Available at: https://www.webmd.com/depression/guide/causes-depression#1 Accessed 30 Jun. 2018.