Presentation is loading. Please wait.

Presentation is loading. Please wait.

1 Depression in children Dr.Ksh. Chourjit Singh Prof. of Pediatrics Regional Institute of Medical Sciences, Imphal National Chairperson, Growth & Development.

Similar presentations

Presentation on theme: "1 Depression in children Dr.Ksh. Chourjit Singh Prof. of Pediatrics Regional Institute of Medical Sciences, Imphal National Chairperson, Growth & Development."— Presentation transcript:

1 1 Depression in children Dr.Ksh. Chourjit Singh Prof. of Pediatrics Regional Institute of Medical Sciences, Imphal National Chairperson, Growth & Development Chapter, IAP National Executive Board Member Advisor HIV/AIDS in Children Task Force, Manipur State. Past President, East Zone, IAP President, NNF, Manipur State Branch

2 2 Introduction Depression in school-age children and adolescents remain a long-overlooked Health problem As prevalent as in adults Common cold of mental illness – Clinical Depression Specially in childhood – is a major health problem

3 3 Severity of Problem 5% children at any given time 1% of Pre-school children 2% of school-age children 5% of adolescents are affected 25-50% of all children & adolescents in Psychiatric treatment are for depression & its related problems More common in boys than girls – 5:1 school-age children Adolescent girls than boys - 2:1

4 4 Severity of Problem …. Untreated Depression can be taken as important cause of suicide in adolescents, even adults

5 5 Why depression in young ? A) Risk factors Children referred to mental health providers for school problems Children with medical problems Asthma Diabetes Epilepsy Many chronic childhood diseases

6 6 Why depression in young ? ……. Law and order problems Frequent bandh/ strikes Frequent school closures Ethnic group clashes Insecure feelings Conflict environment Watching television a lot i.e. more than 6 hours a day

7 7 Risk factors ….. Rural vrs Urban children Sexually harassed children Children with family history of depression Genetically potential What is happening in an individual childs life

8 8 B) Why depression runs in families Genetics Even if a child never contacts with depressed parents, child may also likely to be depressed Marital difficulties Broken family/ marital problems Divorce plus depression in parents Parenting problems Hard to be good parent when depressed Parenting problems whether from parents or from child

9 9 C) Can experience depression at any age – Presentation? Shortly after birth & very young Failure to thrive Disrupted attachments to others Developmental delays Social withdrawal Separation anxiety Sleeping and eating problems

10 10 C) Chance of depression at any age… Between 6-12 years of age Fatigue Sadness Inability to feel pleasure Irritability & Insomnia Lack of self esteem Stomach ache and headache

11 11 C) Chance of depression at any age… Hallucinations Agitation & extreme fears Weight changes Difficulty with school work Apathy Lack of Motivation Social withdrawal

12 12 C) Chance of depression at any age… Adolescent Over-sleeping Socially isolated Acting out in self destructive ways Sense of hopelessness Despairing thoughts Weight changes

13 13 Future of depressed school-age children If untreated in time – affects the children School performance and learning Social interaction and development of normal peer relationships Self-esteem and life skill acquisition Parent-child relationship & sense of bonding

14 14 Future of depressed school-age children…. Lack of trust – can lead to Substance abuse Disruptive behaviour Violence and Aggression Legal troubles and even suicide Depression thinking can become part of a childs developing personality, leaving long-term effects in place for the rest of the childs life.

15 15 Behavioural changes – What? Professional attention decreases Classroom disruption Expulsion from school School failure Injury to themselves or others Symptoms ADHD Truancy Delinquency

16 16 Stress in students leading to depression Parental pressure to perform and to stand out among other children If not come up to expectations Frustration Physical stress Aggression Undesirable complexes

17 17 Stress in students leading to depression… Under-Performers Negative traits Shyness Unfriendliness Jealousy World to loner

18 18 Over-scheduling a students life Non-availability of time for extra-curricular activities after school No proper place for ventilation & breathing space Unwanted learning like music, painting or outstanding in sports Too many crammed schedule & unmindful of the childrens choice Unadjusted school systems and tremendous amount of homework – spending their evenings, weekends and vacations

19 19 Over-scheduling a students life… Loss of interest in studies Under-perform due to excess academic pressure Students often carry enormous amount of anxiety and negative personal traits & massive attention problems Non-effortless learning Physio-Psychological transition of students Mainly affected elementary to Junior High School

20 20 Diagnostic Points Transient depression or sadness Impairment in childs ability to function Two types Dysthymic disorder Major depressions Dysthymic disorder – less severe but lasts longer Chronic depression/Irritability > 1 year

21 21 Diagnostic Points …. Onset about 7 years of age 2-6 symptoms within 5 years Leads to major depression/ Double depression Untreated Dysthymic disorder will experience Remission within 6 years Prevalence of depression increases with age – 5 percent of all teens

22 22 What can be done Diagnostic evaluation – success to treatment All disorders be discovered and addressed Medication Mood stabilisers Anti-anxiety Anti-depressants Stimulants

23 23 What can be done… Individual therapy Often beneficial for patients & specially help with issues Family conflicts Self-esteem Relaxation strategies Mood and anger control Better communication

24 24 School environment Interaction School Counsellor Principal Psychologist Teachers and Parents Psycho-educational treatment Speech and occupational therapy

25 25 School environment… Counselling Curriculum modification Resource classes Behavioural modification system Self-contained classrooms

26 26 Home/ Parental environment Family and Home modification\ Homely life environment

27 27 Family therapy Defining Family members role and responsibility Better communication & behavioural Reward systems

28 28 Dont overload your child with too many after-school activities and responsibilities. Let children learn to pace themselves. Dont enrol them in every class along and dont expect them to be first in everything.

29 29 Thank you

Download ppt "1 Depression in children Dr.Ksh. Chourjit Singh Prof. of Pediatrics Regional Institute of Medical Sciences, Imphal National Chairperson, Growth & Development."

Similar presentations

Ads by Google