Even the medications that are designed to help them get through the depression can sometimes make things worse, as various medications for depression and anxiety carry a risk of suicide when people are just starting or just getting off of the medication.
Reviewing the literature about how to deal with depression in adolescents is very important, as treatment is needed in many cases. The first important concern for treatment is the psychodynamic approaches that are used. Psychodynamic approaches, or psychosocial approaches, generally translate in lay terms to counseling or therapy of some kind. This can be in a group or individually, depending on which way the therapist feels will be more effective, and the recent evidence into this issue shows that adolescents that are dealing with depression may find that this kind of intervention is often very effective in alleviating their depression (Lewinsohn & Clarke, 1999; Clarke, Rohde, Lewinsohn, Hops, & Seeley, 1999). One of the main reasons that a treatment approach is so important for these people is that around 15% of adolescents are viewed as being clinically depressed at some time in their teenage years (Montgomery, Beekman, & Sadavoy, 2000).
One study that was conducted by NIMH in 1997 indicated that adolescents that suffered from depression and were treated by therapists had a 65% remission rate and responded to treatment much more rapidly than adolescents that were treated with support and concern from their families only, instead of professional intervention (Brent, Holder, Kolko, Birmaher, Baugher, Roth, Iyengar, & Johnson, 1997).
This does not mean, however, that family therapy or intervention in the life of a troubled individual has no merit. Even those that did not have one-on-one counseling or therapy found that there was improvement when they were involved in a program that dealt with family therapy and coping skills. Not only did depressive symptoms show a decrease, but there was also significant improvement in problem-solving skills, interacting with family and friends, and overall social functioning in general (Mufson, Weissman, Moreau, & Garfinkle, 1999).
Adolescents clearly need support and help when they are depressed, just as individuals of any age group do. However, finding that help and support can be very difficult, because adolescents often do not know how to go about asking for help, or who to turn to. Often, they are not even aware that they are depressed. Instead, they just think that everyone feels this way, or that it 'will not happen to them.' Parents, siblings, friends, other family members, and teachers can compound the problem if they look the other way and insist that everything is fine when it is really not.
Sometimes, when an adolescent commits suicide, the parents insist that they never knew that their child was depressed, or that they never saw any signs that there was a problem. Usually, though, there are signs, and others either ignore these signs or they do not recognize them for what they are and therefore do not do anything about them. People obviously want to think that everything is all right. No one likes to acknowledge that they or someone they love has a problem. Despite this, though, the recognizing of and admitting to a problem with depression can save lives.
No parent should have to go through the pain of burying their child. When parents know that there is something that they could have done but they did nothing, that pain is magnified and intensified. An adolescent suicide can not only take the life of the young person but can ruin or severely damage the lives of the family members and friends, as well. This destruction damages society in that economic and social issues and affected, and people's lives are disrupted while they struggle to cope with the loss of a loved one.
Losing someone that was loved, especially if the loss is sudden or...
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