Education key to treating child depression properly
©Kathy
Smith: June 1995 - Health Care News
Long before children develop language
and cognitive skills, they can experience depression. Depression is
a common disorder that can affect people of all ages. It is a complex
problem for anyone to battle at any stage of life.
"When an infant fails to thrive, grow and develop, he or she may be
experiencing analytic depression," says Dr. Richard Arnot from the Mental
Health Services branch of the Queen Alexandria Centre for Children's
Health in Victoria. "Any process that obstructs healthy development
can lead to a depressed state."
"In my experience, a large proportion of childhood depression cases
are situational. But some families have a chemical vulnerability." One
of the difficulties in diagnosing depression is often a change of circumstances
can relieve it. "Situation changes seem to correct a high
number of such problems," Arnot said.
Following difficulties experienced in early childhood, the school years
can also be a stressful time for children as they struggle with changes.
A child may be experiencing problems he or she cannot resolve such as
being separated from home and peer pressure. "A child may become anxious,
irritable and tearful over a period of time," he said. "If a child was
previously outgoing, watch for a change in behaviour.
Unexpected behaviours may also be displayed which may lead to a breakdown
of compliance with family rules. Arnot cautions parents as increased
disciplinary action may create further stress for both the child and
parents. If you suspect your child is suffering from depression, Arnot
suggests you contact a family physician who can request a consultation
with a pediatrician, child psychologist or psychiatrist.
Treatment of childhood depression depends on it being diagnosed properly,
says Sexual Abuse Intervention Program Director, Susan Landell of the
Pacific Centre Family Services Association. "I believe there are
several factors that help a child in his struggle with depression, his
predisposition to the disorder, his innate capacity to deal with stress
in his environment and the level of parental involvement and support,"
she said.
"Without treatment there is a higher risk of recurrent depression. The
basic types of treatment for childhood depression are art/play therapy
and family therapy. For adults, therapies may include psychotherapy,
medications or a combination of both light therapy, cognitive therapy,
behavioral therapy, biofeedback, progressive relaxation and visualization."
If a child requires intensive treatment, they may need to be admitted
to an acute care facility such as the Queen Alexandria Centre for Children's
Health. Helping children better understand their depression can increase
their ability to cope with life, Arnot says. "Within our
facility, we try to provide structure around lifestyle so the child
can learn to experience success," he said. "Our goal is to help
the child become an expert in his or her illness."
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