Depression in Children : Treatment,Complications

4th Pediatric Infectious Diseases Conference

ISSN 0973 - 0958

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DEPRESSION IN CHILDREN

Related topics

What is Depression ?

Depression Causes and Symptoms

Depression Prevention and Rehabilitation

Depression FAQ'S

Dr Vihang N Vahia

Hon . Psychiatrist & Prof of Psychiatry
Dr R.N. Cooper Hospital & Seth G .S.Medical College,Bombay 400 056.

Consultant at:

Breach Candy Hospital.
Gandhi (Bhajekar) Hospital.
Hurkisondas Hospital.
Nanavati Hospital.

Q. What is the treatment of depression?
Treatment of depression depends on 3 major factors :-

Treatment of acute episode

Prevention of recurrence.

Rehabilitation

It can also be divided into drug therapy and non-drug therapy.

Drug therapy :-They are known as antidepressants. There are several groups of antidepressants available. Their side effects vary. The older drugs cause dryness of mouth, constipation, blurring of vision and cause an adverse effect on the heart. The newer drugs have lesser side effects but may cause acidity, restlessness and loss of sleep.

[The older drugs are imipramine, amitriptyline, dothiepin, doxepin, mianserin, clomipramine. The newer ones are fluoxetine, fluvoxamine, tianeptine, venlafaxine, paroxetine].

Caution : -Benzodiazepines should not be used as antidepressants. They can be dangerous. They may lead to addiction, memory difficulties and may facilitate suicidal behavior.

Non-drug treatment : -It consists of cognitive therapy where the patient's mind frame is changed so that the patients does not respond to stress or any other negative influence with depression. In children, family therapy may be an essential part of depression. A functionally broken home breeds mental dysfunction in children. The child may feel in secure, misunderstood and not taken cared for. This might prompt the child to become rebellious.

Advice to parents : -

Child sees the parents as one unit. Any breakup may lead to insecurity. The parents should not have any dispute in presence of children and it should be settled before it percolates down to the children.

Avoid conflicting instructions.

"PRACTICE WHAT YOU PREACH AND PREACH WHAT YOU PARCTICE".

Don't do what you would not accept your child doing like smoking, drinking, quarreling.

Set an example to children through personal behavior.

Q. What are the complications of depression?
Suicide is one of the major problem of depression. Anxiety, alcohol & substance abuse and difficulty in interpersonal relationships and sexual life are other problems of depression. Elderly depressed and chemically depressed are known to experience memory difficulties

Next : Depression Prevention and Rehabilitation

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