4th Pediatric Infectious Diseases Conference
 
 
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Depression in Children
DEPRESSION IN CHILDREN
Continued...

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

Depression Treatment Factors Treatment of acute episode.
Depression Treatment Factors Prevention of recurrence.
Depression Treatment Factors 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.

Non-drug treatment : - It consist of cognitive therapy where the patients 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 : -

Depression Treatment Advice 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.
Depression Treatment Advice Avoid conflicting instructions.
Depression Treatment Advice "PRACTICE WHAT YOU PREACH AND PREACH WHAT YOU PARCTICE".
Depression Treatment Advice Don't do what you would not accept your child doing like smoking, drinking,     quarreling.
Depression Treatment Advice Set an example to children through personal behavior.

PREVENTION OF RECURRENCE : - To prevent recurrence of depression, mood stabilizer drugs like lithium, Carbamzepine, Na Valproate, Lamotrigine and other newer antiepileptics may be given for a long time. They should always be given under a doctor's guidance. Thyroid hormones may also be used in treatment of resistant depression.

REHABILITATION :- Always follow the policy of start low & go-slow. The patients should engage in neutral, non-stressing environments, sports. The patient should not be a loner and should not bottle emotions. Guilt and negative emotions should be resolved.

See also Depression in adolescents"

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Last created on 03-05-2001
Last updated on 18-11-2006
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