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Learning Goals
Essential stats Developmental considerations Signs & symptoms of Teen depression Causes & Contributors Diagnostic Issues Treatment approaches What we do at Kaiser What you can do
Essential Stats
About 20% of adolescents will experience depression
before they reach adulthood. About 5% of adolescents are suffering from major depression at any given time. As many as 8.3% of teens suffer from depression for at least a year, compared to about 5.3% of the general population. Thirty percent of Teens with depression also develop a substance abuse problem.
Essential Stats
Untreated depression is the #1 cause of Teen suicide. Third leading cause of death in Teens is suicide. Less than 33% of depressed adolescents seek help, and
80% of those treated report improvement. Homosexual and bisexual teens comprise up to 30% of all Teen suicides. Females attempt suicide twice as frequently as males. Males complete suicide five times higher than girls.
- Mental Health: A Review of the Surgeon General, 2007
Developmental Considerations
Adolescents are excessively egoistic, regarding themselves as the center of the universe and the sole object of interest, and yet at no time in later life are they capable of so much self-sacrifice and devotion. They form the most passionate love relations, only to break them off abruptly as they began them. On the one hand, they throw themselves enthusiastically into the life of the community and, on the other, they have an overpowering longing for solitude. They oscillate between blind submission to some self-chosen leader and defiant rebellion against any and every authority. They are selfish and materially minded and at the same time full of lofty idealismAt times their behavior to other people is rough and inconsiderate, yet they themselves are extremely touchy. Their moods veer between light-hearted optimism and the blackest pessimism. Sometimes they will work with indefatigable enthusiasm and at other times they are sluggish and apathetic.
- Anna Freud, 1966
Developmental Considerations
Physical
Bodily
Height/Weight Secondary sex characteristics Circadian rhythms
Sexuality
Self exploration Dating Orientation
Developmental Considerations
Intellectual
Brain transformation
Executive function Cell growth in frontal lobe (ages 13 25) Abstract thought Priority assignment Ability to take anothers perspective Moral/ethical reasoning
Developmental Considerations
Social World
Peers
Affiliation Acceptance Identity Friendships Cultural/ethnic influences Family role(s)
Separation/Individuation
Thoughts
Feelings
Behaviors
Biology Neurotransmitter(s) Heredity/Genetics Substance abuse Medical condition Environment Abuse Trauma High stress Violence Life Losses Divorce Adjustments to stress Cognitive Theory Core Beliefs/Values Automatic Thoughts Cognitive Distortions
Diagnostic Issues
Major Depression Bipolar Disorder Dysthymia Adjustment Disorder with Depressed Mood Depression NOS
Treatment Approaches
Psychotherapy Lifestyle
Exercise Diet Education Behavioral Mgmt Tx compliance Extracurriculars
Medication
Antidepressants
Prozac Wellbutrin Celexa Zoloft
Mood stabilizers
Risperdal Seroquel Zyprexa Depakote Lithium
What We Do At Kaiser
Best Practice Model (2002) Individual, Family, Group Psychotherapies Psychoeducation
Classes, Written Literature, and Online Information
Medication Treatment Substance Abuse Tx Intensive Outpatient Services (IOP) Crisis Intervention (24/7)
Inpatient/Outpatient
295 - 5210