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Depression, Adolescent

Joseph B. Gladwell, MD and Stephen J. Knox, MD Reviewed 06/2018
 


BASICS

DESCRIPTION

  • DSM-5 depressive disorders include disruptive mood dysregulations disorder (DMDD), major depressive disorder (MDD), persistent depressive disorder, premenstrual dysphoric disorder, s...

DIAGNOSIS

HISTORY

  • Adolescents may present with medically unexplained somatic complaints (fatigue, irritability, headache).

  • Based on DSM-5 criteria, ≥5 of the following symptoms have been present during ...

TREATMENT

GENERAL MEASURES

  • Active support and monitoring with short validated scales should be used in mild cases for 6 to 8 weeks.

  • Psychotherapy and/or medication should be considered if active support...

ONGOING CARE

FOLLOW UP RECOMMENDATIONS

Patient Monitoring

  • Systematic and regular tracking of goals and outcomes from treatment should be performed, including assessment of depressive symptoms and functi...

REFERENCES

1
1 Thapar A, Collishaw S, Pine DS, et al. Depression in adolescence. Lancet.  2012;379(9820):1056–1067.
2
2 Ma D, Zhang Z, Zhang X, et al. Comparative efficacy, acceptability, and safety...

ADDITIONAL READING

  • LeFevre ML; for U.S. Preventive Services Task Force. Screening for suicide risk in adolescents, adults, and older adults in primary care: U.S. Preventive Services Task Force recomme...

CODES

ICD10

  • F32.9 Major depressive disorder, single episode, unspecified

  • F33.9 Major depressive disorder, recurrent, unspecified

  • F32.8 Other recurrent depressive disorders

  • F32.8 Other depressive episodes

ICD9

CLINICAL PEARLS

  • Adolescent depression is underdiagnosed and often presents with irritability and anhedonia.

  • Fluoxetine is the most studied FDA-approved for treatment of adolescent depression.

  • Escitalopr...

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