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Depression, Adolescent

Lovella Duru Kanu, MD and Emily N Hernandez, DO Reviewed 04/2024
 


BASICS

DESCRIPTION

  • Major depressive disorder (MDD), is a primary mood disorder characterized by sadness and/or irritable mood with impairment of functioning; abnormal psychological development; and a l...

DIAGNOSIS

HISTORY

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

  • The below symptoms have to be present for at least 2 weeks and there has to be ...

TREATMENT

GENERAL MEASURES

  • Initial management should include education regarding the presentation, prognosis, and interpersonal impact of depression.

  • Psychotherapy and/or pharmacotherapy should be consi...

ONGOING CARE

  • Antidepressant treatment should be continued for 6 to 12 months at full therapeutic dose after the resolution of symptoms at the same dosage.

  • After resolution of symptoms, monitor monthly ...

REFERENCES

1
American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders . 5th ed. Arlington, VA: Amer...

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

SNOMED

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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