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Depression, Adolescent

Margo L Bailey-Leatherwood, MS, MD and Lovella Duru Kanu, MD Reviewed 06/2022
 


BASICS

DESCRIPTION

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

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

  • 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
Thapar  A, Collishaw  S, Pine  DS, et al. Depression in adolescence. Lancet.  2012;379(9820):1056–1067. [View Abstract on OvidMedline]
2
...

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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