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Depression, Adolescent

Joseph B. Gladwell, MD, CPHQ, CPPS and Lindsay Marie Poplinski, DO Reviewed 06/2020
 


BASICS

DESCRIPTION

  • Diagnostic and Statistical Manual of Mental Disorders, 5th edition (DSM-5) depressive disorders include major depressive disorder (MDD), disruptive mood dysregulation disorder (DMDD)...

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

  • SSRI medications include black box warning to monitor for worsening condition, behavior changes, and suicidal thoughts (6)[A]

  • Systematic and regu...

REFERENCES

1
Thapar A, Collishaw S, Pine DS, et al. Depression in adolescence. Lancet.  2012;379(9820):1056–1067.
2
American Psychiatric Association. Diagnostic and Statistical Manual of Mental Diso...

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 treatment for adolescent depression.

  • Escitalopram,...

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