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Depression, Pediatric

John I. Takayama, MD, MPH and Eva C. Ihle, MD, PhD Reviewed 10/2018
 


BASICS

DESCRIPTION

  • General term that includes major depressive disorder (MDD), persistent depressive disorder (dysthymic disorder), depression associated with bipolar disorder, disruptive mood dysregul...

DIAGNOSIS

  • U.S. Preventive Services Task Force recommends routine screening of adolescents for depression in clinical settings that can ensure accurate diagnosis and appropriate management and follow-u...

TREATMENT

  • Assessment of severity of depression

    • Determine severity by considering number of symptoms, thought content and process, risk for suicidal behavior, and impact on functioning.

    • Mild depression: ...

ONGOING CARE

FOLLOW-UP RECOMMENDATIONS

  • In the initial phase (6 to 9 months or longer), the primary care clinician must identify medical conditions associated with depression, provide support and resour...

ADDITIONAL READING

  • Avenevoli S, Swendsen J, He JP, et al. Major depression in the National Comorbidity Survey—Adolescent Supplement: prevalence, correlates, and treatment. J Am Acad Child Adolesc Psyc...

CODES

ICD9

  • 311 Depressive disorder, not elsewhere classified

  • 296.20 Major depressive affective disorder, single episode, unspecified

  • 300.4 Dysthymic disorder

  • 296.30 Major depressive disorder, recurrent ep...

FAQ

  • Q: What is the PHQ-9?

  • A: The PHQ-9 is a self-completed screening survey composed of nine questions that ask about the frequency of symptoms of depression. If a patient reports five or more symptoms...

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