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Depression in Children and Adolescents

CASE HISTORY
 Ted is a 10-year-old only child who was brought to his pediatrician with the following history. He was well until about two months before referral at which time he began to lose interest in things. This was manifested by poor concentration, a falling off of school performance, a disinterest in friends, and a decrease in appetite. Ted's teacher was the first to note the personality change and urged the parents to get a medical checkup. Physical examination findings were normal, but Ted seemed sad. History revealed no recent illnesses or incidents likely to be disturbing, but it was learned that Ted's mother and maternal grandfather had suffered multiple depressions, and each had been hospitalized for this on one occasion. Ted said that he felt sad lately, but did not know why. He commented that he never felt this way before and had never thought of hurting himself. When asked, he said he feared he would never feel better, but hoped that he would. The pediatrician diagnosed a major depressive episode. After a discussion with Ted and his mother about depression, the pediatrician made the referral to a child psychiatrist.
 Every adult has felt depressed. It is part of the human condition. Sometimes the cause of the depression is clear; sometimes the depression seems to appear for no apparent reason.