Childhood Depression 

Some people believe that only adults suffer from depression. But this is not true. Children and adolescents can also suffer from depression.  Although children have times when they feel sad or down, occasional bouts of sadness are normal for children, adolescents, as well as adults. When feelings of sadness, and/or other depressive symptoms linger for longer periods of time this can signal childhood depression, as well as depression in adults. 

Childhood Depression

Symptoms of Childhood Depression

Although we usually associate depression with sadness or feelings of unhappiness, an irritable mood, rather than a depressed mood or feelings of sadness, may dominate in young people. In addition to an irritable mood, depressed children may also show a range of other concerns.

Symptoms of depression in children include the following:

  • Frequent bouts of sadness and/or irritability with indications that the young person feels this way much of the time. 
  • Low energy, and feelings of fatique or tiredness
  • Low self-esteem, negative self talk and feelings of worthlessness. 
  • Feelings of hopelessness. 
  • Lack of interest in activities they once enjoyed. 
  • Sleeping problems, for example, problems falling asleep or sleeping too much. 
  • Eating problems, for example, eating more or less than usual.    
  • Poor concentration or difficulties paying  attention.
  • High levels of physiological arousal.

If you notice that the child's symptoms of depression linger for two weeks or more report your concerns to your health care provider. 

What Causes Childhood Depression?

The contributing factors associated with childhood depression are multifaceted, and involve unique interactions, both genetic and environmental,  . They involve interactions that are unique to i indvidua , both environmental and genetic factors, including neurobiological, psychological and social factors issues dimentions , play out differently for each young oerson  , which plays out differently for each individual oc factors interacting to and include neurobiological, psychological and social determinants.  These various factors interlink, and play out differently for each young person through " web of causation." a . clty alyout  erious factors e ;oical relate to numerous multifaceted . Young people may feel depressed when they are experiencing negative stress or after losing someone close to them. The various stressors and vulnerabilities for depression, integrate in different ways for the depressed child or adolescent are unique for each young person.  These may include stressful life events, or having a parent who suffers from depression. With this latter concern there is no confirmation regarding whether this risk factor rests on genetics or the psychosocial factors associated with growing up in a family with a depressed parent, or both. Biological challenges may also increase the risk for depression, such as neurobiological vulnerabilities. Cognitive vulnerabilities may also be at issue. The young person may rely on negative interpretations of causes and consequences of events, and/or negative self perceptions. He or she may also show a tendency to ruminate in response to depressed mood and/or self-criticism.

Help for Childhood Depression

Are you worried about a child who shows symptoms of depression? Or do you think a child is at risk because other family members show depressive symtoms?


Depression runs in families. Children who are growing up in families where depression is a problem are at greater risk of developing a depressive disorder, than children who are growing up in families where depression is not a problem. When children suffer from depression they may also show signs of other psychological concerns such as learning and behavioral difficulties. 

Preventative programs that focus on children, when parental depression is a problem in their families, show promising results. Demonstrated positive, long-term results include reduced levels of depression, positive coping skills and increased resilience.

Dr. O'Connor offers Psychological Assessments  and School Neuropsychological Evaluations to to help.   "Understanding the Problem is the Key to Solving It." A Psychological Assessment can help "get to the root" of child problems, including concerns related to depression, and lead to evidence based solutions to address any depressive symptoms that surface.    Both the Psychological Assessment  and the School Neuropsychological Evaluation include a range of Standardized and Informal  measures, as well as a comprehensive report detailing the assessment findings, and evidence based interventions. 

What measures are most important depend on the child and his or her individual needs. Not all of these measures will apply in each case. The assessment is likely to include some or all of the following:


  •  Gathering Background Information: This includes information about the child, such as medical, developmental and family history. The parent will provide information about the child’s temperament, strengths and needs and their view of where things are working or not going so well, and what kind of help you need.

  • Various social, emotional, and behavioral rating scales, completed by the child,  and/or his or parent and sometimes his teacher. This might include The Child Depression inventory. This scale assesses the degree to which a child exhibits symptoms of child depression.
  • Story Telling, and Play/Art Based Techniques

Dr. O'Connor scores, interprets and summarizes the assessment information. She will then integrate this information into a written summary report. This will include her interpretation and summary of the test findings and practical, effective solutions to help reduce symptoms of childhood depression and encourage healthy coping strategies in children. She will also make diagnoses, including those which apply to various depressive disorders when appropriate.

Recommendations are tailored to the specific needs of the child.

Dr. O’Connor's report includes a summary of the child’s strengths and needs, an overview of Dr. O’Connor’s view of the problem, recommendations to address it, and options for further exploration. She will also refer you to relevant resources to provide further support and understanding about how to help the depressed child.

Find out more about how a Psychological Assessment  or School Neuropsychological Evaluation can help when you are worried about childhood depression. .