Depression isn’t just an adult issue—it can affect children and adolescents, too. As a Denver pediatrician committed to whole child care and an integrative approach, we understand how challenging it can be for Denver parents to navigate the signs of depression in their children. While it’s normal for children to experience sadness or mood swings, persistent negative feelings that interfere with daily functioning may signal something more serious. In this blog, we’ll learn from Partners In Pediatrics’ Behavioral Health Manager Jessy Boon, LPCC and explore the warning signs of depression, dispel common myths, and offer practical guidance to help families support their children’s mental health.
What Is Depression in Children?
Depression in kids is a mood disorder characterized by prolonged feelings of sadness, irritability, negative thinking, and a lack of motivation. Unlike occasional bad days, depression in children can persist for days, weeks, or even months, affecting school performance, social interactions, and overall quality of life. Some common signs include:
- Mood Changes: Persistent sadness, irritability, or frequent tearfulness.
- Loss of Interest: A noticeable decline in participation in activities they once enjoyed.
- Sleep Disturbances: Trouble falling asleep, staying asleep, or oversleeping.
- Low Energy: General tiredness or a significant drop in energy levels.
- Changes in Eating Patterns: Eating much more or less than usual.
- Negative Self-Talk: Expressions of low self-esteem or self-criticism.
If your child exhibits these symptoms consistently, it may be time to explore further with a healthcare professional.
Recognizing the Difference: Normal Mood Swings vs. Depression
It’s important to note that mood swings are a natural part of childhood development. Children often experience ups and downs as they navigate school, friendships, and growing responsibilities. However, as our behavioral health expert Jessy Boon explains:
“It is very normal for children to experience mood swings including sadness, irritability, and frustration at times. But, when one of these moods lasts for weeks or longer in addition to other changes in behaviors—such as decreased interest in socializing, a sudden decline in grades, or more explosive behavior—it may be depression.”
In other words, if the negative mood is persistent and accompanied by significant behavioral changes, it’s a signal that something more than normal moodiness might be going on. If you suspect your child might be depressed, scheduling an appointment with your child’s pediatric partner is a crucial first step. At our practice, we work closely with our on-site mental health therapist Jessy to ensure a comprehensive approach to your child’s well-being.
Common Myths and Misconceptions About Childhood Depression
There are several myths surrounding depression in children that can prevent families from seeking the help they need. Here are a few misconceptions and the truth behind them:
Myth 1: Sadness Looks the Same in Children as It Does in Adults
- The Truth:
Children often lack the language to express their deep sadness. Instead of verbalizing their feelings, they might show physical symptoms like stomach aches or exhibit changes such as fatigue, tearfulness, isolation, and irritability.
Myth 2: Good Parents Can Always Detect If Their Child Is Depressed
- The Truth:
Many children mask their negative feelings out of discomfort or fear of showing vulnerability. They might put on a brave face, making it difficult for even attentive parents to notice their internal struggles.
Myth 3: Talking About Sadness With Children Can Make Things Worse
- The Truth:
Open communication about feelings is essential. Discussing sadness and validating your child’s experiences can help them understand and manage their emotions, reducing feelings of isolation.
Myth 4: Children With Mental Health Issues Are Just Seeking Attention
- The Truth:
Mental health issues are genuine and not simply attention-seeking behaviors. Dismissing your child’s struggles can worsen their condition and delay the help they need.
Understanding these myths is key to recognizing the real signs of depression and taking appropriate action.
When to Reach Out for Help
If you notice persistent signs of depression in your child, it’s important to act early. But should you try talking to your child first or reach out to your pediatric practice immediately? According to Jessy:
“It is important to develop a healthy relationship of effective communication between caregiver and child. Having an open line of communication may allow them to feel more comfortable expressing feelings of depression. In addition to talking with your child, reaching out to your pediatrician or our mental health team can help you explore options for support.”
Creating a safe space for your child to share their feelings and then collaborating with an integrative pediatrician like Partners In Pediatrics sets the foundation for a coordinated care plan that addresses your child’s emotional and physical needs.
Supporting Your Child’s Mental Health at Home
While professional treatment is crucial, there are several things parents can do at home to support their child’s mental health:
- Create a Supportive Environment:
Foster a home atmosphere where your child feels safe and loved. This involves setting clear routines and maintaining consistent boundaries. - Actively Listen:
Encourage open conversations. Listen to your child’s thoughts and feelings without judgment, which helps them feel understood and valued. - Practice Healthy Coping Mechanisms Together:
Engage in activities that promote emotional regulation. This might include mindfulness exercises, physical activities, or creative outlets like art or journaling. - Maintain a Routine:
Consistent routines in sleep, meals, and activities can provide a sense of stability that helps alleviate stress and anxiety.
These strategies not only support your child’s emotional well-being but also align with the principles of whole child care, where the focus is on the complete picture of a child’s health.
The Integrative, Whole-Child Approach to Treating Depression
Our practice embraces an integrative, whole-child approach that considers every aspect of a child’s life—from their family dynamics and nutrition to their school environment and physical activity. Jessy notes:
“The integrative, whole-child approach benefits children with depression immensely. It provides improved quality of care as well as better access to services. When families have better access to mental health services, they are less likely to slip through the cracks.”
This collaborative care model, often referred to as a “medical home,” ensures that pediatricians, mental health professionals, and parents work together to create a tailored treatment plan for your child. By addressing factors such as sleep, nutrition, and exercise—components that directly influence brain chemistry and mood regulation—this approach helps manage depression more effectively.
The Role of Nutrition, Sleep, and Physical Activity
Maintaining healthy habits can play a significant role in managing depression. Here’s why:
- Nutrition:
A balanced diet provides the essential nutrients that affect brain function and mood regulation. Incorporating fruits, vegetables, whole grains, and lean proteins can make a significant difference. - Sleep:
Adequate sleep is crucial for emotional regulation. Poor sleep patterns can exacerbate symptoms of depression, while good sleep hygiene can improve overall mental well-being. - Physical Activity:
Regular exercise has been shown to boost mood and reduce symptoms of depression by releasing endorphins, the body’s natural “feel-good” chemicals.
These factors are integral to our integrative pediatric philosophy of treating the whole child. By encouraging healthy habits, we can help support your child’s mental and physical health concurrently.
Effective Therapeutic Approaches for Childhood Depression
When it comes to therapy, Cognitive Behavioral Therapy (CBT) is widely regarded as one of the most effective treatments for childhood depression. CBT focuses on:
- Identifying Negative Thought Patterns:
Helping children recognize the negative thoughts that contribute to their depression. - Changing Negative Thoughts:
Teaching children to challenge and reframe these thoughts into more positive and realistic perspectives. - Building Coping Skills:
Equipping children with strategies to manage their emotions and behaviors in a healthier way.
Jessy Boon explains her personal approach to treating depression:
“I am an eclectic therapist who utilizes a number of approaches to treat depression. The main theory I utilize is Cognitive Behavior Therapy (CBT) to assist in challenging negative thought patterns, while also incorporating grounding exercises, journaling, exercise, and healthy hobbies to help improve mood. It’s vital for me to meet the child and family where they are at and build upon their strengths to support the child’s growth and healing journey.”
This tailored approach ensures that therapy is both effective and compassionate, addressing the unique needs of each child.
What Makes Our Practice a Nurturing Medical Home
At Partners In Pediatrics, we pride ourselves on creating a nurturing and supportive environment for both children and their families. Here’s what sets us apart:
- Collaborative Care:
We work as a team—pediatricians, mental health therapists, and parents—to ensure that every aspect of your child’s well-being is addressed. This collaborative model helps prevent children from “slipping through the cracks.” - Holistic, Whole-Child Approach:
Our focus is on the entire child. We consider factors like family dynamics, nutrition, school, sleep, and physical activity when creating a treatment plan. - Access to In-House Mental Health Services:
With our on-site mental health therapist, Jessy Boon, we can provide immediate and coordinated care, ensuring that your child receives the help they need in a timely manner. - Support for Parents:
We believe that supporting your child’s mental health starts with empowering parents. We offer resources, advice, and open lines of communication to help you navigate these challenges.
This comprehensive care model is designed to support your child’s journey toward improved mental health and overall well-being.
Final Thoughts
Depression in children is a serious issue that can have a profound impact on their overall quality of life. Recognizing the signs—such as persistent sadness, changes in behavior, and shifts in sleep and eating patterns—is the first step toward getting the help your child needs. Remember, even the most resilient children can experience depression, and it’s not a sign of weakness or a failure on the part of the parent.
If you suspect your child may be showing signs of depression, we encourage you to reach out to us. Our integrative pediatric and mental health team are here to support you and your child every step of the way. Through a collaborative, whole child care approach, Partners In Pediatrics work to create a safe and nurturing environment—a true medical home—for your family.
By addressing not only the emotional aspects of depression but also related factors such as nutrition, sleep, and physical activity, we can help your child build a strong foundation for mental and physical well-being. Early intervention and a supportive home environment are key to helping children overcome depression and thrive.
At our practice, we believe in the power of open communication, effective therapy like CBT, and a nurturing care model to transform lives. With the right support, your child can learn to navigate their emotions, develop healthy coping strategies, and move towards a brighter, more balanced future.
For more information or to schedule an appointment with Jessy Boon, please contact us. We’re here to help you and your child embark on a journey to better mental health and well-being. Remember, you’re not alone—your pediatric partner is here to support you every step of the way.
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