Childhood Depression

Most adults and many children and adolescents have a few bad days here and there, sometimes three or four in a row. When this happens, your mood is bad, you feel like jumping on people for nothing. You sleep, but you do not rest. You eat, but you are not hungry. Your life is one big chore. Everything that was fun is work and what usually is work is like walking with lead boots. Often you have stomach aches, headaches, aching, dizziness and other symptoms, but the doctors can not find anything wrong. When family and friends want to talk, you do not listen. If you can, you stay alone and wish they would all just go away. And you think about what you have got to do, and you wish you could put it off for ever. And about what you have done, and about what could go wrong, and how you could never live like this for 30 more years.

Of course not everyone has all those symptoms every time. When people are clinically depressed, they have this for weeks, months, and often years. Nearly everyone knows someone who has been severely depressed as 6% of the world's population has had an episode of severe depression like this. Suicide occurs in 15% of depressed people.

Depression in school-age children may be one of the most overlooked and under treated psychological disorders of childhood, presenting a serious mental health problem. Depression in children has become an important issue in research due to its many emotional forms, and its relationship to self-destructive behaviors. Depressive disorders are of particular importance to school psychologists, who are often placed in the best position to identify, refer, and treat depressed children. Procedures need to be developed to identify depression in students to avoid allowing those children struggling with depression to go undetected. Depression is one of the most treatable forms of disorders, with an 80-90% chance of improvement if individuals receive treatment (Dubuque, 1998). On the other hand, if untreated, serious cases of depression in childhood can be severe, long, and interfere with all aspects of development, relationships, school progress, and family life (Janzen, & Saklofske, 1991).

The existence of depression in school-age children was nearly unrecognized until the 1990's. In the past, depression was thought of as a problem that only adults struggled with, and if children did experience it, they experienced depression entirely different than adults did.