Teenage Depression, Symptoms and Causes

Teenage Depression, Symptoms and Causes

Depression among adolescents is not uncommon. The emergence of teenage depression is typically due to significant personal changes that accompany the transition from childhood to young adulthood. Many teens struggle with questions of sexuality, gender, and identity as they begin to develop as individuals outside the parental sphere of influence.

Teenage depression often remains unnoticed and can bring about other issues, such as substance abuse, anxiety, cutting, and eating or sleep disorders. Many depressed teens attempt to hide their depression, opting to suffer in silence rather than drawing attention to their emotional pain.

Teenage depression has a myriad of sources, some of which may include bullying, peer pressure, divorce, death, and academic pressures. Studies have also found higher rates of depression in teen girls. In fact, major depressive episodes (MDE) in adolescent girls increased from 13.1% in 2005 to 19.9% percent in 2017.^[1] Similarly, the number of girls aged 10- to 14-years-old were admitted to the emergency room due to self-inflicted injuries tripled between 2010 and 2015,^[2] and the suicide rate among teenage girls has doubled since 2007.^[3]

This increase can partially be accounted for by the rise of social media and the effects of harmful beauty and body standards young women see reflected back to themselves by the phone screen. In fact, studies show that even after only one hour of screen time daily, children and teens may begin to have less curiosity, lower self-control, less emotional stability, and a greater inability to finish tasks.^[4]

Understanding Depression

Depression is a mood disorder characterized by a persistent low mood and a lack of motivation. It can profoundly affect multiple areas of a person’s life.

Emotionally, depression can provoke feelings of sadness, anxiety, guilt, and anger. Behaviorally, it impacts interactions and daily activities, potentially leading to decreased social engagement and diminished overall functionality. Physically, it may manifest as real pain and discomfort, further complicating the condition.

Depression can cause a wide array of symptoms, including restlessness, feelings of worthlessness or guilt, memory problems, difficulty making decisions, changes in appetite, and loss of interest in activities once enjoyed. Additionally, it might cause digestive issues, chronic pain, fatigue, and sleep disturbances.

Recognizing that you are not alone in this struggle is crucial. Depression is a common and serious medical condition that is now recognized and treated as such within the healthcare community. It is important to understand that seeking help is a sign of strength, not weakness.

Treatment Options for Depression

The initial step in treating depression involves a comprehensive assessment that includes reviewing the patient’s medical history, evaluating symptoms, and conducting a physical examination. Understanding how depression manifests in the individual allows healthcare professionals to tailor treatment strategies effectively.

To aid in diagnosis, standardized tools like the Beck Depression Inventory and the Hamilton Rating Scale for Depression are used. These tools help pinpoint the nature and severity of the depression, guiding the development of a personalized treatment plan.

Common Signs of Depression

There is a marked distinction between sadness and depression; sadness is typically short-lived, while depression is a long-term mental health problem. Depression often affects school, work, health, and overall quality of life for an extended period of time. It is important to identify the differences between depression and sadness in order to properly assess when to seek professional treatment in cases of depression.

Teens suffering from depression often struggle to function normally, enjoy hobbies, and focus on important tasks. Due to serious decreases in energy and motivation, even the simplest, everyday tasks—getting out of bed, brushing your teeth, preparing a meal, cleaning your room, taking a shower, responding to a text message, etc.—can feel insurmountable.

It’s important to remember that depression in a teenager may look different than depression in an adult, yet its consequences are still very real. A depressed teenager coping with issues with their identity, friendships, family relationships, grades, or bullying may feel deeply misunderstood and may react by sulking or acting out—at home or at school. Many depressed teens attempt to fly under the radar and as a result, do not receive the treatment they need.

The symptoms of depression vary from person to person, and when watching for the signs of depression in a loved one, bear in mind that every individual experiences depression differently. Although someone may not display all of the traditional symptoms, he or she may still be struggling with clinical depression. That being said, common signs of depression include, but are not limited to, the following:

• Feelings of sadness, tearfulness, emptiness, or hopelessness
• Angry outbursts, irritability or frustration, even over small matters
• Feelings of helplessness, worthlessness, or guilt
• Anxiety, agitation, or restlessness
• Loss of interest or pleasure in most or all normal activities
• Sleep irregularities, including insomnia or excessive sleeping
• Difficult completing small tasks due to fatigue and/or lack of energy
• Slowed thinking, speaking, or movement
• Overeating and weight gain or loss of appetite and weight loss
• Frequent or recurrent suicidal thoughts or suicide attempts
• Trouble focusing, making decisions, and remembering things
• Digestive problems, cramps, headaches, and/or other unexplained aches/pains

Depression can be paralyzing, and symptoms in teens often affect eating, working, sleeping, studying, and enjoying time with their peers or once-pleasurable hobbies and activities. Teenage difficulty focusing, low self-esteem, irritability, feelings of isolation, and/or reckless behavior are often dismissed as expected by-products of teenage development when in reality they may be indicative of a larger problem with depression.

It is not uncommon for unknowing parents to blame a depressed teen for being lazy or difficult, especially when the child may be forcing a smile to appear mentally stable and to avoid unwanted intervention. Patience with your child and attention to detail are most conducive to successfully identifying depression as more serious than a temporary phase of adolescent angst and rebellion.

Prevalence of Depression Among Teens

Even in the past year, the number of teens suffering from depression has increased, with 9.7%, or 2.3 million, of Americans between the ages of 12 and 17 suffering from depression in 2021, an increase of 126,000 from 2020.^[5] These numbers do not take into account the likely millions of undiagnosed teens who are coping on their own.

While these statistics may seem discouraging, hope does lie in an increase in treatment.^[6] In 2021, only 27.3% of youth with severe depression received consistent treatment. Although many adolescents suffer from depression, many remain undiagnosed and untreated until their depression has escalated to detrimental levels.

Depression, which often begins at around age 14, affects nearly 21 percent of college students globally.^[7] Identifying depression as young as possible is vital in order to prevent depression that lasts for years, possibly decades. Because the brain is still developing until the early twenties, antidepressant medications can have adverse effects, including an increase in suicidal thoughts and behaviors. Therefore, therapeutic treatment is often recommended for teens as the first step before any medication is prescribed.

Teen Suicide

Effective and early intervention in cases of depressions are more likely to reduce the severity of the symptoms. Simultaneously, identifying and treating depression is the number one way to prevent teen suicide. Through a combination of support, possibly medication, and psychotherapy, such as cognitive-behavioral therapy, which is typically focused on improving emotional stability, strengthening coping strategies, and transforming negative thought patterns, recovery is possible. In some cases, solace is found in religion or spirituality. In nearly all cases, the earlier treatment begins, the smoother the recovery process will be.

It is paramount for a depressed teen to develop problem-solving skills, learn healthy mechanisms for coping with stress, rebuild self-esteem, and work on relationship issues. Ultimately, it is important to remind depressed teens that they are never alone, that they are cared for and loved, and that depression is treatable.

Take Action

Residential treatment centers can provide the necessary support and treatment for depressed teens. These treatment centers are professionally equipped to help teens suffering from behavioral problems, depression, anxiety, and substance abuse issues. Do not delay in reaching out to connect your teen with the right treatment.

The National Suicide Prevention Lifeline, 1-800-273-TALK (8255)