How do children often show depression? (diff. from adults)
How might preadolescents show depression?
Low self-worth and/or hopelessness
What is the definition of Major Depressive Disorder?
-5 of 9 sx in same 2 week period, plus change from previous functioning
-And has depressed mood and loss of interest or pleasure
Symptoms of Major Depressive Disorder (9)
1. Depressed or irritable mood
2. Far less interest in activities most of nearly every day
3. Failure to make expected weight gains
5. or hypersomnia almoste every day
6. Psychomotor agitation or retardation nearly every day/fatigue/energy loss
7. Feels worthless/inappropriate guilt
8. Less able to concentrate, think, indecisive
9. Recurrent thoughts of death/suicidal ideas/possible pain/not accounted for by bereavment
Definition of Dysthymia for Children
1.Depressed mood most of the dat for mmore days than not, for at least one year
2.Sad or down mood
3. At least 2 of the following S/X are present
-etc etc etc
How are depressed and anxious children distinguished?
A. Depression is dinguished from anxiety by negative thoughts. Negative fview of self/world/future
B. Anxious children WORRY about future and competence
-Is a mix of Major depressive disorder and dysthuymic disorder
-DD is/can be a precursor to MDD
-# of recurrences points to persistence of depression into adulthood
Risk factors of MDD and DD in children?
-Stressful life events (loss/divorce)
-Poor social skills
-Family HX of depression
MDD lasts ?-? months
Episodes of DD last ______ than MDD. (on average ?years)
Episodes of DD last longer than MDD. On average, 4 years
Individual self defeating beliefs trigger (2)
Depression and anxiety (internallized)
Interpersonal self-defeating beliefs trigger
Anger and conflict (externalized)
Downward Arrow Technique (CBT)
Gets to the engrained underlying belief to "If that's true, what is the worst that could happen?"
Externalization of voices (CBT)
A role play/duel of negative thoughts versus positive thoughts. Reverse when stuck.
Time Projection Technique (CBT)
Take mental trip into the future and interview the future self who is successful with high self-esteem. Let "well" self encourage "depressed" self.
Squish the ants
Thought/Species of Ant/Squish the ant
Species: labeling/all or nothing/mind reading/fortune telling/blame/catastrophizing