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Childhood and Adolescent Depression

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Depression in children doesn’t always look like sadness. It can show up as irritability, anger, or withdrawal—and often goes unrecognized. Because these emotions can overlap with the normal ups and downs of growing up, it’s easy to miss the signs. But untreated childhood depression can affect everything: your child’s ability to learn, connect, and feel safe in their world.

Common Signs of Depression in Children

Have you noticed your child showing signs such as:

  • Frequent irritability or sudden emotional outbursts

  • Persistent sadness, hopelessness, or withdrawal from family and friends

  • Heightened sensitivity to rejection

  • Trouble sleeping—or sleeping too much

  • Loss of appetite or sudden increase in eating

  • Difficulty focusing

  • Low energy or fatigue

  • Recurring complaints like headaches or stomachaches with no medical explanation

  • Loss of interest in activities they used to enjoy

  • Feelings of guilt or worthlessness

  • Thoughts of death or self-harm

Children may not be able to explain these experiences—but they show it through behavior, mood, and physical health. If you’ve noticed any of these signs, especially a consistent pattern, it’s time to seek professional support. Left untreated, childhood depression can impact not only a child’s emotional development, but also their academic performance and social well-being.

Adolescents: Normal Mood Swings or Something Deeper?

Adolescence is already a turbulent time—but in today’s world, it’s especially complex. Teens face pressure at school, on social media, and in their social circles. They may isolate themselves, stop talking about friends, or seem unmotivated, angry, or withdrawn. But how do you know when it’s more than just “growing pains”?

Look for these signs:

  • Sudden mood swings that feel different from their usual self

  • Withdrawing from friends and family

  • Declining interest in school, hygiene, or appearance

  • Locking themselves away, avoiding conversations

  • A noticeable drop in school performance

  • Comments like “I don’t care anymore” or “What’s the point?”

These could be signals of deeper distress—not just typical teen behavior. Depression affects how teens think, feel, and relate to the world. In some cases, it leads to acting out, risky behavior, or withdrawal. Left untreated, it can escalate into serious mental health challenges.

Why Early Support Matters

Whether your child expresses sadness inwardly or acts it out through anger or defiance, depression affects their ability to connect and function. Many young people struggle to put words to what they’re feeling—but with compassionate, experienced care, they can learn how to name their emotions and manage them.

Through therapy, your child or teen can:

  • Identify and express difficult feelings

  • Learn coping strategies to manage stress and sadness

  • Reframe negative self-talk and self-blame

  • Strengthen emotional resilience

  • Rebuild confidence and healthy relationships

As a parent, your support is essential. Together, we’ll create a space where your child feels safe to open up—and where change becomes possible.

You don’t have to navigate this alone. I offer individual therapy for children, adolescents, and parents on Long Island.
Call me at (516) 627-1145 for a complimentary consultation.

Dr. Maryann B. Schaefer, LMHC

Ph.D. – Counseling, Concentration in Psychology
NYS Licensed Mental Health Counselor
Fellow of American Psychotherapy Association

Phone: (516) 627-1145

Email: drmaryannschaefer@gmail.com

5 Travers Street  Manhasset, NY 11030

Office Hours: By appointment only.

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