Developmental Resources Proudly Presents Kim Tip Frank, Ed.S., LPC School Counselor Rock Hill School District Three Author of: Battling the Blues Available @ www.youthlightbooks.com Please Ask Questions Via Chat!! WHAT IS DEPRESSION? Persistent Condition Abnormal Functioning 1
Intensity Frequency Duration THE MISSissippi M.D. Tiredness Hopelessness Eating extremes Maintaining focus Interests Sleep extremes Self-esteem issues 2
Movement extremes Death suicidal thoughts The Signs of Depression for Children Through Age 12 My grades are lower than they should be. I am often absent from school. I am spending more time alone and less time with friends. I don t enjoy doing things I normally like to do. I often have sad or hopeless feelings. I often forget things. I have trouble focusing and getting things done. I feel down on myself. 3
I blame myself often for problems. I get easily upset with others. I have headaches and stomachaches more than normal. I have a short temper or am often mad. I often feel tired - not wanting to do things. I am not keeping up with my school work and chores. I don t take care of myself as well as I should (bathing, brushing teeth, eating right, exercising, etc.). The Signs of Depression for Teens Ages 13-18 My school performance is not up to par. I am missing too many days of school. I am withdrawing from friends. I refrain from doing enjoyable activities. 4
I often feel hopeless or sad. I have trouble making decisions. I forget things too often. I have trouble concentrating and getting things done. I have negative thoughts about myself. I often feel guilty. I overreact toward others. I regularly complain of not feeling well (headaches, etc.). I tend to feel angry and go into rages. I have little energy much of the time. I neglect to take care of myself (personal hygiene, eating right, exercise, etc.). I am not keeping up with my school and home responsibilities. I drink alcohol and/or take other drugs. I have thoughts of wanting to hurt myself or of dying. I am cutting or injuring myself in other ways. 5
The Two Question Quiz 1. Over the past two weeks, have you felt down, depressed, or hopeless? 2. Over the past two weeks, have you felt little or no interest or pleasure in doing what you usually do? Referral Sources Physician (pediatrician) Professional counselor Psychiatrist Psychologist Neurologist Local mental health agency Correlates to Depression 1. Genetic loading 2. Health issues 3. Life changes/losses 4. Negative environment 5. Chemical imbalance 6
Loaded Gun Theory Family history (predisposition) Negative thought pattern Stress (the trigger) Contributing Factors 1. Genetic 2. Biological 3. Environmental Maslow s Hierarchy of Needs 1. Physical 2. Safety 3. Love/Belonging 4. Esteem 5. Actualization 7
Sad Stats 40% No father in home 37 seconds Daily interaction 1 in 2 Parents divorced 1 in 3 Born to unmarried parents 1 in 3 One or more years behind in school Stats Continued 1 in 4 1 in 5 1 in 5 1 in 8 Single parent homes High school dropout Live in poverty Born to a teenage mother Comorbidity ODD Anxiety ADHD Sleep Disorder Substance Abuse Disorder 8
Relapse Concerns Increased risk of recurring depression within next five years 5x more likely to have depression as an adult Scope Children 2.5% or 1 in 33 Teens 12.5% or 1 in 8 2 of 3 youth do not get treatment Suicide 3rd 5,000 125,000 3X 9
Suicidal Warning Signs Talk of suicide or wanting to die Feeling hopeless/helpless Withdrawal from others Focus on morbid themes Giving away possessions Talk of death/dying Risk-taking behaviors Promiscuous behavior Increased behavior problems Frequent accidents Substance abuse Excessive crying or flat affect Big Caution Suicide attempts increase after apparent improvement As energy increases, so does the ability to harm oneself 10
How SSRIs Work Chemical Imbalance Serotonin Sleep problems Irritability Anxiety Norepinephrine Depressed affect Poor regulation of alertness and arousal (fatigue) 11
Antidepressants and Youth Black box warning A balanced perspective (Lydia Lewis) Optimal Medical Treatment Balance serotonin and norepinephrine levels Case management through regular telephone / email checkups Regular collaboration between physicians, mental health professionals, parents, and patients * STAR D Program What Adults Can Do Accept Listen Ally Punt Seek 12
Therapies Behavior Activation Therapy Cognitive Therapy Family Therapy Talk Therapy Play Therapy Blues Busters A. T.V. Brain Channels B. Lowering Your AMPs C. Settle-Down/Bounce-Around Problems D. FADE E. Outward Focusing F. SCALE Anger Kim Tip Frank, Ed.S., LPC School Counselor Rock Hill School District Three Author of: Battling the Blues Available at www.youthlightbooks.com Please Ask Questions Via Chat!! Images are property of Microsoft Corporation http://office.microsoft.com/en-us/images/ 13
BOOKS AVAILABLE BY Tip Frank, Ed.S., LPC www.youthlightbooks.com 800-209-9774 14
Battling the Blues: Helping Children And Adolescents through Depression I. Definition and Diagnosis A. Depression is a that interferes with. B. The three gauges of a problem are,, and. C. T H E extremes M problems I (withdrawal from activities and friends) S extremes S - issues M D extremes (suicidal thoughts) D. Child and adolescent signs of depression E. The Two-Question Depression Screen 1. Over the past two weeks, have you 2. Over the past two weeks, have you F. Correlates to depression 1. loading 2. Physical 3. Life and 4. Chronic environment 5. Chemical G. Contributing factors 1. factors 2. factors 3. factors H. The scope of depression 1. Children or 2.5% 2. Teens or 12.5% Developmental Resources May be reproduced by attendees of Battling the Blues webinar
I. Warning signs of suicide II. Treatment A. management 1. Need to balance and levels in brain 2. Careful case management through regular between the patient, physician, parents, school, and mental health specialists. B. Support System A L A P S C. Therapy 1. Behavioral Therapy 2. Therapy 3. Therapy 4. Therapy 5. Therapy II. Blues Busters A. The T.V. Brain Channels 1. channel 2. channel 3. channel B. Lowering Your AMPs *A *M *P C. Settle-Down vs. - Problems D. FADE F A D E it it what to do your plan E. Outward F. SCALE Your Mountain of Anger S your anger C out A your anger L your anger E your anger properly Developmental Resources May be reproduced by attendees of Battling the Blues webinar
ANT Killing A N T (Instant) (Bad) (Ideas) It s just awful! I can t stand it! This is the worst. *List some of your ANTs: Answer Key: Automatic; Negative; Thoughts Developmental Resources May be reproduced by attendees of Battling the Blues webinar
The Three R s R thoughts R checking R thoughts Answer Key: Recognize; Reality; Reframe Developmental Resources May be reproduced by attendees of Battling the Blues webinar
No FAT Brain Diet F change to F A change to T T change to A Developmental Resources May be reproduced by attendees of Battling the Blues webinar
Brain Channels Draw a T.V. This is a B.C. T.V. (before cable) with only three channels Channel 1 Channel 2 Channel 3 Answer Key: Channel 1 Cloudy Mind; Channel 2 Sunny Mind; Channel 3 Rainbow Mind Developmental Resources May be reproduced by attendees of Battling the Blues webinar