Once fourteen years ago, when I was just beginning to work with depression among children, a mother came in with her child for some help. Sydney, who was eight,
appeared withdrawn and quiet. She had circles under her eyes and pale skin and
This mother, we’ll call her Kathy, looked overwhelmed. She informed me, through several bouts of tears, that she tried the best she could to be a good mother and she’s not sure what’s happened.
She said her husband worked long hours sometimes, but that they always made time for each other and time for their child Sidney. She insisted there was no abuse, or violence or trauma in the house and had been no specific recent stressors. Poor Kathy thought that she had done something to cause her child’s sadness.
She told me Sidney was smart and in the past she had been well liked by her peers. Now however, the teachers were calling home to ask what was wrong. They reported Sidney looked like she was a sad child. She was not really interested in the other children or in her class work. Kathy vacillated between expressing great concern over her child’s sadness, and insisting she is generally okay. She had very mixed emotions and didn’t understand what had gone wrong.
After investigating some more, it was difficult to come up with any stressors or situations which could have triggered Sidney’s sadness. It literally appeared out of nowhere at the beginning of second grade.
In this case Sidney was experiencing depression. In fact three years ago, her mother experienced an episode of depression. It was so severe that her own mother had to come and live with her for three months to help with household duties and with raising Sidney. Sometimes kids whose family members who are depressed are just much more likely to get depressed themselves.
If you have a child who is depressed it is important for you to know that it is not necessarily your fault. Some children become depressed just because they have a chemistry to be prone to depression. Usually, there are life stressors that contribute, however, that is not always the case. Sometimes stressors can be invisible to everyone but the sad child, for example, they may be overwhelmed by new academic stress or peer stress.
In Sidney’s case, it turns out she had developed a fear of abandonment around her mother's illness. No one had explained her mom's depression to her and she had come to believe that her mother just didn’t want to be her mother during the time she was sick. This had caused her to feel sad and rejected and eventually contributed to depression. She never verbalized her concerns or feelings to anyone and no one knew she felt this way.
Don't Ignore it!
Many people don’t know how to deal with depression among children. In fact we didn't even believe depression among children could exist until the 90's. Rather than give it a name or call it a mental illness it is easier sometimes for people to pretend everything is ok, or ignore that depression has affected their family. It is very common that I get children who are depressed in my therapy office, and find that their father or mother is depressed, but that they don’t even acknowledge or understand their own depression.
Sometimes the stressors that lead to a sad child’s depression are more obvious like a family illness, divorce, or several losses. It doesn’t necessarily have anything to do with your parenting!
The important thing is to reach out for some help. Sad children can be helped tremendously by a skilled and caring therapist.
Depression among children: How can I tell if my child is just a sad child or if it's depression?
It is normal for a child to become sad if they have experienced something to make them sad. Sadness in and of itself doesn’t indicate depression. In fact, some children who are depressed show mostly anger and irritability. A good way to tell if I child is depressed is if the mood and behavior are interfering in their family, social or school life.
If a child is no longer playing with peers, not doing as well in school, or not interacting in the way they did in the past with their family, then it is time consider it serious.
How do I know when to seek help for my child?
If you are wondering whether to seek help than you need to. Even if a child is not depressed but experiencing pervasive sadness it is important to consider they may need help processing their feelings or that they may be stuck. If for example, your child experienced something sad four months ago and they are still not functioning well and appear sad all the time, then it is time to seek help. It is normal to feel sadness, but it is likely that a child who doesn’t need help with their sadness will be able to adjust and continue to function well.
Below are some things to consider when deciding whether seeking help for your child
If any of these things are true than please seek help. Depression is something that a trained therapist can help alleviate. There is nothing to be ashamed of or to blame yourself for.
Leave depression among children for symptoms of depression in children
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