Depression in Adolescents
According to the American Academy of Child and Adolescent Psychiatry, approximately 1 in 20, or 5 percent, of children and adolescents suffer from depression. Just like adults, children and adolescents with a chronic illness like CF are at higher risk of depression. Adolescents may be the most under-diagnosed population because many of the symptoms of depression are similar to typical adolescent behavior. Also, they are unlikely to be familiar with possible symptoms of depression. Diagnosis of depression relies on the observation of others, usually a parent or guardian. While it is often difficult for an adolescent to communicate feelings of sadness and hopelessness, a parent may notice a change in normal behavior. A child who normally is very active and social with neighborhood friends, for example, begins to stay inside more often. Such a change in behavior does not necessarily mean that he or she is depressed, but it is a sign that something could be wrong and worth further evaluation. For more detailed information about depression in adolescents, please visit:
American Academy of Child and Adolescent Psychiatry, The Depressed Child For more information to share with your adolescent about depression, please visit:
Kids Health Teens Site, Depression For more information on chronic illness and depression, click on this link:
American Academy of Child and Adolescent Psychiatry, The Child With a Long-Term Illness. Treatment for Depression
Your primary care physician or pediatrician is a good place to start. However, for further evaluation and treatment, a mental health provider is recommended. Licensed clinical social workers, psychiatrists, psychologists, and counselors are trained in psychology and psychotherapy. Psychiatrists are the only providers among this group able to prescribe medication. Often a social worker, psychologist or counselor will work with a psychiatrist to provide care. Depending on severity, depression can be treated with medication, psychotherapy or a combination of both. Severe cases of depression are most effectively treated by a combination of medication and psychotherapy, while milder cases may be treated with medication or psychotherapy alone. Once evaluated, your provider will talk with you about which mode of treatment is right for you. Accessing Mental Health Care
If you think you need a mental health care provider, contact your CF center’s social worker, who can help you access the appropriate type of care. If you do not have access to a social worker, let the doctor or nurse know about your concerns. Contacting your primary care physician is also a good place to start. Insurance
Not all insurance plans cover mental health. To find out if your plan has a mental health benefit, check the back of your insurance card for a number for mental health benefits. Some important questions include––
• What is my co-pay?
• How many visits are allowed?
• Do I need a referral?
• Can you give me a list of providers in my area? With most insurance plans there is a network of mental health providers. When you call the mental health number on your insurance card, ask for a list of providers in your area. The social worker at your CF center may be able to help you navigate this system. 
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