Depression in Children and Teens

Depression is not just an adult mental health issue. Children and teens can develop depression too…it just looks slightly different.  Sometimes adults assume that children or teens can’t be depressed because they don’t have adult responsibilities. This is actually a myth about depression in general.

While most adults with depression look sad, children and teens may look more irritable or angry. Children and teens who cause trouble at school or at home could be suffering from depression. The following are common signs of childhood depression:

  • Changes in behavior (outbursts, irritability, anger, defiance, academic issues)
  • Physical complaints (headaches, stomachaches)
  • Decreased interest in activities (no longer enjoys previously enjoyable activities)
  • Low energy, increased boredom
  • Isolation from peers and difficulty with relationships
  • Poor concentration
  • A major change in eating or sleeping
  • Significant weight gain or weight loss
  • Frequent talk or thoughts about death, dying, or suicide (in younger children, these themes may present themselves through play)
  • Hopelessness
  • Crying more often or more easily
  • Harming self (cutting, scratching, hitting)

It’s important to note that not all children or teens will have these symptoms. Some children and teens may continue to function well in their environment despite experiencing depression. Although rare in children under 12, young children do attempt suicide because of their impulsivity.

What causes depression in children and teens?

As with most mental health disorders, depression is can be linked to a biology, the environment, or both. There are higher chances of your child or teen developing depression if you have a family history of depression or other mood disorders—we call this having a “predisposition” or being predisposed to a condition. Depression is also much more common than we think. A lot of times we see depression or other mental health challenges as something rare or abnormal. We forget that situational depression can happen as well. If there have been recent changes in your child or teen’s life (divorce, moving, grief, etc.), they can trigger a depressive episode too.

So, what can parents or caregivers do?

You can’t prevent depression but you can be proactive about your child’s mental health. Younger children often lack the language to tell their parents what they’re experiencing. Teens on the other hand may have a better understanding of depression but may feel embarrassed about coming forward. They may also feel ashamed or fear that no one will believe them or understand them. It is important to remember that someone can suffer from depression even if they seem to be functioning on the outside. Learn the warning signs of depression in children and teens and take note of how long the problem has been going on as well as how often they happen. Then, you’ll have a record of concerning changes you can address with a mental health professional. Depression is treatable so seek help as soon as possible.

As always, thank you for tuning in! If you would like to speak about yourself, your child, or teen, reach out at 858-522-9415 for a free consultation today!

Published by Dr. Panicha McGuire, LMFT, RPT, PsyD

Dr. Panicha McGuire, LMFT, RPT™, founder of Living Lotus Therapy, is a dedicated advocate for neurodivergent-affirming, decolonial, and liberation-focused mental health practices. With years of experience working with children, teens, and adults, Dr. Panicha’s approach is deeply rooted in intersectionality, honoring the lived experiences of 2SLGBTQIA+, people of the global majority, and neurodivergent communities, as well as others marginalized by dominant systems. Dr. Panicha challenges the Eurocentric, medicalized models of psychology and psychiatry that have historically pathologized difference and reinforced systemic oppression. She believes in shifting from compliance-based approaches toward frameworks that foster self-determination, authenticity, and collective healing-where neurodivergent individuals are not asked to mask or assimilate, but are supported in existing as they are. As both a clinician and a lifelong learner, Dr. Panicha acknowledges that liberation work is an ongoing process of unlearning, relearning, and dismantling internalized oppression. She actively engages in communal learning, recognizing that knowledge is not just held by professionals, but also by lived experience and community wisdom. In her work with clients and practitioners, she seeks to co-create spaces that center curiosity, humility, and collective growth, encouraging a shift from pathologizing difference to embracing neurodivergence as an integral part of human diversity. She believes that true healing is not about forcing individuals to conform, but about building communities where neurodivergent and marginalized individuals are valued, accommodated, and free to thrive.