Depression is one of the most common mental health complaints expressed by adolescents and teenagers, including both those who are in therapy or counseling and those who are not. Despite this fact, identifying teens with depression and getting them into effective treatment programs is still a challenge. As discussed in the comments of a recent post, primary care is not an ideal source of treatment for depression. But because adolescents often see primary care physicians for annual checkups, sports injuries, and the like, this can be a good place to screen for depression and identify teens in need of therapy.
To that end, Seattle Children’s, Group Health, and the University of Washington teamed up to assess the PHQ-9 depression criteria, which is commonly used for adults, to determine whether it’s equally effective in finding depression in teens. They put the PHQ-9 through rather rigorous assessment and trials, ultimately validating the test, deeming it “a good screening test for major depression in adolescents.” But what happens once teens enter counseling or psychotherapy for their depression? A new study, to be printed next spring in the Archives of General Psychiatry, assessed the short and long term recovery (up through five years) of teens and adolescents treated for depression.
The study found that although the majority of teens recover from depression after receiving therapy, medication, or a combination of the two, depression returns for about half of those individuals within five years. Recurrence was especially high for teens also living with anxiety and often returned with stronger symptoms, including stronger and more frequent suicidal thoughts and behavior. The study’s silver lining is the insight it sheds on the differences between recurring and non-recurring depression. Most of the teens treated for depression were responsive to treatment almost right away, but those who were partially- or non-responsive were at highest risk for recurrence. This may serve as a starting point to determine how therapy and counseling can better assist young adults struggling with depression.
© Copyright 2010 by By Noah Rubinstein, LMFT, LMHC, therapist in Olympia, Washington. All Rights Reserved. Permission to publish granted to GoodTherapy.org.
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