straight talk on depression · 2015. 2. 25. · begins to talk. avoid offering unsolicited advice...
TRANSCRIPT
![Page 1: Straight Talk on Depression · 2015. 2. 25. · begins to talk. Avoid offering unsolicited advice or ultimatums as well. Validate feelings Don’t try to talk your teen out of his/her](https://reader033.vdocuments.us/reader033/viewer/2022052100/603a23d6e81ba752bc5c64ca/html5/thumbnails/1.jpg)
Straight Talk on Depression
Joseph P. Wiedemer MD
Peter D. Rainey MS
![Page 2: Straight Talk on Depression · 2015. 2. 25. · begins to talk. Avoid offering unsolicited advice or ultimatums as well. Validate feelings Don’t try to talk your teen out of his/her](https://reader033.vdocuments.us/reader033/viewer/2022052100/603a23d6e81ba752bc5c64ca/html5/thumbnails/2.jpg)
…..
• What is Depression?
• How Can I Recognize it?
• What can I do if I believe a child has it?
• How can I help youth who are experiencing depression?
![Page 3: Straight Talk on Depression · 2015. 2. 25. · begins to talk. Avoid offering unsolicited advice or ultimatums as well. Validate feelings Don’t try to talk your teen out of his/her](https://reader033.vdocuments.us/reader033/viewer/2022052100/603a23d6e81ba752bc5c64ca/html5/thumbnails/3.jpg)
Why did you come tonight?
Lets go to the phones!!!
![Page 4: Straight Talk on Depression · 2015. 2. 25. · begins to talk. Avoid offering unsolicited advice or ultimatums as well. Validate feelings Don’t try to talk your teen out of his/her](https://reader033.vdocuments.us/reader033/viewer/2022052100/603a23d6e81ba752bc5c64ca/html5/thumbnails/4.jpg)
What do you hope to receive?
Lets go to the phones!!!
![Page 5: Straight Talk on Depression · 2015. 2. 25. · begins to talk. Avoid offering unsolicited advice or ultimatums as well. Validate feelings Don’t try to talk your teen out of his/her](https://reader033.vdocuments.us/reader033/viewer/2022052100/603a23d6e81ba752bc5c64ca/html5/thumbnails/5.jpg)
WHAT IS DEPRESSION?
![Page 6: Straight Talk on Depression · 2015. 2. 25. · begins to talk. Avoid offering unsolicited advice or ultimatums as well. Validate feelings Don’t try to talk your teen out of his/her](https://reader033.vdocuments.us/reader033/viewer/2022052100/603a23d6e81ba752bc5c64ca/html5/thumbnails/6.jpg)
Depression is…
Mental Disorder.
![Page 7: Straight Talk on Depression · 2015. 2. 25. · begins to talk. Avoid offering unsolicited advice or ultimatums as well. Validate feelings Don’t try to talk your teen out of his/her](https://reader033.vdocuments.us/reader033/viewer/2022052100/603a23d6e81ba752bc5c64ca/html5/thumbnails/7.jpg)
Biological / Physical
Psychological
&
Emotional
Social
Spiritual/Moral
There are many dimensions in our lives.
Depression can be associated or be exacerbated by duress in any one of or combination of these
domains.
![Page 8: Straight Talk on Depression · 2015. 2. 25. · begins to talk. Avoid offering unsolicited advice or ultimatums as well. Validate feelings Don’t try to talk your teen out of his/her](https://reader033.vdocuments.us/reader033/viewer/2022052100/603a23d6e81ba752bc5c64ca/html5/thumbnails/8.jpg)
Biologic and Genetic Explanation
https://www.youtube.com/watch?v=GOK1tKFFIQI
![Page 9: Straight Talk on Depression · 2015. 2. 25. · begins to talk. Avoid offering unsolicited advice or ultimatums as well. Validate feelings Don’t try to talk your teen out of his/her](https://reader033.vdocuments.us/reader033/viewer/2022052100/603a23d6e81ba752bc5c64ca/html5/thumbnails/9.jpg)
Biological /Neurobiology
Intrapersonal Land Scape
Interpersonal Relationships
Emotions & Affect
Building Blocks of a Mood Disorder
Depression impacts and is impacted reciprocally by any one or combination building blocks.
![Page 10: Straight Talk on Depression · 2015. 2. 25. · begins to talk. Avoid offering unsolicited advice or ultimatums as well. Validate feelings Don’t try to talk your teen out of his/her](https://reader033.vdocuments.us/reader033/viewer/2022052100/603a23d6e81ba752bc5c64ca/html5/thumbnails/10.jpg)
Depression is… Depression is mental disorder category.
Depression encompasses 126 diagnostics variations.
Depression is a "whole-person" illness.
Depression involves the body, mood, and thoughts.
Depression is a relational experience.
Depression impacts and is impacted by relationships (family, peers, ect…) and social context (SES, bullying, gender, ect…).
![Page 11: Straight Talk on Depression · 2015. 2. 25. · begins to talk. Avoid offering unsolicited advice or ultimatums as well. Validate feelings Don’t try to talk your teen out of his/her](https://reader033.vdocuments.us/reader033/viewer/2022052100/603a23d6e81ba752bc5c64ca/html5/thumbnails/11.jpg)
Manic
Hypomanic
Stable
Depressed
Severely
Depressed
Normal
Dysthymia
Bipolar
Major Depressive Disorder
Mood Disorders
![Page 12: Straight Talk on Depression · 2015. 2. 25. · begins to talk. Avoid offering unsolicited advice or ultimatums as well. Validate feelings Don’t try to talk your teen out of his/her](https://reader033.vdocuments.us/reader033/viewer/2022052100/603a23d6e81ba752bc5c64ca/html5/thumbnails/12.jpg)
Depression Diagnosed At least 1 of the following symptoms must be clinically significant for depression to be present:
• Depressed/sad mood
• Loss of interest/pleasure
5 or more of symptoms present during same 2-week period
Symptoms are present everyday or nearly everyday
![Page 13: Straight Talk on Depression · 2015. 2. 25. · begins to talk. Avoid offering unsolicited advice or ultimatums as well. Validate feelings Don’t try to talk your teen out of his/her](https://reader033.vdocuments.us/reader033/viewer/2022052100/603a23d6e81ba752bc5c64ca/html5/thumbnails/13.jpg)
Interpersonal
Social/family withdrawal
Increased discussion of relational problems
Reduction/lack of personal cleanliness
Lowered school/work productivity
![Page 14: Straight Talk on Depression · 2015. 2. 25. · begins to talk. Avoid offering unsolicited advice or ultimatums as well. Validate feelings Don’t try to talk your teen out of his/her](https://reader033.vdocuments.us/reader033/viewer/2022052100/603a23d6e81ba752bc5c64ca/html5/thumbnails/14.jpg)
Emotion and Affect
Crying easily or for no reason Feelings of guilt or worthlessness Feeling restless, irritated, and easily annoyed nearly everyday Feeling sad, numb, or hopeless nearly everyday Blunted or Constrained Affect
![Page 15: Straight Talk on Depression · 2015. 2. 25. · begins to talk. Avoid offering unsolicited advice or ultimatums as well. Validate feelings Don’t try to talk your teen out of his/her](https://reader033.vdocuments.us/reader033/viewer/2022052100/603a23d6e81ba752bc5c64ca/html5/thumbnails/15.jpg)
Biological
Diminished ability to think/concentrate or indecisiveness
Psychomotor agitation/retardation
Aches and pains that don't get better with treatment
![Page 16: Straight Talk on Depression · 2015. 2. 25. · begins to talk. Avoid offering unsolicited advice or ultimatums as well. Validate feelings Don’t try to talk your teen out of his/her](https://reader033.vdocuments.us/reader033/viewer/2022052100/603a23d6e81ba752bc5c64ca/html5/thumbnails/16.jpg)
Biological
Insomnia or hypersomnia nearly everyday
Decrease or increase in appetite nearly everyday
Significant unintentional weight loss or gain
![Page 17: Straight Talk on Depression · 2015. 2. 25. · begins to talk. Avoid offering unsolicited advice or ultimatums as well. Validate feelings Don’t try to talk your teen out of his/her](https://reader033.vdocuments.us/reader033/viewer/2022052100/603a23d6e81ba752bc5c64ca/html5/thumbnails/17.jpg)
Suicidal Ideation
1,300 PA residents complete suicide each year.
An average of 3.5 lives each day.
Suicide is 3rd leading cause of death for youth ages 15-24.
Recurrent thoughts of
death, suicidal ideation,
or suicide attempt
![Page 18: Straight Talk on Depression · 2015. 2. 25. · begins to talk. Avoid offering unsolicited advice or ultimatums as well. Validate feelings Don’t try to talk your teen out of his/her](https://reader033.vdocuments.us/reader033/viewer/2022052100/603a23d6e81ba752bc5c64ca/html5/thumbnails/18.jpg)
WHAT CAN I DO IF A CHILD IS EXPERIENCING DEPRESSION?
![Page 19: Straight Talk on Depression · 2015. 2. 25. · begins to talk. Avoid offering unsolicited advice or ultimatums as well. Validate feelings Don’t try to talk your teen out of his/her](https://reader033.vdocuments.us/reader033/viewer/2022052100/603a23d6e81ba752bc5c64ca/html5/thumbnails/19.jpg)
Avenues for Help
Medical
Counseling
Home
School
Help
![Page 20: Straight Talk on Depression · 2015. 2. 25. · begins to talk. Avoid offering unsolicited advice or ultimatums as well. Validate feelings Don’t try to talk your teen out of his/her](https://reader033.vdocuments.us/reader033/viewer/2022052100/603a23d6e81ba752bc5c64ca/html5/thumbnails/20.jpg)
Which treatment(s) are best for treatment for my family?
![Page 21: Straight Talk on Depression · 2015. 2. 25. · begins to talk. Avoid offering unsolicited advice or ultimatums as well. Validate feelings Don’t try to talk your teen out of his/her](https://reader033.vdocuments.us/reader033/viewer/2022052100/603a23d6e81ba752bc5c64ca/html5/thumbnails/21.jpg)
Balloon Activity
![Page 22: Straight Talk on Depression · 2015. 2. 25. · begins to talk. Avoid offering unsolicited advice or ultimatums as well. Validate feelings Don’t try to talk your teen out of his/her](https://reader033.vdocuments.us/reader033/viewer/2022052100/603a23d6e81ba752bc5c64ca/html5/thumbnails/22.jpg)
What Did We Learn?
1) Setting Priorities Requires collaboration.
2) If we don’t work together, balloons our priorities will fall!
3) Collaboration require communication, balance, patience, and effort.
![Page 23: Straight Talk on Depression · 2015. 2. 25. · begins to talk. Avoid offering unsolicited advice or ultimatums as well. Validate feelings Don’t try to talk your teen out of his/her](https://reader033.vdocuments.us/reader033/viewer/2022052100/603a23d6e81ba752bc5c64ca/html5/thumbnails/23.jpg)
COUNSELING
![Page 24: Straight Talk on Depression · 2015. 2. 25. · begins to talk. Avoid offering unsolicited advice or ultimatums as well. Validate feelings Don’t try to talk your teen out of his/her](https://reader033.vdocuments.us/reader033/viewer/2022052100/603a23d6e81ba752bc5c64ca/html5/thumbnails/24.jpg)
Mental Health A state of well-being in which youth realize their own abilities by:
1. coping with the normal stresses of life
2. working productively and fruitfully
3. making a contribution to their community
4. harnessing personal and family resilience
![Page 25: Straight Talk on Depression · 2015. 2. 25. · begins to talk. Avoid offering unsolicited advice or ultimatums as well. Validate feelings Don’t try to talk your teen out of his/her](https://reader033.vdocuments.us/reader033/viewer/2022052100/603a23d6e81ba752bc5c64ca/html5/thumbnails/25.jpg)
Definitions of resiliency
“The path a family follows as it adapts and prospers in the face of stress.” (Hawley and DeHaan, 2003)
“Ability to bounce back from adversity” (Stuart, 2004)
Ability to bounce forward by adapting to of adversity. (Walsh & McGoldrick, 2006)
“Capacity to cultivate strengths to positively meet the challenges of life.” (Silliman, 1994)
“Capacity to rebound from adversity strengthened and more resourceful” (Walsh,1998)
![Page 26: Straight Talk on Depression · 2015. 2. 25. · begins to talk. Avoid offering unsolicited advice or ultimatums as well. Validate feelings Don’t try to talk your teen out of his/her](https://reader033.vdocuments.us/reader033/viewer/2022052100/603a23d6e81ba752bc5c64ca/html5/thumbnails/26.jpg)
Factors Contributing to Successful Treatment
Genetics and Biochemistry
Acute and Chronic
Stressors
Physical Health
Personality & Temp.
Family Dynamics &
History
Resources & Coping
Comorbid Conditions
Resources Risks
![Page 27: Straight Talk on Depression · 2015. 2. 25. · begins to talk. Avoid offering unsolicited advice or ultimatums as well. Validate feelings Don’t try to talk your teen out of his/her](https://reader033.vdocuments.us/reader033/viewer/2022052100/603a23d6e81ba752bc5c64ca/html5/thumbnails/27.jpg)
What has been your experience?
Lets go to the phones!!!
![Page 28: Straight Talk on Depression · 2015. 2. 25. · begins to talk. Avoid offering unsolicited advice or ultimatums as well. Validate feelings Don’t try to talk your teen out of his/her](https://reader033.vdocuments.us/reader033/viewer/2022052100/603a23d6e81ba752bc5c64ca/html5/thumbnails/28.jpg)
GOING TO THE DOCTOR
![Page 29: Straight Talk on Depression · 2015. 2. 25. · begins to talk. Avoid offering unsolicited advice or ultimatums as well. Validate feelings Don’t try to talk your teen out of his/her](https://reader033.vdocuments.us/reader033/viewer/2022052100/603a23d6e81ba752bc5c64ca/html5/thumbnails/29.jpg)
Priority= the Goal of Treatment
The 3 Rs of Treatment Goals
• Response – significant reduction in symptoms or no symptoms for 2 weeks
• Remission – period of > 2 weeks and < 2 months with few symptoms
• Recovery** – absence of symptom patterns for > 2 months
**We Believe Recovery is the Goal for Most Families. Recovery is the Goal for Most primary care providers as well.
![Page 30: Straight Talk on Depression · 2015. 2. 25. · begins to talk. Avoid offering unsolicited advice or ultimatums as well. Validate feelings Don’t try to talk your teen out of his/her](https://reader033.vdocuments.us/reader033/viewer/2022052100/603a23d6e81ba752bc5c64ca/html5/thumbnails/30.jpg)
Why should we visit the PCP
• 10% -20% of adolescents in the last year were depressed
• Over 70% of adolescents report a willingness to talk with their PCP about emotional distress
• Many youth at-risk for suicide are also at risk for other medical concerns (e.g. HIV, chronic illness, family planning, substance abuse)
![Page 31: Straight Talk on Depression · 2015. 2. 25. · begins to talk. Avoid offering unsolicited advice or ultimatums as well. Validate feelings Don’t try to talk your teen out of his/her](https://reader033.vdocuments.us/reader033/viewer/2022052100/603a23d6e81ba752bc5c64ca/html5/thumbnails/31.jpg)
What do PCPs usually do to help?
Positive screening for depression
Education & treatment planning
Mild depressive to moderate symptoms:
Active support and
monitoring for 4-6 weeks
Moderate to severe depressive symptoms:
Begin evidence based
therapy or medication or both and monitor for 6-8 week. Treatment duration
for 9 to 12 months.
Severe depressive symptoms:
Start medication and
therapy. Contact psychiatry for consult.
Treatment duration for 9 to 12 months.
AACAP practice parameters 2007 and GLAD-PC 2007
![Page 32: Straight Talk on Depression · 2015. 2. 25. · begins to talk. Avoid offering unsolicited advice or ultimatums as well. Validate feelings Don’t try to talk your teen out of his/her](https://reader033.vdocuments.us/reader033/viewer/2022052100/603a23d6e81ba752bc5c64ca/html5/thumbnails/32.jpg)
Experience at the Clinic
Patient centered experience:
– Collaborative discussion of treatment options
– Opportunity to ask questions and recommendations
Psychoeducation:
– Information about the illness and symptoms
– Information about typical course of treatment
– Physicians plan for follow up
– Red Flags to watch for
![Page 33: Straight Talk on Depression · 2015. 2. 25. · begins to talk. Avoid offering unsolicited advice or ultimatums as well. Validate feelings Don’t try to talk your teen out of his/her](https://reader033.vdocuments.us/reader033/viewer/2022052100/603a23d6e81ba752bc5c64ca/html5/thumbnails/33.jpg)
Mild =Supportive Treatment
Meeting frequently to monitor progress Active listening and reflection Problem solving Efforts to help your family find hope
If not improving in 6 weeks, more intense treatment
![Page 34: Straight Talk on Depression · 2015. 2. 25. · begins to talk. Avoid offering unsolicited advice or ultimatums as well. Validate feelings Don’t try to talk your teen out of his/her](https://reader033.vdocuments.us/reader033/viewer/2022052100/603a23d6e81ba752bc5c64ca/html5/thumbnails/34.jpg)
Moderate =Treatment Options
Moderate to severe depression OR if mild to moderate depression not improving after 6 weeks of supportive care.
Individual Therapy
• CBT
• IPT
Family
Therapy
• Systemic benefit
• Resilience
Medication
• SSRI
• Switching Meds
![Page 35: Straight Talk on Depression · 2015. 2. 25. · begins to talk. Avoid offering unsolicited advice or ultimatums as well. Validate feelings Don’t try to talk your teen out of his/her](https://reader033.vdocuments.us/reader033/viewer/2022052100/603a23d6e81ba752bc5c64ca/html5/thumbnails/35.jpg)
Thoughts about medications?
Lets go to the phones!!!
![Page 36: Straight Talk on Depression · 2015. 2. 25. · begins to talk. Avoid offering unsolicited advice or ultimatums as well. Validate feelings Don’t try to talk your teen out of his/her](https://reader033.vdocuments.us/reader033/viewer/2022052100/603a23d6e81ba752bc5c64ca/html5/thumbnails/36.jpg)
Treatment Options
Severe depression:
Individual psychotherapy
– Cognitive Behavioral Therapy
– Interpersonal Psychotherapy
• Family therapy
• Medication
• Psychiatry
![Page 37: Straight Talk on Depression · 2015. 2. 25. · begins to talk. Avoid offering unsolicited advice or ultimatums as well. Validate feelings Don’t try to talk your teen out of his/her](https://reader033.vdocuments.us/reader033/viewer/2022052100/603a23d6e81ba752bc5c64ca/html5/thumbnails/37.jpg)
HOME
![Page 38: Straight Talk on Depression · 2015. 2. 25. · begins to talk. Avoid offering unsolicited advice or ultimatums as well. Validate feelings Don’t try to talk your teen out of his/her](https://reader033.vdocuments.us/reader033/viewer/2022052100/603a23d6e81ba752bc5c64ca/html5/thumbnails/38.jpg)
Identify what works for the youth
Dancing
Exercising
Go for a walk
Playing a sport
Breathing exercises
Progressive relaxation
Biological / Physical
Psychological
&
Emotional
Social
Spiritual/Moral
Family Activity Night
Text a Friend
Face time a Family
Social activity (sports, clubs, community)
Talk to someone
Imagine a relaxing place Listening to music Read Do a puzzle or game Check your thoughts Meaning making (journal, emotional calendar)
Meditation
Prayer
Religious & Family Rituals
Crafts & Keep sakes= memory making and
recording
Writing
![Page 39: Straight Talk on Depression · 2015. 2. 25. · begins to talk. Avoid offering unsolicited advice or ultimatums as well. Validate feelings Don’t try to talk your teen out of his/her](https://reader033.vdocuments.us/reader033/viewer/2022052100/603a23d6e81ba752bc5c64ca/html5/thumbnails/39.jpg)
Relaxation Strategies • Deep breathing
– Inhale for count of 5 & hold briefly
– Exhale for count of 5
– Repeat 5 times
• Progressive muscle relaxation
– Begin with feet, contract muscles for count of 5 and slowly release.
– Move up the body through all muscle groups
• Meditation
![Page 40: Straight Talk on Depression · 2015. 2. 25. · begins to talk. Avoid offering unsolicited advice or ultimatums as well. Validate feelings Don’t try to talk your teen out of his/her](https://reader033.vdocuments.us/reader033/viewer/2022052100/603a23d6e81ba752bc5c64ca/html5/thumbnails/40.jpg)
HOW CAN I HELP?
![Page 41: Straight Talk on Depression · 2015. 2. 25. · begins to talk. Avoid offering unsolicited advice or ultimatums as well. Validate feelings Don’t try to talk your teen out of his/her](https://reader033.vdocuments.us/reader033/viewer/2022052100/603a23d6e81ba752bc5c64ca/html5/thumbnails/41.jpg)
Old Saying…
• There is an old saying that says, “The grass is always greener on the other side.”
• However, the reality is, “The grass is always greener where you water it.”
• The Question is… where are you watering, and providing an environment for your relationship to grow?
![Page 42: Straight Talk on Depression · 2015. 2. 25. · begins to talk. Avoid offering unsolicited advice or ultimatums as well. Validate feelings Don’t try to talk your teen out of his/her](https://reader033.vdocuments.us/reader033/viewer/2022052100/603a23d6e81ba752bc5c64ca/html5/thumbnails/42.jpg)
Healing & Healthy Relationships
Appreciation = short & sincere on regular basis
Affection = Love languages/ Currency
Communication +???
![Page 43: Straight Talk on Depression · 2015. 2. 25. · begins to talk. Avoid offering unsolicited advice or ultimatums as well. Validate feelings Don’t try to talk your teen out of his/her](https://reader033.vdocuments.us/reader033/viewer/2022052100/603a23d6e81ba752bc5c64ca/html5/thumbnails/43.jpg)
Tips for Talking to a Depressed Teen
Offer support Let depressed teenagers know that you’re there for them, fully and unconditionally. Ask questions important to you but make it clear that you’re ready and willing to provide whatever support they need.
Be gentle but persistent Don’t give up if your adolescent shuts you out at first. Talking can be very tough for teens. Be respectful of your child’s comfort level while still emphasizing your concern and willingness to listen.
Listen without lecturing The important thing is that your child is talking.
Resist any urge to criticize or pass judgment once your teenager begins to talk. Avoid offering unsolicited advice or ultimatums as well.
Validate feelings Don’t try to talk your teen out of his/her depression
Simply acknowledge the pain and sadness he or she is feeling.
![Page 44: Straight Talk on Depression · 2015. 2. 25. · begins to talk. Avoid offering unsolicited advice or ultimatums as well. Validate feelings Don’t try to talk your teen out of his/her](https://reader033.vdocuments.us/reader033/viewer/2022052100/603a23d6e81ba752bc5c64ca/html5/thumbnails/44.jpg)
Healing & Healthy Relationships
• Time=Quality vs Quantity (Quality is function of Quantity)
• Creative problem solving (purpose of the task is to strengthen the relationship)
• Commitment= follow through & follow up
• Spirituality = helps in the tough times and to
motivate you to do things that help relationships when you do not want to
![Page 45: Straight Talk on Depression · 2015. 2. 25. · begins to talk. Avoid offering unsolicited advice or ultimatums as well. Validate feelings Don’t try to talk your teen out of his/her](https://reader033.vdocuments.us/reader033/viewer/2022052100/603a23d6e81ba752bc5c64ca/html5/thumbnails/45.jpg)
Words of Affirmation
• One of the deepest human needs it to feel appreciated.
• Words of affirmation fulfills this need for many individuals. It requires:
– Complements & words of appreciation
– Words of encouragement
– Kind words
• This is not flattery, to get what you want.
![Page 46: Straight Talk on Depression · 2015. 2. 25. · begins to talk. Avoid offering unsolicited advice or ultimatums as well. Validate feelings Don’t try to talk your teen out of his/her](https://reader033.vdocuments.us/reader033/viewer/2022052100/603a23d6e81ba752bc5c64ca/html5/thumbnails/46.jpg)
Quality Time
This is giving your undivided attention and engagement to each other.
Spend time together enjoying meaningful activities (Daddy Daughter date/ Girls night out)
![Page 47: Straight Talk on Depression · 2015. 2. 25. · begins to talk. Avoid offering unsolicited advice or ultimatums as well. Validate feelings Don’t try to talk your teen out of his/her](https://reader033.vdocuments.us/reader033/viewer/2022052100/603a23d6e81ba752bc5c64ca/html5/thumbnails/47.jpg)
Quality Time…
• Some Actions may include: – Quality conversation (talking and listening).
– Dead Sea and the babbling brook
– Spend time together enjoying meaningful activities (Daddy Daughter date/ Girls night out)
• Result – There is a sense of enjoyment of each other
– Increased bonding through deeply sharing and knowing each other.
– Common family pattern
![Page 48: Straight Talk on Depression · 2015. 2. 25. · begins to talk. Avoid offering unsolicited advice or ultimatums as well. Validate feelings Don’t try to talk your teen out of his/her](https://reader033.vdocuments.us/reader033/viewer/2022052100/603a23d6e81ba752bc5c64ca/html5/thumbnails/48.jpg)
Increasing Fondness and Admiration
• Find ways to admire your child.
• There is an increase in frequency and spontaneous expression of fondness toward your child.
– i.e. your beautiful, I’m so grateful that you are a great mother…etc.
![Page 49: Straight Talk on Depression · 2015. 2. 25. · begins to talk. Avoid offering unsolicited advice or ultimatums as well. Validate feelings Don’t try to talk your teen out of his/her](https://reader033.vdocuments.us/reader033/viewer/2022052100/603a23d6e81ba752bc5c64ca/html5/thumbnails/49.jpg)
Developing Fondness and Admiration
• Developing Fondness and Admiration requires practice:
1) Recall happy events from the past from the past
2) Shift your perspective from looking for mistakes to looking for what your child is doing right.
• Highlight these positive things and tell your child why you appreciate them.
![Page 50: Straight Talk on Depression · 2015. 2. 25. · begins to talk. Avoid offering unsolicited advice or ultimatums as well. Validate feelings Don’t try to talk your teen out of his/her](https://reader033.vdocuments.us/reader033/viewer/2022052100/603a23d6e81ba752bc5c64ca/html5/thumbnails/50.jpg)
Developing Fondness and Admiration
2) Recall happy events from the past from the past
3) List each other’s positive qualities and share it.
![Page 51: Straight Talk on Depression · 2015. 2. 25. · begins to talk. Avoid offering unsolicited advice or ultimatums as well. Validate feelings Don’t try to talk your teen out of his/her](https://reader033.vdocuments.us/reader033/viewer/2022052100/603a23d6e81ba752bc5c64ca/html5/thumbnails/51.jpg)
Understanding Our Relationship
Emotional Bank Accounts
• Every relationship needs efforts…in some ways we often treat them like basic economics. Relationships flourish when people contribute and suffer when they do not.
• Deposits vs. Withdrawals
![Page 52: Straight Talk on Depression · 2015. 2. 25. · begins to talk. Avoid offering unsolicited advice or ultimatums as well. Validate feelings Don’t try to talk your teen out of his/her](https://reader033.vdocuments.us/reader033/viewer/2022052100/603a23d6e81ba752bc5c64ca/html5/thumbnails/52.jpg)
How Many Deposits?
• So the question is, how many positive deposits do we need to make for every negative withdrawal?
![Page 53: Straight Talk on Depression · 2015. 2. 25. · begins to talk. Avoid offering unsolicited advice or ultimatums as well. Validate feelings Don’t try to talk your teen out of his/her](https://reader033.vdocuments.us/reader033/viewer/2022052100/603a23d6e81ba752bc5c64ca/html5/thumbnails/53.jpg)
Summary • Major depression occurs in adolescents
• There are treatment options
– Treatment begins with psychoeducation
– Mild depression can respond to support
– Moderate depression tx starts with talk therapy or meds. Reassess the plan at regular intervals
– Severe depression treatment likely to use meds or combination meds + therapy as first step
• You can do things at home that help.
– Remember AACTCC
![Page 54: Straight Talk on Depression · 2015. 2. 25. · begins to talk. Avoid offering unsolicited advice or ultimatums as well. Validate feelings Don’t try to talk your teen out of his/her](https://reader033.vdocuments.us/reader033/viewer/2022052100/603a23d6e81ba752bc5c64ca/html5/thumbnails/54.jpg)
Summary
• Things that can help while attempting to find the best treatment for your child: referral or in supportive period include:
– Scheduling pleasant activities
– Relaxation
• SSRIs are effective medications for MDD
– Common SEs include GI upset, headache, agitation and sleep disturbance
– Be careful of combining with other serotinergic medications
• Monitor for suicidality
![Page 55: Straight Talk on Depression · 2015. 2. 25. · begins to talk. Avoid offering unsolicited advice or ultimatums as well. Validate feelings Don’t try to talk your teen out of his/her](https://reader033.vdocuments.us/reader033/viewer/2022052100/603a23d6e81ba752bc5c64ca/html5/thumbnails/55.jpg)
QUESTIONS
![Page 56: Straight Talk on Depression · 2015. 2. 25. · begins to talk. Avoid offering unsolicited advice or ultimatums as well. Validate feelings Don’t try to talk your teen out of his/her](https://reader033.vdocuments.us/reader033/viewer/2022052100/603a23d6e81ba752bc5c64ca/html5/thumbnails/56.jpg)
The Black Dog of Depression
What is it like to live with depression: https://www.youtube.com/watch?v=XiCrniLQGYc
For those who care for those with depression: https://www.youtube.com/watch?v=do8mqz6XmTE