1. Dr Lesley Carew

2.  2.5% of children  8.3% adolescents  40% recurrence within 2 years

3.  Somatic complaints  Sleep and appetite disturbances  Behavioural problems  Scholastic underachievement  Withdrawal from social activities

4.  Family factors  Individual factors

5.  Genetic predisposition  Parental functioning  Family stressors

6.  Premorbid anxiety disorder  ADHD and learning difficulties  Medical illness  Developmental transitions  Peer issues

7.  Psychoeducation  Therapy  Medication

8.  Debilitating condition  Predisposing, precipitating, protective and perpetuating factors  Impact upon individual child’s current functioning and future development

9.  Who needs the therapy?  What is the purpose of the therapy?

10.  Individual : Cognitive behavioural therapy Inter-personal therapy  Family therapy  Group therapy

11.  Family history, severity, chronicity, response to therapy  Treatment plan: goals, review  Choice of medication

12.  Child at risk  Suicide and SSRIs

13.  DEPRESSION IN CHILDHOOD IS A SERIOUS, DEBILITATING CONDITION REQUIRING A MULTI-DISCIPLINARY INTERVENTION.  AIM FOR REMISSION AND RELAPSE PREVENTION