Lesley Carew

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Dr Lesley Carew
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2.5% of children
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8.3% adolescents

40% recurrence within 2 years

Somatic complaints
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Sleep and appetite disturbances

Behavioural problems

Scholastic underachievement
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Withdrawal from social activities
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Family factors
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Individual factors
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Genetic predisposition
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Parental functioning
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Family stressors
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Premorbid anxiety disorder
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ADHD and learning difficulties
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Medical illness
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Developmental transitions
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Peer issues
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Psychoeducation
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Therapy
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Medication



Debilitating condition
Predisposing, precipitating, protective and
perpetuating factors
Impact upon individual child’s current
functioning and future development

Who needs the therapy?

What is the purpose of the therapy?

Individual : Cognitive behavioural therapy
Inter-personal therapy

Family therapy

Group therapy

Family history, severity, chronicity, response
to therapy

Treatment plan: goals, review
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Choice of medication
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Child at risk
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Suicide and SSRIs


DEPRESSION IN CHILDHOOD IS A SERIOUS,
DEBILITATING CONDITION REQUIRING A
MULTI-DISCIPLINARY INTERVENTION.
AIM FOR REMISSION AND RELAPSE
PREVENTION
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