Dr Lesley Carew
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2.5% of children
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8.3% adolescents
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40% recurrence within 2 years
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Somatic complaints
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Sleep and appetite disturbances
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Behavioural problems
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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
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
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Debilitating condition
Predisposing, precipitating, protective and
perpetuating factors
Impact upon individual child’s current
functioning and future development

Who needs the therapy?
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What is the purpose of the therapy?
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Individual : Cognitive behavioural therapy
Inter-personal therapy
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Family therapy
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Group therapy
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Family history, severity, chronicity, response
to therapy
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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