According to the American Academy of Child and Adolescent Psychiatry, if the following signs of childhood depression persist, parents should seek help for their child.

• Frequent sadness, tearfulness and/or crying

• Hopelessness

• Loss of interest in hobbies, activities or lack of enjoyment in previously enjoyed activities

• Persistent boredom; loss of energy

• Social isolation, poor communication

• Low self esteem

• Guilt

• Irritability, anger or hostility

• Strained relationships

• Frequent complaints of physical illnesses such as headaches and stomachaches

• Frequent absences from school and/or poor performance in school

• Lack of concentration

• Major changes in sleep and/or eating patterns

• Thoughts of talk of suicide or other self destructive behaviors

The AACAP states that 5% of children and adolescents have depression. This of course takes into account that children under high stress or that have experienced a loss are at a much higher risk for depression. Depression can also be hereditary.

Depression can be disguised by a child or adolescent causing trouble at home. Depression can be ruled out because the child doesn't show symptoms of sadness but in reality they are acting out and need help just as much as the child who appears to be sad or troubled. It is important to ask a child pointed questions to allow them to state whether they feel sad or unhappy.

In children and adolescents the early diagnosis of depression is key. Depression does require professional help.