High School and Depression

<p>Anyone have any experience with their high school aged kids who are dealing with depression?</p>

<p>Mine is a junior who has seen grades decline over the last 3 years, from more As than Bs to Cs and below. Trouble with sleep, and he lacks motivation and concentration in most classes. He is still participating in sports, and he still wants to be with friends. He is also very irritable.</p>

<p>Last week was a scare, as he said he was so tired/fatigued for 3 days that he couldn’t get out of bed. It was clear he wasn’t malingering. It was our wake up call that he is dealing with something beyond usual adolescent issues. </p>

<p>He is refusing medication or therapy, though we are figuring out ways to get him to cooperate.</p>

<p>It seems to me that there is more stigma at this age for these issues to be happening than for college-aged kids, and it’s a bit easier institutionally to make up for the problem. There’s grade forgiveness in college, for example, and it’s not unusual to take time off.</p>

<p>Anyone care to share their experience?</p>

<p>I am so sorry that your son and family is going through this. I will say that it is easier to get help for a child before they turn 18. It sounds like your son needs you to step in and make some decisions for him. Have you discussed this with a professional so that you can get some advice on how to get your son to a doctor so he could be treated?</p>

<p>One of my kids was diagnosed with depression his junior year in hs. Yes–drop in grades. Yes–still participated in sports. But there was no joy in his life. He would occasionally weep for 30-45 minutes–difficult to watch as a parent. After each of these episodes I asked him if he wanted to go talk to someone. I think boys in particular have a hard time admitting they need help. He finally said yes after one particularly bad evening.</p>

<p>He tried therapy alone for about a month, then started an anti-depressant. He worked with the therapist for about a year, and stayed on the medication for about 2.5 years. He took himself off it about four months ago, and is doing just fine.</p>

<p>The one thing we did for him academically was to move him to a private hs and have him repeat his junior year. He really needed a re-do. (And the extra year of maturing before college wasn’t bad either.) With the mixed, roller-coasterish transcript from two different schools, we really didn’t know how he’d do with applications. He applied to 14 schools, and was <eventually–some wait="" lists=""> admitted to 11 of them, including some very good options.</eventually–some></p>

<p>DH and I did a fair amount of self-flagellation after the diagnosis. In hindsight, it’s obvious our son had been depressed for years. I’m actually extremely proud of how well he held together considering how he must have been feeling.</p>

<p>I don’t think my son felt particularly stigmatized, although it seems I know <many> more college students being treated for depression than high school students.</many></p>

<p>It’s important that your son get help. I think it makes sense for him to resist medication, but see if you can find a therapist (ask your pediatrician?) that he’s willing to meet once with. He needs to know he can feel better.</p>

<p>Chances are he will end up taking an anti-depressant, but let him see if the therapy alone is working. Also let it be his decision. My son agreed with the therapist’s/pediatrician’s plan–that they’d try therapy alone first, and re-evaluate after a while. I think knowing that nobody is going to <em>force</em> them to take an anti-depressant might help.</p>

<p>Sorry for the long post but this subject is near and dear to my heart. I went through my own bout of depression about 15 years ago, but as an adult. It’s different in kids, but it is often very treatable. Happy to answer any other questions you might have.</p>

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<p>He is a minor. These are not his choices to make. My son also struggled with depression in high school. We made it easy on him. We told him we’d take away his phone and other privileges if he continued to refuse help. He went grudgingly but he did go and once he met with the therapist (we found a young, male therapist), he changed his mind about it. </p>

<p>Depression can be fatal. Would you let your son call the shots if he had a different medical issue that could prove fatal? Of course not. Tell him exactly that. Explain that you must put yourself back in charge of your son’s health for the time being. He may be relieved or he may be angry but he needs professional help now.</p>

<p>Minor or not, you can NOT force someone to accept therapy or take medication. Those ARE his decisions to make. You should encourage your son, but do not make him feel like he is wrong. His depression is not his fault.</p>

<p>MLembo, Of course depression is not his fault. But, yes, it is wrong to refuse to seek medical help when it is desperately needed. Too often those with mental illnesses cannot see this when they are in the throes of the disease. </p>

<p>I’m very thankful that my parents did not respect my “independence” when I was struck with depression and I would not change one thing we did with our son. He had a serious illness, that he failed to see it did not change the basic fact of it.</p>

<p>^^^^^what pugmadkate said. </p>

<p>Depression is a mental illness, and like most mental illness, it affects the brain, and along with that, judgment. A depressed child is not usually in a position to make appropriate decisions regarding treatment. It’s not so much “forcing” as it is engineering the situation so that the person has only one choice that can be made: accept treatment or lose all privileges. </p>

<p>One major symptom of mental illnesses (bipolar, for example) is denial that anything is wrong. So why would someone accept treatment when nothing is wrong? Complicated, and very dangerous. Pugmadkate is right. Good luck, OP and don’t give up.</p>

<p>I agree with those who say it’s “easier” to get your kid help when under the age of 18. I don’t even think they have enough life experience so even know how horrible “depression” truly is. They just lose joy and somewhat accept it as “normal” because to them, it’s what they know.</p>

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<p>We went through something similar and are still going thru it, to be honest. I am so very glad I have made it a point to never be too quick to judge parents by their children’s behavior/choices. Sure some just basically stick their heads in the sands hoping for a different tomorrow, but others are really doing the best they can with what they know at the time. It’s hard when you see a kid in pain who SAYS they just want to left alone or whatever to force them into what is surely an uncomfortable proposition for some, but sometimes parenting is harder than other times. And truthfully, it’s also a little humbling as a parent (especially one who has been a parent for a long time) to recognize their inability to be helpful or even know the answers!</p>

<p>While medication has not yet been suggested, I absolutely know our D was very much anti-therapy and we had to basically make it an ultimatum. We had a small window before she turned 18. We talked to her current therapist who said it usually was about three visits before kids would “see the light.” So we made the deal that D would go for 4 weeks and after that time, we’d reassess. She has never brought it up again and goes without complaint. </p>

<p>Here’s my opinion/experience. There is some legwork to do before telling your S you’ve decided that he really needs to give this a shot. It is difficult to find adolescent therapists, and harder still to find good ones. They are often very booked and in lieu of crisis (which is not what anyone wants), you might find yourself in a couple dead ends before you find some good people who have room. I think adolescents are so unique that it makes it even harder. If you don’t have referrals, I might go to my pediatrician, but I’ve also found they mostly refer people specializing in CHILDREN. I found our school counselor (private independent) very helpful. I also found a referral for myself to be very helpful because they in turn referred me to colleagues specializing in adolescence. And you know what else? If you have privacy concerns (and I admit you’re right to have a few), I would have no problem calling a private HS and asking to talk to their school counselor (if they have a website, they’re easy enough to figure out who they are) and I would simply ask them: “Who do you refer your parents/students to.” You absolutely want someone who understands this very particular age, cuz it aint everyone.</p>

<p>Then you’ll want to call and find out if they do parent consultations for potential patients under 18. I in no way suggest you view this person as you want to see them, but how your kid will see them. And, no offense, but it’s probably not going to be someone who reminds them of you or their other parent. </p>

<p>Hopefully, if you find someone you think he might find connection, that person can help you facilitate that conversation with your S. Often they’ll know the better way to present things to make it palatable vs “you have no choice and are doing what we say.” Of course, it may come to you actually saying that, but there are lots of ways to say the same thing which wont come off as threatening, scary, or insulting: “there’s something wrong with you.” </p>

<p>Honestly, I wish I had forced the issue of my D seeing a therapist when I first thought life had become sadder for her than it should be. I wish I had knocked thru those first few dead ends that were giving me 6 mo waiting lists etc. However, even though my own D was very therapy adverse, I think she now really likes her therapist who helps her develop more resilient coping mechanisms. For as much as my daughter values her independence, I think she finally gets that being independent is NOT dependent on being alone or never asking for help.</p>

<p>Please get a full endocrine work up. He could be sufferin low thyroid or similar. Also make sure nothing like lyme disease is hampering him. Full medical work up before the depression dx is accepted.</p>

<p>Yes, very good point, hugcheck. Start at the pediatricians office. That will also help your son see that this is a medical issue.</p>

<p>To piggy back on hugcheck, there could be other metabolic things beyond just endocrine. So really talk to his primary MD about this. Assure that there is not a medical reason for his symptoms. </p>

<p>I am with everyone else, he is a minor, living in your home, under your rules. There are certian things that you choose not to allow teens to do, and things they have no choice but to do. Treatment for whatever this is is one of the things you need to put on that list. It is the time to pull out all the stops, from “I’m the parent, that’s why” to the sobbing guilt trip, to taking away things and restricting. Too much at stake for your son.</p>

<p>At our local HS, they had 30 requests from students to leave school and begin homeschooling, in past few weeks. Those I know feel lonely and isolated. even though they have been top students, they don’t turn in assignments and exceed #of excused absences. </p>

<p>I certainly agree it is easier to work with someone under 18. If they refuse therapy and possibly meds, residential or hospitalization become options. Charter schools and private schools can be toured. Point is, the child needs to know that the parent will not sit idly by, watching their loved one suffer. Lifting the depression is first priority, school is secondary.</p>

<p>Yes also on the medical front it seems more and more ppl are suffering gluten intolerance. No clue why but it can lead to all kinds of trouble. Also the athletes I know eat odd diets - lots of carbs and no fat. Adolescents need fat in the diet!!! They are growing so rapidly in body and mind. Dinner for breakfast, breakfast for dinner…</p>

<p>Thanks for your insights and experiences.</p>

<p>I took him to the pediatrician last week, who ruled out all sorts of things and told me she thought he had depression and to find a psychiatrist. </p>

<p>Last year, we spent a good 6 months in family counseling, but it wasn’t a good fit and it wasn’t productive. This past fall, we had a suggestion of another therapist, who I thought was good, but the therapist suggested after about 4 sessions that we stop, since my S was very uncooperative, and he didn’t want to continue because it was unproductive and he didn’t want him to end up hating therapy.</p>

<p>He goes to a private HS and wants to stay there, but they may kick him out because of poor grades. I may say that if he wants to stay there, he needs to see a therapist and take some meds.</p>

<p>As much as I want to be patient, his attitude is tough. He’s very stubborn and gets nasty and abusive when boundaries are placed around him. Tonight, he isn’t doing any hw and when I challenged him on it, he swore at me, blamed me, etc. And then he tells me that the only thing he is good at is his sport. When I said that he’s good at school, but just needs to do the work, he was quiet. It’s revealing, and further tells me that he’s in a bad place and needs help.</p>

<p>Our daughter became very depressed as a freshman. Ultimately she left school, went to a wonderful psychiatrist and had meds for 9months, got a tiny bit better but not enough, went to a wilderness therapy program and then a therapeutic boarding school. She is now off all meds, has a great sense of herself, understands her vulnerabilities and strengths and is ready to tackle anything. She is a different girl than she was 2-3 years ago. </p>

<p>She didn’t want help at one point because she did not feel worthy of feeling better. Being depressed meant she could not see better for herself as ever being an option. She also didn’t have the energy to deal with trying to get better. Seeing things through her eyes was difficult for me because I saw her not doing all the things I felt could be useful for her. Her resistance was not because she was a teen, not because she didn’t like the psychiatrist (at least the 2nd one we saw)- it was because she was depressed. So, not going to the psychiatrist, not taking medication- was not an option. We needed to protect her and to help her in any way we could. The psychiatrist helped her to begin to see herself as worthy and as a result she was willing to begin to really help herself. It has been a 2 year process… and the fact that she was relatively young was helpful. </p>

<p>Although I work in a related field, until my daughter was unwell I had not really delved into the neurology and vulnerability of adolescents and depression. What I have read since has guided us- we have been very aggressive in getting her treatment and in being very holistic in getting her out of the depressive state. Being immersed in a supportive, therapeutic environment has been super-important for her. She also saw an adolescent specialist and was found to have a hormonal condition- the treatment of that has been important, too. </p>

<p>School isn’t that important, grades aren’t that important, what college she goes to is not that important. As it happens, she has never had learning problems and has had all A’s in her current school, but this has been becuase she has been getting better… not because it is the most important thing.</p>

<p>Her life is very important.</p>

<p>Kinda surprised the Pediatrician recommended going to a Psychiatrist without giving you so much as a name… </p>

<p>Just my opinion, but I suggest you take yourself out of the therapy. Maybe continue on your own or with your spouse to help parent thru but as far as family therapy, I am thinking your son needs his own space and freedom to say whatever without ANY repercussions.<br>
There was a point earlier in this process where D was definitely belligerent almost on a daily basis (which was completely unacceptable to me). But for her purposes, it was working for her because once the “you will not talk to me that way” argument was over, she was successfully pushing us away from her to the point of near avoidance.</p>

<p>I highly recommend you find a therapist to work with your son alone. He needs the security of knowing what he shares will be kept private. You would probably also benefit from having your own therapist as this is a lot of stress for anyone to deal with. </p>

<p>Do you have a children’s hospital in your town? That is where we got the referral to the therapist my son saw and for the psychiatrist who had some expertise in teens.</p>

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<p>But did she order a thyroid panel? You can’t rule out thyroid issues without a thyroid panel, and more than just a TSH level. Even then, you have to have a health care provider who can interpret results based on the most recent recommendations of the American Association of Clinical Endocrinologists (many, many non-specialists are using out-dated data for detecting and treating thyroid disease). </p>

<p>I can’t stress how important this is.</p>

<p>While D1 is 25 years old now, with my history of thyroid disease, she just has to mention it to her docs now and they will order blood work. I thank God for the dermatologist she saw last week, who wanted to order some blood test before starting her on a new medication, and who, when she asked if she could have a thyroid panel thrown in to avoid another blood draw in two weeks when she sees her regular doctor, said yes!</p>

<p>His pediatrician did recommend some people, but when I called they said they didn’t have any space until late February and sometimes as late as mid March. When I told them his pediatrician said he needed someone very soon, within the week, they didn’t budge. I made an appointment with one of the recommended docs, but that’s not for a few weeks. Then, we found a psychiatric nurse, who spent awhile with him and us, and we have an appointment for today as well. </p>

<p>I agree about the belligerence. It keeps us away, which is what he wants right now. </p>

<p>It’s scary to watch because his thinking process is not right. He tells me that the only reason he is in school right now is to play his sport–it’s the only thing that’s giving him joy right now–but at the same time, if he goes on academic probation, the school won’t let him play. He can’t seem to get it together enough just to not get on probation, and then I worry what will happen when he loses his sport.</p>

<p>Have you asked him in a non threatening way why he thinks he’s not good at his schoolwork? Instead of negating his feelings, might it be useful to explore them? Can you get your hands on the book How to Talk so Kids will Listen and Listen so Kids will Talk. There is something going on in his head re/ being bad at school and whether you think it is true or not, HE does, and that is what is guiding his lack of studying.</p>

<p>Many kids think you have to be "good at’ something to do well in it. They don’t know that success is 99 percent perspiration and 1 percent inspiration. The kids who were smartest in grade school have, I believe, a particularly hard transition to high school because it has always just “clicked” for them and when it comes to material that has to be studied thoroughly and repeatedly they don’t recognize there is a shift of the material underway; they think it is something wrong inside. This happened to me in 11th grade with trigonometry. It started in 8th grade with geometry but it hit hard in 11th. It was a different world then so the failure was not as devastating as it would be for today’s kids, I believe. Also my dad, and I shall never forget this, said “it’s about time you failed something. Now you’ll see that hard work and study are necessary from here on because the material gets harder.” Then he told me about how he failed the first few tests in chemistry in college until he realized he had to go back to the very beginning and start from page 1 with a different approach to study.</p>

<p>Kids this age think that failure means things are hopeless. Of course that is not true; it can be one of the most important moments in learning. However we are not good at recognizing this as a society, nor as families. Life is a marathon not a sprint; high school is a sprint that often mis=teaches there are only sprints in life.</p>

<p>Sometimes being depressed in high school is a sign of intelligence (IMHO). But helping kids through that passage is a dearly difficult trick. Step one is communication - not easy with adolescents who are scared, defensive, angry, ****ed off at the imperfect adults who populate their world.</p>