Lifestyle and home remedies
You are your teenager's best advocate to help him or her succeed. Here are some steps you and your teen can take that may help:
- Stick to the treatment plan. Make sure your teen attends appointments, even if he or she doesn't feel like going. Even if your teen is feeling well, make sure he or she continues to take medications as prescribed. If your teen stops taking medications, depression symptoms may come back. And quitting suddenly may cause withdrawal-like symptoms.
- Learn about depression. Education can empower your teen and motivate him or her to stick to a treatment plan. It can also benefit you and other loved ones to learn about depression and understand that it's a treatable condition.
- Encourage communication with your teen. Talk to your teen about the changes you're observing and emphasize your unconditional support. Create an environment where your teen can share concerns while you listen.
- Pay attention to warning signs. Work with your teen's doctor or therapist to learn what might trigger depression symptoms. Make a plan so that you and your teen know what to do if symptoms get worse. Ask family members or friends to help watch for warning signs.
- Make sure your teen adopts healthy habits. Regular exercise, even light physical activity, can help reduce depression symptoms. Sleeping well is important for all teens, especially those with depression. If your teen is having trouble sleeping, ask the doctor for advice.
- Help your teen avoid alcohol and other drugs. Your teen may feel like alcohol, marijuana or other drugs lessen depression symptoms, but in the long run they worsen symptoms and make depression harder to treat. Talk with the doctor or therapist if your teen needs help to deal with alcohol or drug use.
- Remove all guns from your home if you live with a teen who has depression.
Coping and support
Showing interest and the desire to understand your teenager's feelings lets him or her know you care. You may not understand why your teen feels hopeless or has a sense of loss or failure. But listen without judging and try to put yourself in your teen's position. Help build your teen's self-esteem by recognizing small successes and offering praise about competence.
Encourage your teen to:
- Make and keep healthy friendships. Positive relationships can help boost your teen's confidence and help him or her stay connected with others. Encourage your teen to avoid relationships with people whose attitudes or behaviors could make depression worse.
- Stay active. Participation in sports, school activities or a job can help keep your teen focused on positive things, rather than negative feelings or behaviors.
- Ask for help. Teens may be reluctant to seek support when life seems overwhelming. Encourage your teen to talk to a family member or other trusted adult whenever needed.
- Have realistic expectations. Many teens judge themselves when they aren't able to live up to unrealistic standards — academically, in athletics or in appearance, for example. Let your teen know that it's OK not to be perfect.
- Simplify life. Encourage your teen to carefully choose obligations and commitments, and set reasonable goals. Let your teen know that it's OK to do less when he or she feels down.
- Structure time. Help your teen plan activities by making lists or using a planner to stay organized.
- Keep a private journal. Journaling may help improve your teen's mood by allowing your teen to express and work through pain, anger, fear or other emotions.
- Connect with other teens who struggle with depression. Ask the treatment provider if there are local support groups for teen depression. Depression support groups are offered online, but check them out to make sure they're trustworthy sites — such as the National Alliance on Mental Illness or the Depression and Bipolar Support Alliance.
- Stay healthy. Do your part to make sure your teen eats regular, healthy meals, gets regular exercise and gets enough sleep. Bring healthy foods into the home and keep unhealthy foods out, and establish a lights out time at bedtime.
There's no sure way to prevent depression. However, these strategies may help. Encourage your teenager to:
- Take steps to control stress, increase resilience and boost self-esteem to help handle issues when they arise
- Reach out for friendship and social support, especially in times of crisis
- Get treatment at the earliest sign of a problem to help prevent depression from worsening
- Maintain ongoing treatment, if recommended, even after symptoms let up, to help prevent a relapse of depression symptoms
Aug. 17, 2017
- Depressive disorders. In: Diagnostic and Statistical Manual of Mental Disorders DSM-5. 5th ed. Arlington, Va.: American Psychiatric Association; 2013. http://www.psychiatryonline.org. Accessed Sept. 8, 2015.
- Depression. National Institute of Mental Health. http://www.nimh.nih.gov/health/publications/depression/index.shtml. Accessed Sept. 8, 2015.
- Depression in children and adolescents. National Institute of Mental Health. http://www.nimh.nih.gov/health/topics/depression/depression-in-children-and-adolescents.shtml. Accessed Sept. 8, 2015.
- A family guide: What families need to know about adolescent depression. National Alliance on Mental Illness. http://www2.nami.org/Template.cfm?Section=Child_and_Adolescent_Action_Center&template=/ContentManagement/ContentDisplay.cfm&ContentID=24806. Accessed Sept. 8, 2015.
- Facts for families: The depressed child. American Academy of Child and Adolescent Psychiatry. http://www.aacap.org/AACAP/Families_and_Youth/Facts_for_Families/Facts_for_Families_Pages/The_Depressed_Child_04.aspx. Accessed Sept. 8, 2015.
- Facts for families: Psychotherapies for children and adolescents. American Academy of Child and Adolescent Psychiatry. http://www.aacap.org/AACAP/Families_and_Youth/Facts_for_Families/Facts_for_Families_Pages/Psychotherapies_For_Children_And_Adolescents_86.aspx. Accessed Sept. 8, 2015.
- Bonin L, et al. Overview of treatment for pediatric depression. http://www.uptodate.com/home. Accessed Sept. 8, 2015.
- Moreland CS, et al. Pediatric unipolar depression and pharmacotherapy: Choosing a medication. http://www.uptodate.com/home. Accessed Sept. 8, 2015.
- FDA: Don't leave childhood depression untreated. U.S. Food and Drug Administration. http://www.fda.gov/forconsumers/consumerupdates/ucm413161.htm. Accessed Sept. 10, 2015.
- Rentala, S, et al. Effectiveness of body-mind-spirit intervention on well-being, functional impairment and quality of life among depressed patients — A randomized controlled trial. Journal of Advanced Nursing. 2015;71:2153.
- Stewart D, et al. Risks of antidepressants during pregnancy: Selective serotonin reuptake inhibitors (SSRIs). http://www.uptodate.com/home. Accessed Oct. 27, 2015.
- Bonin L. Pediatric unipolar depression: Epidemiology, clinical features, assessment, and diagnosis. http://www.uptodate.com/home. Accessed Sept. 8, 2015.
- Raglio A, et al. Effects of music and music therapy on mood in neurological patients. World Journal of Psychiatry. 2015;5:68.
- Uttley L, et al. Systematic review and economic modelling of the clinical effectiveness and cost-effectiveness of art therapy among people with non-psychotic mental health disorders. Health Technology Assessment. 2015;19:1.
- Research report: Psychiatry and psychology, 2014-2015. Mayo Clinic. http://www.mayo.edu/pmts/mc0700-mc0799/mc0710-11.pdf. Accessed Sept. 8, 2015.
- Hall-Flavin DK, et al. Utility of integrated pharmacogenomic testing to support the treatment of major depressive disorder in a psychiatric outpatient setting. Pharmacogenetics and Genomics. 2013;23:535.
- Depression. National Alliance on Mental Illness. https://www.nami.org/Learn-More/Mental-Health-Conditions/Depression/Overview. Accessed Sept. 10, 2015.
- Cook AJ. Allscripts EPSi. Mayo Clinic, Rochester, Minn. April 17, 2015.
- Brent DA, et al. Effect of a cognitive-behavioral prevention program on depression 6 years after implementation among at-risk adolescents: A randomized clinical trial. JAMA Psychiatry. In press. Accessed Sept. 30, 2015.
- Hoecker JL (expert opinion). Mayo Clinic, Rochester, Minn. Sept. 30, 2015.
- Hall-Flavin DK (expert opinion). Mayo Clinic, Rochester, Minn. Oct. 27, 2015.
- Centers of Excellence. National Network of Depression Centers. http://www.nndc.org/centers-of-excellence. Accessed Oct. 30, 2015.