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Learn How to Recognize and Help Depressed Students

January 18, 2012 RSS Feed Print

One fifth of females between the ages of 14 and 17 reported feeling severely depressed at some point, according to a recent Department of Education report, and there are many factors of high school life that can lead to such feelings. Teachers, who often see these factors firsthand in classrooms and hallways, should know how to interpret the signs of their students' depression.

The Department of Education report shows that 21 percent of high school females reported having a Major Depressive Episode (MDE) at one point in their lifetime, which it defines as a "period of at least two weeks when a person experiences a depressed mood or loss of interest or pleasure in daily activities, plus at least four additional symptoms of depression (such as problems with sleep, eating, energy, concentration, and feelings of self-worth.)" Only 10 percent of males in the same age bracket, the report states, have experienced one of these episodes.

"There are some significant gender differences in the way that psychological distress gets manifested," says Amber Douglas, assistant professor of psychology and education at Mount Holyoke College in Massachusetts. "Traditionally, we tend to think about females—women and girls—internalizing their symptoms, and boys and men externalizing their symptoms."

Males, particularly adolescent men, are more likely to act, rather than reflect, on their feelings, and those actions can sometimes lead to behavioral problems or the student being labeled as "destructive," says Douglas.

For example, while twice as many young women than men in the Department of Education report experienced a Major Depressive Episode, the same report shows that greater percentages of males in grades 9 through 12 have reported high-risk behaviors, such as getting into physical fights, drinking and driving, and carrying a weapon. The report also shows that, in 2007, male students were suspended from school at twice the rate of their female peers.

[Learn why teens who sleep less are likelier to lead risky lives.]

Douglas says that there are many factors that explain why students may begin to feel angry in their teens, whether they're internalizing or externalizing those feelings. Students are developing their identities and shifting their support systems from family members to peers, she says.

"Those peer relationships become very important," says Douglas. "[Students are] learning how to negotiate what it means ... to be a good friend, what it means to be loyal, what it means to successfully negotiate conflict, and also figuring out romantic relationships as an additional layer to all of this."

Sometimes, academic pressure in high school—particularly the stress surrounding standardized tests—can make some students angry and depressed, Douglas says.

[Some ask if multiple choice questions pass the test.]

"It's great if kids are taking pride in their work," she says. "It's not so great if they're becoming overly stressed and obsessed with perfection."

But it can be hard to diagnose overwhelmed and depressed students. Douglas says teachers should keep an eye out for a change of behavior in the student, such as being less responsive, acting more withdrawn, or associating with troublemaking peers. Then, Douglas says, the teacher should privately talk to the student in a "non-threatening" way.

[Learn how some teachers use hip hop to engage students.]

"I think that if the teacher is really concerned, then sure, get the parents involved," she says. "But I think a lot can be learned by having a one-on-one conversation."

In this discussion, Douglas suggests that teachers take into account the changes their students are going through.

"As students are moving toward adulthood, I think it's important that you as a teacher are recognizing that the students get to make some of their own decisions and they're negotiating some important stuff."

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Tags:
students,
depression,
education,
teachers,
mental health,
health,
high school,
teens

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Youth depression can often be overlooked by teachers and professionals when the teen is acting out in aggressive and irritable ways. While we typically think of the depressed individual as withdrawn and isolating, it is important to understand that youth often express signs of depression differently than adults. Depression in children and adolescents can manifest as restlessness (diagnostically referred to as psychomotor agitation) and instead of a depressed mood, they might report feelings of agitation and irritability. Weight loss (or gain) as well as decrease in pleasurable activity are also important indicators to watch for in adolescents when discerning the presence of Major Depressive Episodes.

Perhaps the greatest indicator, which was not addressed in this article, is the recurrent thoughts of death, or suicide. It is a common misconception that talking about suicide will increase the chances of a depressed individual thinking about suicide. On the contrary, this is an important question to ask youth when concerns of depression are present. Asking about suicidal thoughts in fact can protect a depressed person, rather than causing greater harm.

It is also important to consider though that the adolescent years are full of identity formation and confusion. A decreased interest in pleasurable activities can be a sign of depression as well as individuation and identity exploration. In order to effectively determine whether a child is going through normal life ups and downs, or heading for depression, be involved and interested in the changes you observe without any preconceived notions. Being willing to openly and non-judgmentally listen to a youth will help them express themselves and give you a greater insight regarding what they are experiencing. If you continue to have concerns regarding someone's well being, there are a number of community mental health organizations that offer free assessments, as well as emergency room hospitals that will help you determine if these signs are indicative of something more severe.

Lindsey Troup of IL 5:07PM February 19, 2012

As this article notes, depression is all too prevalent among our nation’s youth. In fact, NIH data has shown that half of all mental health disorders start by age 14. Teachers can play an important role in helping to identify teens exhibiting signs of depression. Unfortunately, teens often hide their depression – so it doesn’t show until there’s a crisis. Fortunately, routine mental health screenings can help identify those suffering in silence and has been shown to identify at-risk youth not already known to school personnel or mental health professionals.

Our Center’s mission is to help every teen receive a routine mental health assessment, in order to help identify mental illness in early, easier-to-treat stages. Undiagnosed, untreated mental illness can cause a host of problems, including, teen suicide. We provide free evidence-based tools to support the implementation of adolescent screening programs in schools and youth-serving community settings, as well as in primary care practices. We are currently active in over 2,700 sites nationwide. Screening can be an important first step in identifying those suffering from depression and linking them to professional help. We urge educators to include screening in any plan to address mental health among adolescent students.

Laurie Flynn

Executive Director

TeenScreen National Center for Mental Health Checkups at Columbia University

www.teenscreen.org

Laurie Flynn of NY 5:28PM January 18, 2012

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