depression in children

Question 1

depression in children 5-12 - clinical presentation

Answer 1

somatic symptoms
difficulty saying positive things about themself
mood or cognition changes that impair personal function

Question 2

depression in children 5-12 - investigations to consider

Answer 2

fbc - look for anaemia
tft
vit deficiencies - b12, ?vit d, iron, folate
fasting BSL

Question 3

depression in children 5-12 - screening tests

* by age group (3)

Answer 3

preschool feelings checklist
children’s depression inventory 2-7 years and older
mood feeling questionnaire - 8 years and older

Question 4

depression in children 5-12 - initial management (5)

Answer 4

optimise sleep hygiene
regular exercise
healthy diet
incorporate fun recreational activities into daily life
watch and wait for 4 weeks - if no improvement, psychologist referral

Question 5

depression in children 5-12 - when to refer (4)

Answer 5

no improvement at 2-3 months
moderate to severe illness
high risk suicidal ideation
GP, or parents, think medication is needed to manage