ADOLESCENT DEPRESSION: INSIGHTS FROM A SUCCESSFUL CASE

Minh Loan Do1
1 Vietnam National Children’s Hospital

##plugins.themes.vojs.article.main##

Abstract

A 15-year-old girl went to the doctor because of a headache that lasted for 2 months. She initially presented to a neurological clinic but do not respond well to treatment then be referred to a mental health clinic. Signs of in-depth investigation include fatigue, anxiety, sadness, depressed mood, and loss of daily interests, self-harming behavior, suicidal ideation, and sleep disturbances. The child was diagnosed with severe depression with suicidal ideation. The treatment was successful with a combination of pharmacological treatment and psychotherapy over a 13-month treatment period including 1 month of inpatient treatment at the hospital and 12 months of outpatient treatment.

##plugins.themes.vojs.article.details##

References

1. Thapar A, Collishaw S, Pine DS et al. Depression in adolescence. Lancet 2012; 379(9820):1056-1067.https://doi.org/10.1016/s0140-6736(11)60871-4
2. Shorey S, Debby E, Wong CHJ. Global prevalence of depression and elevated depressive symptoms among adolescents: A systematic review and meta-analysis. Br J Clin Psychol 2022;61(2):287-305. https://doi.org/10.1111/bjc.12333
3. Korczak DJ, Westwell-Roper C, Sassi R. Diagnosis and management of depression in adolescents. CMAJ 2023;195(21): E739-46.https://doi.org/10.1503/cmaj.220966
4. Trần Hữu Bình. Giai đoạn trầm cảm. Giáo trình bệnh học Tâm thần. Nhà Xuất bản Y Học, Hà Nội, 2016:59-65.
5. Boaden K, Tomlinson A, Cortese A et al. Antidepressants in Children and Adolescents: Meta-Review of Efficacy, Tolerability and Suicidality in Acute Treatment. Frontiers in Psychiatry 2020;11:717.https://doi.org/10.3389/fpsyt.2020.00717