Teenager depression - mood, interest, appetite, sleep, energy, concentration, suicide

the teenager unhappy or irritable? OR Does the teenager show loss of interest or pleasure in most activities?

(This happens most of the day, nearly every day for at least two weeks)

Yes

Does this teenager show at least five of the following?

� Depressed or irritable mood

� Loss of interest in activities

� Significant weight or appetite change

� Insomnia or hypersomnia

� Psychomotor agitation or retardation

� Fatigue or loss of energy

� Feelings of worthlessness or guilt

� Diminished ability to think or concentrate, or indecisiveness

� Recurrent thoughts of death or suicide

Yes

Do these symptoms cause clinically significant distress or impairment in social, school or family functioning, and are they not due to bereavement?

Yes

Is there a history of manic or hypomanic symptoms (eg, periods of elation or elevated mood) or a family history of bipolar disorder?

No Yes

Major depressive disorder is likely

Figure 1: Is this teenager depressed?

Consider other diagnoses or problems

Consider the possibility of bipolar disord