SUMMARY OF THE PRACTICE PARAMETERS FOR THE ASSESSMENT AND TREATMENT OF CHILDREN AND ADOLESCENTS WITH DEPRESSIVE-DISORDERS

This summary provides an overview of the assessment and treatment reco mmendations contained in the Practice Parameters for the Assessment an d Treatment of Children and Adolescents With Depressive Disorders. Dep ressive disorders in children and adolescents are marked by core sympt oms similar to those seen in adults, although symptom expression varie s greatly with developmental stage. These disorders are common, chroni c, and recurrent, and they are associated with comorbid psychiatric co nditions and poor outcome that can be alleviated by early identificati on and treatment. Opinions differ regarding treatment planning and dur ation of treatment required. Development of a treatment relationship w ith the patient and family is crucial for a successful outcome. Psycho therapy is an appropriate treatment for all children and adolescents w ith depressive disorders. Antidepressants may prove useful in some cas es and are especially recommended for patients with psychosis, bipolar depression, and severe depression. Continuation treatment is necessar y in all patients after the acute phase; long-term maintenance is requ ired in some. Early detection and intervention is effective in amelior ating the poor psychosocial outcome.