Depression in children often does not present as “sadness” in the same way it does in adults. Because children have difficulty expressing their emotions verbally, depression may manifest through behavior, play, and physical complaints. Therefore, early recognition is very important.
- Significant behavioral changes: Loss of interest in usual play activities, withdrawal, increased irritability or aggression, or conversely unusually subdued behavior
- Persistent sadness, irritability, or lack of enjoyment: A flat facial expression, refusal of previously enjoyed activities, frequent boredom
- Increased physical complaints: Abdominal pain, headaches, nausea, fatigue; if no medical cause is found, these may have an emotional origin
- Sleep and appetite changes: Excessive sleeping, insomnia, nightmares, loss of appetite, or overeating
- Low self-esteem and negative self-talk: Statements such as “Nobody loves me,” “I am useless,” or “I am bad”
- Decline in academic performance: Difficulty concentrating, inability to focus, absenteeism, or school avoidance
- Social withdrawal: Reluctance to play with friends, preference for being alone, avoidance of communication
If these symptoms persist for more than 2 weeks and significantly affect the child’s daily functioning, a professional evaluation is necessary.
Depression in children is not something that “will pass as they grow up”; with early intervention, it can improve much more quickly and sustainably.
Dr Mehmet Çolak, SpecialistChild and Adolescent Psychiatrist