By Laurel Kelly, Mayo Clinic News Network

Troy Warren for CNT #Health

Although depression can occur at any time in life, symptoms can differ between teens and adults

With many teens heading back to school, peer pressure and academic expectations are once again a reality. These added pressures can cause ups and downs during what can be an already tumultuous time of life.

For some teens, though, the lows are more than just temporary feelings. They’re symptoms of depression.

Teen depression is a serious mental health problem. It affects how teenagers think, feel and behave, and it can cause emotional, functional and physical problems. Although depression can occur at any time in life, symptoms can differ between teens and adults.

Signs and symptoms a teen may be depressed include a change in his or her previous attitude and behavior that can cause significant distress and problems at school or home, in social activities, or in other areas of life.

These signs and symptoms can include:

Feelings of sadness, which can include crying spells for no apparent reason
Frustration or feelings of anger, even over small matters
Feeling hopeless or empty
Irritability or annoyed mood
Loss of interest or pleasure in usual activities
Loss of interest in, or conflict with, family and friends
Low self-esteem
Feelings of worthlessness or guilt
Fixation on past failures, or exaggerated self-blame or self-criticism
Extreme sensitivity to rejection or failure, and the need for excessive reassurance
Trouble thinking, concentrating, making decisions and remembering things
Ongoing sense that life and the future are grim and bleak
Frequent thoughts of death, dying or suicide

Treatment depends on the type and severity of a teenager’s depression symptoms. A combination of talk therapy and medication can be effective for most teens with depression. If a teen has severe depression or is in danger of self-harm, he or she may need a hospital stay or may need to participate in an outpatient treatment program until symptoms improve.

While antidepressant drugs often effectively treat depression and anxiety in children and teenagers, their use in children and teens must be monitored carefully, as rarely there can be severe side effects. Antidepressants carry a Food and Drug Administration black box warning about a risk of increased suicidal thinking and behavior in some people under 25.