Problem
Depression
Description
Feelings of sadness are a normal part of childhood/adolescence and in most cases are temporary and often resolve on its own. Depression is characterised by disturbances of mood, sleeping, irritability, decrease in energy, social isolation, school performance is affected and thoughts of self-harm and suicidal ideation have been expressed.
In order for referral to CAMHS to be appropriate difficulties should be more than age appropriate variation of mood. There should be a significant change from previous levels of functioning and an impact on daily living.
Bipolar disorder is rare in children and relatively uncommon in adolescents. The initial presentation is usually a depressive episode.
We recommend GPs should advise and review prior to referral as often difficulties can resolve without intervention.
For persistent symptoms, or if concerns exist regarding suicidal thoughts then refer to CAMHS.
Specialist services should be involved:
- Where the child’s development or level of functioning has been seriously affected or there has been a sudden deterioration
- Where it appears to be out of proportion to the family circumstances
- Where there is a significant impact on the parent / carer / child relationship-please describe in referral.
Should the GP consider that an antidepressant is warranted, this should involve a discussion with a psychiatrist.
For children who do not meet the criteria for CAMHS you may wish to direct them to:
Healthy reading scheme available in some Lothian libraries Self help books on low mood available. Contact the local library for more info or go online to local libraries.
Locality based mental health information/resources
- https://ithriveedinburgh.org.uk/ (Edinburgh)
- http://midspace.co.uk/ (Midlothian)
- http://eastspace.org.uk/ (East Lothian)
- http://www.westspace.org.uk/ (West Lothian)
Helpful websites
www.moodjuice.scot.nhs.uk/depression
www.depressioninteenagers.com NOT WORKING
www.beatingtheblues.co.uk
www.breathingspacescotland.co.uk(Telephone helpline: 0800 83 85 87)
Telephone/computerised CBT for age 16+
NICE Guidelines:
Cross reach Counselling Services
Edinburgh 0131 552 8901
East Lothian 01368 865218
MYPAS
Midlothian young people’s advice service includes counselling and family counselling services 0131 454 0757
Health Opportunities Team
Health Opportunities Team – Edinburgh based charity supporting young people aged 12-25 to improve their physical, sexual and emotional health and wellbeing. Trauma informed work includes, therapeutic 1:1, ‘Feel Good’ groups, weekly drop ins, 1:1 and group work with young people affected by their own or parental substance use, RSHP education and group work in Schools.
1a Queens Walk
EH16 4EA
Tel 01314684600
info@healthopportunities.org.uk
Young Minds
Parent helpline.Information and advice on young people’s emotional wellbeing and mental health.
Tel: 0808 802 5544
West Lothian:
The Mental Health and Mental Wellbeing Screening group offers a wide variety of support for children young people and their families. Please contact the Children and Young Peoples team on Tel. 01506 282948 or email cypt@westlothian.gov.uk
