Feelings of sadness are a normal part of childhood\/adolescence and in most cases are temporary and often resolve on their 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. <\/p>\n\n\n\n
Symptoms of depression or low mood in children often include:<\/span><\/p>\n\n\n\n Some children and young people (CYP) have problems with anxiety<\/a> as well as depression. Some also have physical symptoms, such as headaches and stomach aches.<\/p>\n\n\n\n The CAMHS Tier 2 service comprises a team of mental health professionals called Primary Mental Health Workers (PMHW). One team covers East, Mid and West Lothian and another covers Edinburgh North and South.<\/p>\n\n\n\n CAMHS Tier 2 support CYPs mental health needs by offering an assessment through conversation with a CYP and their family\/carer, followed by individualised signposting. <\/p>\n\n\n\n GPs can discuss referrals with a Tier 2 PMHW, who can advise whether a referral may require assessment by Tier 3 CAMHS<\/a>.<\/p>\n\n\n\n CYP who show persistent or severe symptoms of depression or low mood, which interfere with daily function, should be referred to CAMHS.<\/p>\n\n\n\n We recommend GPs should meet and review a CYP prior to referral as often difficulties can resolve without intervention.<\/p>\n\n\n\n Specialist services should be involved:<\/p>\n\n\n\n Should the GP consider that an antidepressant is warranted, this requires referral to a CAMHS psychiatrist. <\/p>\n\n\n\n Parents, carers or trusted adults play an important role in supporting their child through experiences of low mood and depression. They help their child feel safe, heard and accepted, and support them to make sense of difficult emotions that can feel overwhelming. By staying connected, responding with warmth and patience, validating feelings, and gently encouraging everyday activities, parents and carers can help reduce withdrawal, build hope, and support recovery over time. Helpful ways for parents and carers to talk to their child or young person can be found in Resources and Links.<\/strong><\/p>\n\n\n\n G.K & C.M – 6-10-26<\/strong><\/p>\n\n\n\n GPs, school nurses, health visitors, teachers, social workers.<\/p>\n\n\n\n A referral to CAMHS can be considered,<\/p>\n\n\n\n Please describe this impact clearly in the referral.<\/p>\n\n\n\n Children and young people whose changes in mood are age appropriate and return to previous level of functioning, are not sustained over time or pervasive across settings.<\/p>\n\n\n\n Please:<\/strong><\/p>\n\n\n\n \u200bFor children and young people who do not meet the criteria for CAMHS you may wish to direct them to locality based mental health information\/resources \u2013 please see Resources and Links for details.<\/strong><\/p>\n<\/div><\/div>\n\n\n\n For children and young people who do not meet the criteria for CAMHS please consider locality based mental health information\/resources:<\/strong><\/p>\n\n\n\n Healthy reading scheme<\/strong>, available in some Lothian libraries.<\/p>\n\n\n\n Overview | Depression in children and young people: identification and management | Guidance | NICE<\/a><\/p>\n\n\n\n Talking to your child about feelings – NHS<\/a><\/p>\n\n\n\n Individual sessions and a workbook for parents and carers<\/strong>, recorded by NHS Lothian CAMHS Clinical Psychology is available via this link, Low Mood and Depression<\/a><\/p>\n\n\n\n The recordings cover the following topics:<\/p>\n\n\n\n <\/p>\n\n\n\n Self-care for parents and carers is important while supporting a child or young person in understanding and managing their mental health. Information can be found here:<\/p>\n\n\n\n Royal College of Psychiatrists have a range of resources written by mental health professionals and young people:<\/p>\n\n\n\n <\/p>\n\n\n\n Young minds offer information on different mental health presentations, accessing support and what it may look like, and how to support a friend if they are struggling.<\/p>\n\n\n\n <\/p>\n\n\n\n Self-help workbook of relaxation exercises for young people to practice:<\/p>\n\n\n\n <\/p>\n\n\n\n NHS Inform: CBT informed Self-Help Guide (16+ only)<\/p>\n\n\n\n <\/p>\n\n\n\n And the NHS UK guide to anxiety in children and young adults<\/a>.<\/p>\n<\/div><\/div>\n<\/div>\n","protected":false},"excerpt":{"rendered":" Feelings of sadness are a normal part of childhood\/adolescence and in most cases are temporary and often resolve on their 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. Symptoms of depression or low mood<\/p>\n","protected":false},"author":2,"featured_media":0,"parent":3788,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_searchwp_excluded":"","footnotes":""},"categories":[381],"class_list":["post-3840","page","type-page","status-publish","hentry","category-depressioncamhs"],"publishpress_future_workflow_manual_trigger":{"enabledWorkflows":[]},"rttpg_featured_image_url":null,"rttpg_author":{"display_name":"NHS Lothian","author_link":"https:\/\/apps.nhslothian.scot\/refhelp\/author\/nhs-lothian\/"},"rttpg_comment":0,"rttpg_category":" Depression (CAMHS)<\/a>","rttpg_excerpt":"Feelings of sadness are a normal part of childhood\/adolescence and in most cases are temporary and often resolve on their 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. Symptoms of depression or low mood","_links":{"self":[{"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/pages\/3840","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/comments?post=3840"}],"version-history":[{"count":5,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/pages\/3840\/revisions"}],"predecessor-version":[{"id":30352,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/pages\/3840\/revisions\/30352"}],"up":[{"embeddable":true,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/pages\/3788"}],"wp:attachment":[{"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/media?parent=3840"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/categories?post=3840"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}\n
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Tier 2 CAMHS –<\/strong> Tier 2 Teams \u2013 Child and Adolescent Mental Health Services<\/a><\/h4>\n\n\n\n
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Who can refer<\/h4>\n\n\n\n
Who to refer to Tier 3 CAMHS<\/h4>\n\n\n\n
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Who not to refer<\/h4>\n\n\n\n
How to refer<\/h4>\n\n\n\n
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NICE Guidelines:<\/h4>\n\n\n\n
Helpful resources for parents and carers<\/h4>\n\n\n\n
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Helpful websites for young people<\/h4>\n\n\n\n
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