Teen Depression Commonly Reoccurs

Medical News: Teen Depression Commonly Reoccurs - in Psychiatry, Depression from MedPage Today

This simple and straight forward research article addresses the issue that while nearly all teens bounce back from depression, but almost half relapse within the next few years (according to results of long-term follow-up of a randomized treatment trial).

When followed for five years, depression returned in 46.6% of the 96.4% of teens who had recovered from their initial episode, John Curry, PhD, of Duke University Medical Center, and colleagues found."The finding that recurrence rates increased significantly from two to three years after baseline suggests that recurrence prevention efforts, such as symptom or medication monitoring or cognitive behavioral therapy booster sessions, may be of value beyond the maintenance period included in TADS," Curry's group wrote in the paper.

The TADS study originally randomized 439 adolescents ages 12 to 17 to 36 weeks of treatment with the antidepressant fluoxetine (Prozac), cognitive behavioral therapy, their combination, or placebo. This is a serious problem and with adults is addressed with Mindfulness Based Cognitive Therapy to prevent relapse. Relapse prevention should be part of every treatment plan. This is especially true of adolescents and adults with ADHD who frequently have co-morbid depression.


This blog is not offered as medical advice or as a means of diagnosing or treating ADHD or any other disorder. Don't go on line and take an ADHD "test." The diagnosis is complex, and it involves not just looking for symptoms of ADHD, but also ruling out other disorders that might look just like ADHD. So avoid these on line "tests" which are nothing more than a collection of symptoms. You need to see a licensed or registered professional for that. Medical doctors can diagnose ADHD, but the diagnosis is complex and often they will make a referral to a Registered Psychologist. You can obtain a referral from the British Columbia Psychological Association for a psychologist near you.

My web page lists a number of resources you can make use of yourself in dealing with Attention Deficit Hyperactivity Disorder (ADHD). Please visit it at www.adhdhelp.ca or one of my other sites at either Psychology Today, AAMFT, PSYRIS or my professional site.

Attention Deficit Hyperactivity Disorder (ADHD) assessment and treatment services are offered for individuals, couples, families, children and adolescents in the Burnaby, Vancouver, Coquitlam, Port Moody, New Westminster and Maple Ridge areas of the lower mainland. This includes neuro-developmental assessments, psycho-education and cognitive behaviour therapy. I also provide diagnostic assessments for autism and Asperger's Disorder in my Burnaby office.

Dr. Jim Roche
Registered Psychologist, British Columbia 01610