Keppra (Levetiracetam)

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DEPRESSION IN CHILDREN
At first, the changes in Jim, 16, were more bothersome than frightening. A good student, he slowly dropped his studies. He wore his hair long and uncombed. He stayed up all hours of the night, keeping to his room, avoiding his family. Once a healthy eater, he turned to junk food. His table manners became messy.
Jim’s parents reacted predictably. They nagged him to shape up. Despite a 10 P.M. curfew, Jim would stay out all night. Asked by his mother if anything was bothering him, he’d say, “Every thing is fine. Stay out of my life.”
The story of Jerry, a high school senior, mirrored Jim’s – until he tried to hang himself. He changed his mind at the last minute. “I didn’t want to die,” explains Jerry. “I was just frustrated.” Jerry’s attempted suicide so frightened his dad that he had his son hospitalized.
Parents of depressed teenagers say they feel “trapped,” as if they are holding a hand grenade about to explode. They know something awful is happening to their child, but they don’t know what.
Psychiatrists now say that teenagers like Jim and Jerry suffer from what once was seen as an “adult’s disease”: depression.
Dr. Mark Gold, former research director of Fair Oaks Hospital in Summit, New Jersey, says that depression seems different in teens because they are not fully developed. “An adult can tell you about his sense of foreboding, of unremitting sadness,” says Dr. Gold. “He will tell of his problems with clear thinking. He will withdraw socially. He will use the words ‘I’m depressed.’ A teenager can’t. His actions tell the story. A patient like Jim – with his food, behavior, and study problems – shows all the signs of a full-blown depression. He’s sick. But to his parents, teachers, and friends, he seems to be a bad kid.”
An estimated 10 percent of teenage boys and girls suffer bouts of depression. With teenagers numbering 20 million in the United States, that makes it a major problem. The annual suicide rate for ages 15 to 19 per 100,000 rose from 5.9 in 1970, to 8.5 in 1980, to 11.1 in 1990 (est.)
Doctors estimate that depression afflicts 40 percent of all teenagers who attempt suicide. Among them, the boys more often die than the girls, because boys generally choose more violent and lethal methods.
The victim of depression feels extremely sad for long periods, during which there is a loss of interest in life and an inability to manage well in everyday situations. In another form, manic depression, moods swing between depression (ranging from irritability to hopelessness) and mania (high elation, in which the patient feels like a superhero, with high levels of sensuality and talkativeness). Tragic events – a death, a traumatic accident – trigger some depressions; others seem spontaneous.
The illness need not end in suicide, life failure, or deep unhappiness. Doctors now prescribe mood-elevating drugs that reverse the symptoms in four of five patients. And new psychological techniques often work as well as drugs in lifting depression’s dark cloud.
Jim, who doesn’t want his real name used here, worked through his emotional problem with the help of a new psychological method. It’s called cognitive therapy, because psychologists help patients change the way they think about things.
For example, at the hospital near San Diego where he began his treatment, Jim felt that the doctors and nurses judged him a failure. Craig Wiese, a psychologist, guided him in learning the truth. He had Jim interview the staff members and ask each, “How do you see me Am I acting out of line” To Jim’s surprise, most said they thought he was a nice guy and his condition was improving. Once Jim confronted reality, he found that if he asked for help, he got it.
Step by step over several months, Dr. Wiese worked on Jim’s distorted thoughts, especially his low self-esteem and his belief that anything he tried would end in failure. Jim went back in school, studying computers and electronics. He showed no signs of depression.
*6/266/5*

October 15, 2009 Post Under Anti-Depressant - Read More

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