Pediatric Depression

Pediatric and adolescent depression is a serious mood disorder that can take the joy from a child’s life.  It is normal for a child to be moody or sad on occasion; however, if these feelings last for weeks or months, it may be a sign of depression.

As many as 3 in 100 young children and 9 in 100 teens have serious depression.  Still many do not get the treatment that they need.  This is partly because it can be hard to tell the difference between a child’s normal moody behavior and depression.  It is also important to remember that depression in children does not always look the same as it does in adults.

If your child is between the age 7-11 and you think they may be depressed, you can contact us by completing the questionnaire or calling our office to set up an appointment for a free evaluation.


Questionnaire:


Please let us know which of the following symptoms you’ve noticed your child has experienced.

 Feeling sad, grumpy Mood swings Loss or gain of weight Feeling tired or having little energy Feeling worthless or guilty Lack of energy or becoming withdrawn Thinks about death or suicide a lot NONE

Has your child been treated with depression before?
 Yes No

Is your child currently receiving treatment for depression?
 Yes No

Does your child have a history of any of the following?

 Seizure Disorder Stroke Head Injury Brain Tumor Cancer NONE

What is the Child's Gender?
 Male Female

How old is your child?

Parent's Name (First and Last):

Child's Name (First and Last):

Phone:

Email Address:

Is the child a resident of Washington State?

Zip Code:

What is the best time to contact you?

How did you hear about us?
 TV Radio Referral Flyer/Brochure Internet Search Web Advertisement Facebook Previous Patient Parent Map Seattle’s Child School PTA

Please enter any questions or comments in the space below.

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