How to Tell If Your Child Shows Symptoms of Depression

Loss of energy and withdrawal may signal a problem

Verywell / Julie Bang 

If your child feels sad but doesn't know why, it could be a sign of childhood depression. Kids often don't have the resources to identify their own emotions or figure out what might be causing them.

"Depression can often look different in kids than adults. While adults often look sad or down, feel helpless or worthless, and lack energy, children may not even complain that they are upset or know that something is wrong," says Erica Miller, PhD, a children's therapist at Connected Minds NYC. 

Even though they may not be able to put what they are feeling into words, there are signs and symptoms that parents can watch for. Sad mood, social withdrawal, irritability, and periods of loneliness are just a few signs that your child might be dealing with depression.

At a Glance

If you think your child is depressed, it is important to look carefully at your child's symptoms. Depression symptoms can sometimes appear differently in a child than in an adult, so it can be tricky to spot the signs. Knowing what to look for can help you identify symptoms of depression so you can seek help.

Depression May Look Different In Kids

Symptoms of depression in children tend to be a bit different than those in adults. That is why your child might be sad but not know why or be able to explain how they are feeling.

Low mood and loss of pleasure are often the two primary symptoms in adults with depression. Kids are more likely to experience primary symptoms such as irritability and physical complaints.

Other symptoms of childhood depression include difficulty focusing and making decisions, extreme shyness, clinging to a parent, feeling hopeless, unexplained physical complaints, sleeping problems, appetite changes, and thoughts or actions of self-harm.

"Depression does not always bring with it self-harming behaviors or suicidal ideation, but these are flags to pay attention to and never fear in asking your child about it," says Abbey Sangmeister, MSEd, LPC, ACS, a therapist and parental burnout coach. "It is better to be straightforward and ask than for these conversations to go unaddressed and your child to be suffering silently."

If your child or someone else you know is having thoughts of suicide, contact the National Suicide Prevention Lifeline at 1-800-273-TALK (1-800-273-8255). If you or a loved one are in immediate danger, call 911.

For more mental health resources, see our National Helpline Database.

Symptoms of Depression in Children

If you suspect that your child might be depressed, keep an eye out for the following signs.

Sadness

Children may become sad about many things such as lost relationships, school work, failures, missing out on something, moving, or loss of a friend, pet, or loved one.

Kids express and explain sadness differently than adults do. This is especially true for very young kids who lack the emotional resources to label and explain what they are feeling.

They may also have trouble with self-control, which can manifest as difficulty managing frustration, managing their emotions, and 'acting out.' Because kids often lack the words to describe their feelings, their behavior expresses what they cannot. 

ERICA MILLER, PHD

Because your child might be unable to explain why they are sad, it might take some detective work to figure out the underlying cause. If your child has been struggling with problems in school, with friends, stress, or other disappointments, their sadness may be a temporary mood that will pass with time and support.

Try to identify what your child is sad about and provide support. If symptoms of sadness improve or disappear after just a few days, they are probably unrelated to depression.

Depressed children may have a general sense of sadness about their life and their future, or they may not be able to identify what they are sad about. They may cry a lot or tear up frequently for no obvious reason. Feelings of sadness that last longer than two weeks are a reason to talk to your child's pediatrician.

Withdrawal From Friends and Family

Most children will change friends at some point and spend varying amounts of time with their parents. As children go through puberty, they naturally pull away from their families and start identifying more with peers. This is an important developmental step that should not be confused with social withdrawal.

When social withdrawal is associated with depression, it can contribute to a child's negative social experiences, which can reinforce depressive symptoms (such as worthlessness or feeling like no one likes or understands them).

Children who are depressed may dramatically pull away from friends, family, and others who they were once close to. They tend to keep to themselves and avoid interactions altogether. They may stop participating in class, social, and extracurricular activities.

Losing Interest in Activities

Your child may naturally lose interest in things they once loved, like a favorite toy or TV show, or suddenly declare that they no longer want to engage in a favorite activity. This is different from a child with depression.

A depressed child has a hard time finding joy or excitement in anything. Your child may be indifferent to almost everything. Kids who are depressed often seem like they are just going through the motions without any joy or pleasure in what they are doing.

Feeling Misunderstood

Every child will feel misunderstood at some point in time. A depressed child may feel that there is no one who can understand their feelings or that it is pointless to even try to talk about them. Your child may fear trying new things, speaking out, or sharing ideas out of fear of rejection, misinterpretation, or ridicule.

Academic Decline

Children may have academic highs and lows over time. Remember that during times of transition to middle school or high school, course work may become more challenging.

A depressed child may have a significant decline in grades. Missing school, trouble paying attention, or simply failing to do work are all reasons for such declines in grades. This may be more apparent in a child who had been a high academic achiever in the past.

Lack of Energy

Everyone gets tired, especially after busy days, hard work, late nights, illnesses, and exercise, but a depressed child may seem to always lack energy and motivation.

Even after an appropriate amount of sleep, a depressed child may complain of being tired, move slowly, or take a disproportionate amount of time to complete a task.

Guilt

Feelings of excessive and unrelenting guilt are common in children with depressive disorders, such as major depressive disorder, depressive episodes in bipolar disorder, and dysthymia. A child with depression may blame themselves for anything that goes wrong, even if it is out of their control.

Guilt can also contribute to feelings of sadness, worthlessness, and hopelessness. If your child's guilt seems to be worsening, lasts longer than two weeks, and is present with other signs of depression, seek out your doctor or mental health professional.

Worthlessness

Children with depressive disorders may feel worthless frequently or for long periods of time, especially following a negative event. Children who experience feelings of worthlessness typically think they are weak, inadequate, or flawed.

Children who feel worthless may believe that they are inherently bad and that everything they do is wrong. They may not put any effort into their schoolwork, engage in unstable relationships, or not even try to connect with others because they believe that their efforts will fail or cause additional problems.

Feelings of worthlessness or other symptoms of depression for more than a week or two may require treatment from your child's pediatrician or mental health provider.

Impulsivity and Aggression

For some depressed children and adolescents, their emotions may cause them to feel angry toward the people or things that they believe are the sources of their pain. This can lead to impulsive and aggressive reactions.

Impulsive behaviors are quick reactions to events (usually negative) without regard for consequences. Impulsive behaviors often, but do not always, lead to aggressive actions. Aggressive behaviors may be directed inward in the form of self-injury, or at someone or something else through angry outbursts, harassment, property damage, or violence.

What Causes Depression in Kids

Childhood depression is a complex condition that has many causes. A number of different factors can contribute to the onset of depression in kids. Depression affects many children.

The Centers for Disease Control and Prevention (CDC) reports that 3.2% of kids between the ages of 3 and 17 have been diagnosed with depression.

Some of the risk factors that can contribute to childhood depression include:

  • Brain chemistry: Imbalances in certain neurotransmitters such as serotonin, dopamine, and norepinephrine can play a role in causing depression.
  • Environment: A chaotic or unstable home life can be a risk factor for depression, as can experiencing social isolation or bullying at school.
  • Family history: Having close family members and relatives with depression increases the risk of experiencing childhood depression. One 30-year study found that those with the highest risk of depression were those with two previous generations of family members with depression.
  • Physical health: Health conditions, particularly chronic illnesses such as type 1 diabetes, can increase the risk of experiencing childhood depression.
  • Stress: Life events such as moving and divorce can play a role in causing childhood depression.

How to Help Your Child

If you think that your child may be depressed, consult with your pediatrician, who can evaluate the symptoms, rule out an underlying medical illness, and recommend the appropriate treatment.

Here are a few things that you can do to help your child cope with feelings of depression.

Monitor Your Child's Moods

Watch for symptoms such as sadness, irritability, loss of pleasure, change of appetite, change of sleep habits, tiredness, feelings of worthlessness, and thoughts of death. Talk to a health professional if your child shows such signs.

Building rapport with your child early on and developing a routine of checking in with them is a great way to screen for mental health challenges and for them to know you are a safe space to talk to.

ABBEY SANGMEISTER, MSED, LPC, ACS

Provide Reassurance

Let your child know that depression is nothing to be ashamed of. Depression is an illness just like the flu and getting the right treatment can help kids get better.

Encourage Your Child to Talk

Give your child the right to have these feelings. Children can quickly get the idea that it's not OK to feel depressed and start to hide their feelings rather than deal with them in a healthy way.

How do you go about starting the conversation? "I suggest going for a walk, coffee shop, playing a game, or going for a drive in the car. Children are more inclined to open up when doing something. This also takes some of the stress and pressure off the conversation for both of you," Sangmeister suggests.

She also recommends asking open-ended questions about how your child is feeling, such as, "How are you sleeping?" or "Is there anything you have on your mind? I've noticed you've been (sad/anxious/quiet) lately.

It's important to give your child plenty of space to respond. Remain attentive, but don't try to fill the silence with your own comments.

If they don't want to talk, focus on letting them know you are concerned and remind them they can talk to you or another adult.

Teach Your Child to Ask for Help

Kids need to know that there will be help available when they need it. Give them a list of people they may talk to such as yourself, a teacher, or a counselor.

Sangmeister also suggests that talking to a therapist yourself is a great way to model help-seeking behavior for your child. "Set the example for your child that there is no judgment in getting additional support and normalize having a space to process your own thoughts and feelings with a professional," she explains.

Never Minimize Feelings

It may seem small to you, but what counts is how it feels to your child. Listen and be a source of support.

"Initiate an open and non-judgmental conversation with your child to show you are concerned and provide them a space to share their feelings. Actively listen, validate them, and do not dismiss what they are feeling," says Daniel Rinaldi, MA, a therapist and life coach.

Watch Your Own Behavior

Be aware of the impact your own responses to life are having on your child. Your child learns coping skills by watching you.

What This Means For You

It can be difficult to know whether your child is depressed or having a mild reaction to a negative event, but you are not alone. Many parents struggle with understanding what their child is thinking and feeling. Fortunately, there are many ways to find support and treatment.

"If a parent is worried about their child, talk to them, spend time with them, connect with them," Miller says. "You should also reach out for support. A school counselor or pediatrician can be a good place to start."

11 Sources
Verywell Mind uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. Read our editorial process to learn more about how we fact-check and keep our content accurate, reliable, and trustworthy.
  1. Anxiety and Depression Association of America (ADAA). Childhood Depression.

  2. Health and Wellness Library. Children’s Health. Signs Of Depression In Children And Adolescents.

  3. Katz SJ, Conway CC, Hammen CL, Brennan PA, Najman JM. Childhood social withdrawal, interpersonal impairment, and young adult depression: a mediational model. J Abnorm Child Psychol. 2011;39(8):1227-38. doi:10.1007/s10802-011-9537-z

  4. Children’s Hospital of Philadelphia. Boyd R, Lewis J (ed). Major Depression In Children.

  5. Zimmer-gembeck MJ, Nesdale D, Webb HJ, Khatibi M, Downey G. A Longitudinal Rejection Sensitivity Model of Depression and Aggression: Unique Roles of Anxiety, Anger, Blame, Withdrawal and Retribution. J Abnorm Child Psychol. 2016;44(7):1291-307. doi:10.1007/s10802-016-0127-y

  6. UpToDate.com. Patient Education: Depression In Children And Adolescents (Beyond the Basics).

  7. Tilghman-osborne C, Cole DA, Felton JW. Inappropriate and excessive guilt: instrument validation and developmental differences in relation to depression. J Abnorm Child Psychol. 2012;40(4):607-20. doi:10.1007/s10802-011-9591-6

  8. American Academy of Child and Adolescent Psychiatry (AACAP). Families and Youth. Depression In Children And Teens.

  9. Child Mind Institute. What Are Some Of The Causes Of Aggression In Children?.

  10. Centers For Disease Control And Prevention (CDC). National Center on Birth Defects and Developmental Disabilities, Data And Statistics On Children’s Mental Health.

  11. Weissman MM, Berry OO, Warner V, Gameroff M, Skipper J, Talati A, et al. A 30-Year Study of 3 Generations at High Risk and Low Risk for Depression. JAMA Psychiatry. 2016;73(9):970-7. doi:10.1001/jamapsychiatry.2016.1586

Additional Reading

By Lauren DiMaria
Lauren DiMaria is a member of the Society of Clinical Research Associates and childhood psychology expert.