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Children's Depression Checklist
The following checklist will help you assess and document your child's feelings and behavior.
This information will provide your physician or therapist with a fairly good picture of your child's emotional state. Instructions: Be as objective and thorough as possible. Use additional paper if you need more space to share your observations or give examples.
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Signs of Possible Depression |
Description |
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• Sadness |
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• Emptiness |
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• Hopelessness |
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• Guilt |
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• Worthlessness |
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• Not enjoying everyday pleasures |
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THINKING. IS YOUR CHILD HAVING DIFFICULTY: |
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• Concentrating |
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• Making decisions |
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• Completing school work |
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• Maintaining grades |
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PHYSICAL PROBLEMS. DOES YOUR CHILD COMPLAIN OF: |
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• Headaches |
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• Stomachaches |
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• Joint or backaches |
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• Lack of energy |
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• Sleeping problems |
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• Weight or appetite changes (gain or loss) |
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BEHAVIORAL PROBLEMS. IS YOUR CHILD: |
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• Restless |
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• Irritable |
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• Not wanting to go to school |
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• Wanting to be alone most of the time |
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• Having difficulty getting along with others |
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• Cutting classes or skipping school |
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• Dropping out of sports, hobbies or activities |
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• Drinking or using drugs |
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SUICIDE RISK. DOES YOUR CHILD TALK OR THINK ABOUT: |
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• Suicide |
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• Death |
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• Other morbid subjects |
Other Resources
Suicide Hotline
Phone: (800) 273-TALK (8255)
http://www.suicidepreventionlifeline.org/
Depression and Bipolar Support Alliance (DBSA)
800-826-3632
http://www.dbsalliance.org/
American Psychiatric Association
703-907-7300
www.psychiatry.org/
International Foundation for Research and Education on Depression
http://www.ifred.org/
National Institute of Mental Health
Phone Number: 301-443-4513
Toll Free Number: 1-866-615-6464
Fax Number: 301-443-4279
Email Address: nimhinfo@nih.gov
Website URL: www.nimh.nih.gov
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