Depression

While sadness is a normal human emotion, depression in children and teens is more persistent and can significantly interfere with daily life. Depression is often misunderstood in young people, as it may not always present as sadness; instead, it can appear as irritability, withdrawal from family and friends, loss of interest in activities, or changes in sleep and appetite patterns. Some children may even express feelings of worthlessness or talk about self-harm, leaving parents feeling alarmed and unsure of what to do next.

Depression in children and adolescents can be influenced by a combination of biological, environmental, and psychological factors. Research by experts like Dr. David A. Brent and Dr. Maria Kovacs has emphasized that depression in younger populations often involves mood instability, difficulty regulating emotions, and heightened sensitivity to social rejection. These unique developmental challenges require tailored interventions that address not only negative thinking patterns but also social relationships and daily routines.

Our Treatment Approach At Moroz Child Psychology Group, we recognize that helping a child or teen overcome depression involves more than simply “making them feel better.” Our treatment is based on evidence-based Cognitive-Behavioral Therapy (CBT) principles, while also emphasizing behavioral activation and relationship repair to rebuild a sense of accomplishment, social connection, and hope.

Key Areas of Focus in Treatment:

• Identifying Depressive Thinking Patterns: Children with depression often view the world through a negative filter, interpreting situations in ways that reinforce their feelings of hopelessness. We help children recognize and challenge these distorted thoughts and develop more realistic, balanced interpretations of their experiences. We also teach children that there are always multiple ways to interpret any situation, and we help them practice intentionally choosing perspectives that lead to more adaptive and empowering emotional responses.
• Behavioral Activation: A core component of depression treatment involves helping children gradually re-engage with activities that bring a sense of mastery and enjoyment. Depression often robs individuals of motivation, and children may struggle to even identify what interests them. We support children by brainstorming ideas together and gently guiding them toward trying new activities, without imposing ideas that may trigger resistance. This process helps break through the cycle of withdrawal and inactivity.
• Emotion Regulation: Depression is often accompanied by intense emotional ups and downs. We work with children to develop strategies for recognizing, tolerating, and expressing their emotions in healthy ways. This might involve journaling, talking through feelings, or using calming strategies. We also place a strong focus on teaching children to communicate their needs assertively, helping them express their frustrations, ask for help, and advocate for their needs effectively. These skills are practiced through role-play and real-life application.
• Rebuilding Social Connections: Depression can lead to isolation and strained peer relationships, which further exacerbates feelings of loneliness. We help children and teens practice social skills, re-establish friendships, and improve their ability to interpret social cues accurately.
• Developing Future-Oriented Thinking: Children with depression often struggle to visualize a positive future. We work to help them set small, achievable goals and develop a sense of purpose, which can foster hope and motivation.
• Parent Involvement: Parents often feel helpless when their child is depressed. We involve families in treatment to improve communication, create supportive routines at home, and guide parents on how to encourage their child without applying pressure.
• Building Daily Routines: Structured routines can help children with depression reduce decision fatigue and regain a sense of stability. We work with families to implement consistent daily schedules, including sleep hygiene practices, physical activity, and predictable mealtimes.

Our goal is to help children not only reduce their symptoms but also rediscover joy, confidence, and resilience. We empower families with the tools to support their child’s emotional well-being and **help them build a fulfilling, connected life moving forward.