Treatment for Depression in Children and Adolescents

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Abstract
In the management of depressive states in children and adolescents a distinction should be drawn between: 1. General antidepressive treatment, as exemplified by the attitude and approach adopted by the physician and by close reference persons towards the depressive child. 2. Indirect antidepressive treatment consisting in: a) counselling of the parents or treatment for them (psychotherapy, psychotropic medication), family therapy, or admission of the child to a home; b) learning and teaching hygiene: preventing the child from becoming overtaxed as a result of his difficulty in learning and his impaired performance, recourse to conditioning procedures, demotion to a lower class at school, or transference to another school; c) initial and follow-up psychotherapy or cognitive therapeutic procedures in cases of ‘endogenous’ depression. 3. Direct antidepressive treatment (sleep deprival, phototherapy, antidepressants).

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