ly related to low self-esteem stemming from increased emphasis on peer popularity. For other teens, depression arises from poor family relations, which could include decreased family support and perceived rejection by parents (Lasko et al., 1996). Oster & Montgomery (1996) stated that "when parents are struggling over marital or career problems, or are ill themselves, teens may feel the tension and try to distract their parents." This "distraction" could include increased disruptive behavior, self-inflicted isolation and even verbal threats of suicide. So how can the physician determine when a patient should be diagnosed as depressed or suicidal? Brown (1996) suggested the best way to diagnose is to "screen out the vulnerable groups of children and adolescents for the risk factors of suicide and then refer them for treatment." Some of these "risk factors" include verbal signs of suicide within the last three months, prior attempts at suicide, indication of severe mood problems, or excessive alcohol and substance abuse.Once it has been determined that the adolescent has the disease of depression, what can be done about it? Blackman (1995) has suggested two main avenues to treatment: "psychotherapy and medication." The majority of the cases of adolescent depression are mild and can be dealt with through several psychotherapy sessions where the patient is listened to and given advice and encouragement. For the more severe cases of depression, especially those with constant symptoms, medication may be necessary and without pharmaceutical treatment, depressive conditions can escalate and become fatal. Brown (1996) added that regardless of the type of treatment chosen, "it is important for children suffering from mood disorders to receive prompt treatment because early onset places children at a greater risk for multiple episodes of depression throughout their life span."Until recently, health professionals have largely ignored adolescent dep...
