ss which can often lead to suicide. (4) Anxiety Patients may experience the psychological manifestations of anxiety. Sixty to seventy percent of depressed patients report feelings of anxiety and sometimes extreme worrying. (5) Sleep disorders Seventy to eighty percent of all persons with depression have some form of insomnia. The most frequent type is one in which the individual, who is usually exhausted and has no trouble falling asleep, wakes up after several hours and is unable to get back to sleep. (6) Appetite changes The thought of food makes me ill, is what the average depressive person says. The depressed person eats very little, and may refuse food or just nibble, even when favorite dishes are presented to them. Shopping for food, preparing it and even eating is expending energy that they do not have. (7) Changes in motor activity depressed persons often speak very slowly. They can be difficult to interview because it may take them longer to answer a question, and if they do respond it may only be in a monosyllable. Alternatively, some patients exhibit agitation with restlessness and an inability to relax (Strange, 1992, p. 260). (8) Thoughts of death and suicide many depressed people think about death. They think of ending their lives as a way to escape the way the feel inside. They will make statements such as, Id like to get away from it all and I have nothing to live for. Only a percent of depressed persons attempt suicide, but the risk of suicide in all depressives cannot be overstressed. Many, if not most, of those who attempt suicide speak their intentions before they do it (Schwartz and Schwartz, 1993, p. 21).Brown (1996) has said the reason why depression is often over looked in children and adolescents is that "children are not always able to express how they feel." Sometimes the symptoms of mood disorders and depression take on different forms in children than in adults. Adolescence is a time of emotional turm...
