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December 22, 2010

Teens Lack of Sleep May Be Cause of Depression

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Lack of sleep is not just a symptom of Depression but studies show it can either cause or worsen it. Most teens suffer from inadequate sleep, and the consequences can be serious to their health, to their education, to their safety and to their social life. What can parents do to help their teens?


In the Jan. 1, 2010 issue of SLEEP, researchers at Columbia University found a strong link between lack of sleep and depressive symptoms in adolescents. SLEEP is the official publication of the Associated Professional Sleep Societies. “In addition to depression, adolescents with later bedtimes also had a greater risk of having suicidal thoughts,” James Gangwisch, PhD, of Columbia University in New York City, and colleagues reported in the study.

James Gangwisch, a sleep epidemiologist at Columbia University and lead author on the Sleep study, says the study supports the idea that there is a relationship between sleep and mood. “What else we see here is the importance of parents working with adolescents to set reasonable bedtimes for them,” says Gangwisch. “Whether parents think so or not, setting earlier bedtimes helps and seems to have a protective effect.”

How Much Sleep Do Teens Need
The American Academy of Sleep Medicine suggests at least nine hours a night for high-schoolers. The Columbia University study included 15,659 children and teens in grades seven through 12. This study found that adolescents with parental set bedtimes of midnight or later were 24% more likely to suffer from depression than adolescents with parental set bedtimes of 10:00 PM or earlier.

Why Is It So Difficult For Teens To Fall Asleep Earlier
One factor is that there is a change in the circadian rhythm in teens due to the fact that the brain hormone melatonin is produced later at night for teens than it is for kids and adults. This can make it harder for teens to fall asleep early. During teen years, the biological clock in the brain naturally resets to a later time. The pineal gland releases melatonin later at night and this causes teens to fall asleep later. Then, in the morning, a teenager's body clock is likely to still be producing the nighttime hormones making it difficult for them to want to get up.

Does Catching Up On Lost Sleep On Weekends Work
Some parents and teens believe that the teen can catch up on lost sleep on the weekends. However, this just makes the problem of getting into a routine to get adequate hours of sleep worst. Perhaps a late Friday night could be permitted and then keeping to the schedule the other days. If Friday, Saturday and Sunday bedtimes and wakeup times are not kept, on Monday mornings teens function like we do with jet lag. On Mondays, many teens complain of headaches and are usually out of sorts due to their irregular, weekend sleep patterns.

Parents and teachers often complain how moody and unfocused teens are. So the remedy for teenage blues is not found in a magic pill but in a magic bed. However if your teen still cannot sleep after adjusting his bedtime, do seek professional help. Sleep deprivation is best treated early before depression sets in.

How do you help your teen to get his required hours of quality sleep?

Related post: How Can I Help My Teen Fall Asleep Earlier and Easier









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May 17, 2010

Children and Teens With ADHD and Depression

Parent of children with ADHD must pay attention if their child’s behavior changes. Sometimes when a very active child becomes more quiet, their parents believe this is a good sign because the hyperactivity is subsiding. Unfortunately their child could be exhibiting symptoms of depression.

In fact, children and teens with ADHD are at risk for developing depression as much as 3 times greater than for other children. As many as 25% of teens with ADHD are depressed. Research points to two underlying factors that can trigger depression in children or teens with ADHD.

Depression shares certain symptoms with ADHD, such as inability to concentrate, mood swings, irritability and agitated behavior, making it difficult to know whether a child is suffering from depression, ADHD or both. Seek professional help for an accurate and timely diagnosis.

We can assume that many children with ADHD experience daily negative feedback from parents, teachers, bus drivers and even their peers lowering their self-esteem. This constant feeling of malaise with the world around them, results in enough stress, frustration and anger that they can be driven to depression.

But the depression is not only cause by demoralization that can result from the day to day struggles of dealing with ADHD. Research has suggested that depression in children and teens with ADHD is a co-morbid disorder. ADHD and depression co-exist and have to be both treated separately

Parents must be vigilant to note any changes in their child with ADHD because the depression must be attended to. Some changes and behaviors that should trigger an alarm bell are:
*No energy or fatigue nearly every day
* Stops talking, withdraws from the family by retreating into his/her room
* Odd sleeping patterns , insomnia or hypersomnia nearly every day
* Constant low, depressed or irritable mood most of the day
* Overly emotional over trivial matters, frequent mood changes
*Loss of interest or pleasure in almost all activities
*Changes in eating habits accompanied by significant weight loss or weight gain
*Tearfulness or frequent crying
*Feelings of worthlessness, inappropriate guilt
*A strong sense of not being understood and approved of by parents, siblings, or peers
*Feelings of wanting to leave home, wanting to run away
*Recurrent thoughts of death and/or suicidal thoughts

 At the first signs of depression seek professional help. Left untreated, depression can lead to problems at home and school, drug abuse, self-loathing and escalate from there. It is a fact that untreated depression is very risky and potentially fatal.

Take action right away. The parents and other adults in a child's life must intervene because the child does not understand what depression is and he does not realize that how he is feeling in not the norm.

A professional evaluation is needed to distinguish between normal moodiness, ADHD symptoms and depression. Depression does not go away by itself. With proper diagnosis and treatment a depressed child or teen can be greatly helped.

Always keep open lines of communications with your child, your child's friends and teachers. Parents and teachers working together, with the child following a professional’s counsel, is the only way to assure your child will get all the guidance and support he needs for both his ADHD and depression

What were the first symptoms you noticed when your child or a child you know became depressed?

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