What Are the Signs of Childhood Depression?

Mental Health

Depression can affect anyone at any stage of life, and sadly, children are no exception. 

While some symptoms in kids may look similar to those in adults, young people can also show signs of depression that are unique to them. These signs aren’t always obvious, meaning they often get overlooked.

For example, children may not always have the words to explain what they’re feeling, and their depression can show up through changes in behavior rather than obvious sadness. It’s important to remember that, however it presents itself, childhood depression is serious and, in some cases, may even lead to thoughts of suicide.

With September being Suicide Prevention Month, we thought it would be a good time to share the most common symptoms of depression in children. Knowing what to watch for can help you notice if a child in your life is struggling, so you can be there to support them when they need it most.

Watch a video: Signs your child or teen may be thinking about suicide 

Warning Signs of Depression in Children

Depression can show up differently in every child. That said, there are a few common signs for caregivers to watch out for to help spot when a child might be struggling. 

Paying close attention to a child’s symptoms over time can give you the clearest picture of what’s really going on and help diagnose depression faster.

Persistent Low Mood

It’s completely normal for a child to be unhappy from time to time. But if this turns into a constant bad mood or sadness that doesn’t shift, it can be a sign of something more serious.

It’s important to pay attention to this low mood in a child, especially if it starts affecting their friendships and activities. 

For example, if a child loves playing soccer and spending time with friends, but suddenly loses interest in both – this is one of the main warning signs of depression in children.

Difficulty Concentrating (or Changes in School Performance)

Sometimes, a child who was always engaged and doing well in school can suddenly start struggling. Maybe they can’t focus, their grades drop, they’re withdrawn from classmates, or they lose interest in their schoolwork completely. 

As a parent or caregiver, this can be confusing and may seem to come out of nowhere. But even if there’s no obvious reason on the surface, these changes can be a sign that the child is overwhelmed on the inside, potentially dealing with clinical depression.

Irritability 

Every child can be a bit grouchy when they’re hungry, tired, arguing with a sibling, or not getting their way. But irritability becomes a concern when it’s constant or flares up over small things that shouldn’t cause such a strong reaction.

If this starts happening regularly – especially if it’s new behavior for your child – it could be a sign that something deeper (like major depressive disorder) is going on inside.

Physical Health Complaints (That Have No Clear Cause)

Has your child been complaining of headaches, stomach aches, or other pains that don’t seem to have a clear cause? Physical symptoms like these are common in children with depression.

Kids often find it hard to put their feelings into words, but their bodies carry these emotions – showing sadness through physical illness or pain. 

Paying attention to recurring issues like this will help you spot when something that seems physical might actually have emotional roots.

Changes in Sleep and Appetite 

It’s common for even very young children struggling with depression to sleep a lot more than usual – or have trouble sleeping through the night. Their eating habits can change, too. Some kids lose interest in foods they normally enjoy, while others may start eating much more than usual to distract from painful emotions. 

Depression affects both the body and mind, making it harder to stick to normal routines. Keeping a close eye on these changes in behavior will help you see when a child needs some extra support for their mental health.

Low Energy or Fatigue

Children with severe depression might seem unusually tired and sluggish – even after a full night’s sleep. They may move physically slower, take longer to get ready in the morning, or seem drained after their regular activities. This isn’t laziness – it’s their body’s way of responding to ongoing emotional stress.

Unnecessary Feelings of Guilt

Children with depression can carry around guilt in ways that might surprise you. They might apologize for little things constantly and blame themselves for things that aren’t their fault. They might say things like “I always mess up” or “I’m not good at anything.”

These feelings can be heavy and confusing for kids, even if there seems to be no call for them. Catching these moments in real time and letting the child know – in a calm and caring way – that it’s not their fault can really help them feel understood and less alone.

How to Treat Depression in Children 

Noticing the signs of depression early can make a huge difference in a child’s life. If you believe a child close to you is struggling with depression, the most important thing you can do is simply be there for them. 

Give them safe ways to talk about the way they’re feeling and let them know you’re ready to listen without judgment. Keeping up with routines like regular meals, sleep, and daily activities can also help a child feel more secure and supported. Don’t know how to start the conversation? Use these 10 questions to check in on your child or teen’s mental health. 

But if you notice any talk of self-harm or suicide, it’s crucial to seek professional help right away. Getting help early can protect their well-being and give them the space they need to heal and start feeling better.

You Don’t Have to Figure This Out Alone

If you’re seeing these signs in a child, trust your instincts. Childhood depression is real, and it’s treatable. Early support can change a young person’s trajectory.

Across Eastern Virginia, Region Five’s network of Community Services Boards (CSBs) offers child and adolescent counseling, crisis assessment, safety planning, and connections to ongoing care. Many locations provide same-day access or walk-in options. If you’re unsure whether what you’re noticing “counts,” call anyway. A trained professional will listen, help you sort out next steps, and connect you with the right services in your locality.

Reach out now:

  • Contact your local CSB to ask about same-day access for youth and to schedule an evaluation.
  • Call or text 988 for immediate, confidential support any time, day or night.
  • Region Five Crisis Call Center (24/7): (757) 656-7755. We’ll help you navigate options and get connected quickly.

If a child is in immediate danger or you’re concerned about safety right now, call 911.

You know your child best. Reaching out is a strong, loving step, and you don’t have to take it alone. Region Five is here to help you find the care, clarity, and support your family needs.

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