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For years there has been quite a big whoo-whaa regarding the use of anti-depressants for treating depression in children and teenagers. A study published in the “Journal of the American Medical Association” in 2000 found that anti-depressants are the second most commonly prescribed psychiatric medication in children. Between 1991 and 1995 the use of anti-depressants by pre-schoolers doubled.
Children are not miniature adults. Their brains are still developing and thus react to drugs differently. There are tremendous concern about the long-term effect that the chronic use of anti-depressants have on the developing brain of a child.
In October 2004 the U.S Food and Drug Administration (FDA) published a public warning concerning the use of anti-depressants in children and teenagers. Clinical trials revealed that children and teenagers who used anti-depressants experienced double the amount of suicidal thought and behavior in the first few months of using these drugs than those who were given placebos. This lead to the “black box labeling” of these drugs. All anti-depressants come with a warning of the possibility of increased suicidal behavior in children.
The use of anti-depressants should be carefully weighed against this serious side-effect. Other side-effects of anti-depressants are the following
- Nausea
- Insomnia
- Sleepiness
- Anxiety
- Restlessness
- Weight gain
- Weight loss
- Tremors
- Sweating
- Fatigue
- Dry mouth
- Impaired memory
- Constipation
- Diarrhea
- Headaches
- Impaired impulse control. This could lead to extremely violent behavior such has been the case in school shootings.
Anti-depressants are normally prescribed under the following circumstances
- Severe symptoms of depression that is unlikely to respond to therapy alone.
- When a child does not have convenient and timely access to therapy.
- Chronic, recurring depression.
- Psychosis and/or bipolar disorder.
For more information on the use of anti-depressants in children click on the following link http://www.youtube.com/watch?v=nuwF8aniM9I