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Clinical PracticeFree Preview

Adolescent Depression

List of authors.
  • David A. Brent, M.D.,
  • and Boris Birmaher, M.D.

A 16-year-old boy is brought by his parents to his primary care physician because of a decline in school performance, which began at least three years earlier but has become more severe in the past year. He reports boredom, a lack of enjoyment and motivation, poor selfesteem, a feeling of hopelessness, difficulty sleeping, poor concentration, and passive thoughts of suicide without a plan or intent. How should he be treated?

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Funding and Disclosures

Supported by Services for Teens at Risk (Commonwealth of Pennsylvania) and by grants (MH 55123, MH 70008, and MH 56612) from the National Institute of Mental Health.

Author Affiliations

From the Western Psychiatric Institute and Clinic, Division of Child and Adolescent Psychiatry, University of Pittsburgh Medical Center, Pittsburgh.

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