Severely depressed teenager

SAMHSA’s National Helpline | SAMHSA

Your browser is not supported

Switch to Chrome, Edge, Firefox or Safari

Main page content

  • SAMHSA’s National Helpline is a free, confidential, 24/7, 365-day-a-year treatment referral and information service (in English and Spanish) for individuals and families facing mental and/or substance use disorders.

    Also visit the online treatment locator.

SAMHSA’s National Helpline, 1-800-662-HELP (4357) (also known as the Treatment Referral Routing Service), or TTY: 1-800-487-4889 is a confidential, free, 24-hour-a-day, 365-day-a-year, information service, in English and Spanish, for individuals and family members facing mental and/or substance use disorders. This service provides referrals to local treatment facilities, support groups, and community-based organizations.

Also visit the online treatment locator, or send your zip code via text message: 435748 (HELP4U) to find help near you. Read more about the HELP4U text messaging service.

The service is open 24/7, 365 days a year.

English and Spanish are available if you select the option to speak with a national representative. Currently, the 435748 (HELP4U) text messaging service is only available in English.

In 2020, the Helpline received 833,598 calls. This is a 27 percent increase from 2019, when the Helpline received a total of 656,953 calls for the year.

The referral service is free of charge. If you have no insurance or are underinsured, we will refer you to your state office, which is responsible for state-funded treatment programs. In addition, we can often refer you to facilities that charge on a sliding fee scale or accept Medicare or Medicaid. If you have health insurance, you are encouraged to contact your insurer for a list of participating health care providers and facilities.

The service is confidential. We will not ask you for any personal information. We may ask for your zip code or other pertinent geographic information in order to track calls being routed to other offices or to accurately identify the local resources appropriate to your needs.

No, we do not provide counseling. Trained information specialists answer calls, transfer callers to state services or other appropriate intake centers in their states, and connect them with local assistance and support.

  • Suggested Resources

    What Is Substance Abuse Treatment? A Booklet for Families
    Created for family members of people with alcohol abuse or drug abuse problems. Answers questions about substance abuse, its symptoms, different types of treatment, and recovery. Addresses concerns of children of parents with substance use/abuse problems.

    It's Not Your Fault (NACoA) (PDF | 12 KB)
    Assures teens with parents who abuse alcohol or drugs that, "It's not your fault!" and that they are not alone. Encourages teens to seek emotional support from other adults, school counselors, and youth support groups such as Alateen, and provides a resource list.

    After an Attempt: A Guide for Taking Care of Your Family Member After Treatment in the Emergency Department
    Aids family members in coping with the aftermath of a relative's suicide attempt. Describes the emergency department treatment process, lists questions to ask about follow-up treatment, and describes how to reduce risk and ensure safety at home.

    Family Therapy Can Help: For People in Recovery From Mental Illness or Addiction
    Explores the role of family therapy in recovery from mental illness or substance abuse. Explains how family therapy sessions are run and who conducts them, describes a typical session, and provides information on its effectiveness in recovery.

    For additional resources, please visit the SAMHSA Store.

Last Updated: 08/30/2022

SAMHSA Behavioral Health Treatment Services Locator


Welcome to the Behavioral Health Treatment Services Locator, a confidential and anonymous source of information for persons seeking treatment facilities in the United States or U.S. Territories for substance use/addiction and/or mental health problems.

PLEASE NOTE: Your personal information and the search criteria you enter into the Locator is secure and anonymous. SAMHSA does not collect or maintain any information you provide.

Please enter a valid location.

please type your address

  • FindTreatment.


    Millions of Americans have a substance use disorder. Find a treatment facility near you.

  • 988 Suicide & Crisis Lifeline

    Call or text 988

    Free and confidential support for people in distress, 24/7.

  • National Helpline

    1-800-662-HELP (4357)

    Treatment referral and information, 24/7.

  • Disaster Distress Helpline


    Immediate crisis counseling related to disasters, 24/7.

  • Overview
  • Locator OverviewLocator Overview
  • Locator OverviewLocator Overview
  • Finding Treatment
  • Find Facilities for VeteransFind Facilities for Veterans
  • Find Facilities for VeteransFind Facilities for Veterans
  • Facility Directors
  • Register a New FacilityRegister a New Facility
  • Register a New FacilityRegister a New Facility
  • Other Locator Functionalities
  • Download Search ResultsDownload Search Results
  • Use Google MapsUse Google Maps
  • Print Search ResultsPrint Search Results
  • Use Google MapsUse Google Maps
  • Icon from Find practitioners and treatment programs providing buprenorphine for opioid addiction (heroin or pain relievers). Find practitioners and treatment programs providing buprenorphine for opioid addiction (heroin or pain relievers).
  • Icon from Find practitioners and treatment programs providing buprenorphine for opioid addiction (heroin or pain relievers). Find programs providing methadone for the treatment of opioid addiction (heroin or pain relievers).

The Locator is authorized by the 21st Century Cures Act (Public Law 114-255, Section 9006; 42 U.S.C. 290bb-36d). SAMHSA endeavors to keep the Locator current. All information in the Locator is updated annually from facility responses to SAMHSA’s National Substance Use and Mental Health Services Survey (N-SUMHSS). New facilities that have completed an abbreviated survey and met all the qualifications are added monthly. Updates to facility names, addresses, telephone numbers, and services are made weekly for facilities informing SAMHSA of changes. Facilities may request additions or changes to their information by sending an e-mail to [email protected], by calling the BHSIS Project Office at 1-833-888-1553 (Mon-Fri 8-6 ET), or by electronic form submission using the Locator online application form (intended for additions of new facilities).

Depression in a teenager: What to do?

09/03/2014 Views: 74845

#333333;">Teen depression #333333;"> is not just a bad mood - it is a serious problem that affects all aspects of a teenager's life. Teenage depression can lead to problems at home and at school, drug addiction, self-loathing, even violence or suicide. But there are many ways parents, teachers, and friends can help manage depression. nine0003

#333333;">There are many misconceptions about teen depression. In adolescence, many children are quite aggressive, difficult to communicate with, they are rebellious and want to be independent. Teenagers often have mood swings and are sad. But depression is something Another: Depression can destroy the very essence of a teenager's personality, causing overwhelming feelings of sadness, despair, or anger.

#333333;"> The incidence of teen depression is on the rise around the world, and we are becoming more aware of this when we look at our children or their friends. Depression strikes at the psyche of a teenager much more often than most people think. And although teen depression is very well treatable , experts say that only one in five cases of depression do teens get help. nine0003

#333333;">Unlike adults who are able to seek help on their own, teens usually have to rely on parents, teachers, and caregivers to recognize depression and get the treatment they need. So if you have teenage children, it's important learn what teen depression looks like and what to do if you notice its symptoms.

#333333;">Symptoms of teenage depression

#333333;"> Teenagers face a lot of pressure from adults, ranging from school grades to mom and dad control. Meanwhile, a hormonal storm is going on in their body, which makes the teen's psyche even more vulnerable and fragile than before. In adolescence, children begin to fiercely assert their independence.For them, it can be a drama that an adult only smiles sadly.Because adults are used to seeing adolescents often in a state of agitation, it is not always easy for them to distinguish between depression and the inherent whims and mood swings of adolescents.If you notice these symptoms in a teenager, most likely he has depression. nine0003

#333333;">Signs of depression in teenagers

#333333;">·#333333;">Sadness or hopelessness for a long time

#333333;">·#333333;">Irritability, anger, or hostility


#333333;">·#333333;">Rejection of friends and family

#333333;">·#333333;">Loss of interest in any activity nine0003

#333333;">·#333333;">Loss of appetite and poor sleep

#333333;">·#333333;">Anxiety and excitement

#333333;">·#333333;"> Feelings of worthlessness and guilt

#333333;">·#333333;">Lack of enthusiasm and motivation

#333333;">·#333333;">Fatigue or lack of energy

#333333;">·#333333;">Difficulty concentrating nine0003

#333333;">·#333333;">Thoughts of death or suicide

#333333;"> If you are not sure that a teenager is in a state of depression, consult a psychologist with him.

#333333;">The difference between teenage and adult depression

#333333;">Depression in adolescents #333333;">may differ significantly from depression in adults. The following symptoms of depression are more common in teenagers than in adults: nine0003

#333333;"> Irritability, anger or mood swings #333333;"> - as noted above, it is irritability, and not sadness inherent in adults, that often prevails in depressed adolescents. A depressed teenager may be grumpy, hostile, easily upset, or prone to angry outbursts.

#333333;">Unexplained pains #333333;"> - Depressed teenagers often complain of physical ailments such as headaches or stomachaches. If a thorough physical examination does not reveal a medical cause for these pains, it may be indicative of depression. nine0003

#333333;">Extreme sensitivity to criticism #333333;"> - Depressed teenagers suffer from feelings of inferiority, which makes them extremely vulnerable to criticism, rejection and failure. This becomes a particularly serious problem at school when a child's academic performance drops sharply.

#333333;">Withdrawal, withdrawal from people (but not all). #333333;">Although adults tend to withdraw into themselves when they are depressed, teenagers usually maintain friendships but limit this circle is up to a select few. However, teens with depression may communicate much less than before, almost stop communicating with their parents, or start hanging out with other company. nine0003

#333333;"> Negative effects of teen depression

#333333;">The negative effects of teen depression go far beyond a melancholy mood. Many of the unhealthy behaviors or aggressive attitudes of teens are actually signs of depression. Here are some ways teens can show adults that they are depressed. they are so not out of harm, but in an attempt to cope with emotional pain. nine0003

#333333;"> Trouble at school. #333333;"> Depression can lead to loss of energy and difficulty concentrating. At school, this can lead to poor attendance, class fights, or disappointment in schoolwork, even for children who used to do very well.

#333333;">Escapes from home. #333333;"> Many depressed teenagers run away from home or start talking about running away. Such attempts are a cry for help. nine0003

#333333;">Drugs and alcohol abuse. #333333;"> Teenagers may use alcohol or drugs in an attempt to "self-medicate" depression. Unfortunately, these methods lead to irreparable consequences.

#333333;"> Low self-esteem. #333333;"> Depression can provoke and intensify feelings of helplessness, shame, give a sense of the meaninglessness of life.

#333333;">Internet addiction. #333333;"> Teenagers may go online to get away from their problems. But excessive computer use only adds to their isolation and makes them more depressed.

#333333;"> Desperate, reckless behavior. #333333;"> Depressed teenagers may engage in dangerous activities (such as robbing a passerby on the street) or take desperate risks, such as dangerous driving.

#333333;"> Violence. #333333;"> Some depressed teenagers (usually boys who become victims of aggression) become aggressive. Self-hatred and the desire to die can escalate into violence and rage towards others. nine0003

#333333;">Teen depression is associated with a number of other mental health problems, including digestive disorders.

#333333;">Tips on how to talk to a depressed teenager


#333333;">Offer support

#333333;">Let the depressed teen know that you will do everything for them completely and unconditionally. Don't ask too many questions (teens don't like to feel in control), but let them know that you are ready to provide the child with any support. nine0003

#333333;">Be gentle but persistent

#333333;">Don't give up if your child is shutting out from you in the first place. Talking about depression can be a very difficult test for teens. Be aware of your child's comfort level in the conversation while emphasizing your concern and willingness to listen.

#333333;">Listen to a teenager without moralizing

#333333;">A teenager always resists an adult's urge to criticize or condemn as soon as he starts to say something. What matters is that your child communicates with you. Avoid giving unsolicited advice or giving ultimatums.

#333333;">Just acknowledge the child's problems nine0003

#333333;">Don't try to tell teens that being depressed is stupid, even if their feelings or problems seem really stupid or irrational to you. Just acknowledge the pain and sadness they feel. If you don't, they will understand that you are not take their emotions seriously.


#333333;"> Methods for diagnosing teenage depression

#333333;">Depression is very devastating to the fragile psyche of a teenager if left untreated, so do not wait and hope that the symptoms will disappear on their own. Seek professional help.

#333333;">Be prepared to give the doctor information about your child's symptoms of depression, including how long they last, how they affect the child's daily activities, and in general about any symptoms that worry you. You should also tell the doctor about relatives who have suffered from depression or any other mental disorder. nine0003

#333333;">If there are no health problems that cause teen depression, ask your doctor to refer you to a psychologist or psychiatrist who specializes in child and adolescent psychology. Teen depression can be a difficult condition, especially when it comes to treatment. Nobody will work wonders for your child.You will need to work with symptoms of depression for a long time.If your child feels uncomfortable in counseling sessions with a psychologist or psychiatrist, ask for a referral to another specialist who may be better suited to your child. nine0003

#333333;">Don't rely on drugs alone

#333333;">There are several options for treating depression in adolescents, including individual therapy or group sessions. There is also a family therapy method. Medication is the last resort, and this is only part of a comprehensive treatment, not a panacea.

#333333;">Psychological therapies of any kind are often good for treating mild to moderate depression. Antidepressants should be used as part of a more comprehensive treatment plan, in more severe cases. nine0003

#333333;">Unfortunately, some parents believe that antidepressants are the only way to cure a child. This is far from the case, any treatment is individual and may vary depending on the results. In severe cases of depression, medications can help relieve its symptoms. Nevertheless , antidepressants are not always the best treatment option.They can cause side effects in the form of addiction, sleep disturbances, increased fatigue and drowsiness.It is important to weigh all the risks before starting antidepressants. nine0003

#333333;">Supporting a teenager as a treatment for depression

#333333;">The most important thing you can do for your child is to let him know that you will always support him. Now, more than ever, your teenager needs to know that you appreciate, love and care for him .

#333333;">Be patient. #333333;">Living in the same house with a depressed teenager is not an easy task. From time to time, you may experience fatigue, despair, a desire to quit, or any other negative emotion. During this difficult time, it is important to remember that your child will definitely recover, you are already working on it. Your teen is suffering too, so it's best to be patient and understanding. nine0003

#333333;">Encourage physical activity. #333333;">Encourage your teen when they do sports or yoga. Exercise can relieve symptoms of depression, so find ways to keep your teen physically active. Something as simple as walking the dog or riding a bike can be helpful.

#333333;"> Encourage social activity #333333;">. Isolation only makes a teenager's depression worse, so encourage him when he wants to spend time with friends or you. nine0003

#333333;">Participate in the treatment. #333333;">Make sure your teenager follows all instructions and the doctor and does everything on time and in full. This is especially important when your child is taking prescription drugs. Keep track of changes in your child's condition and see a doctor if you think your symptoms of depression are getting worse.

#333333;">Learn more about depression #333333;">. If you don't know much about the course of this condition, you need to read more about depression and then you too will become an expert. The more you know, the better you can help your depressed teen. Encourage your teen to learn more about depression too. Reading non-fiction can help teens feel they are not alone and give them a better understanding of what they are going through. nine0003

#333333;">The road to recovery as a teenager can be a long one, so be patient. Celebrate small victories and don't fret over failures. Most importantly, don't judge yourself or compare your families to others. You do your best, to relieve a teenager from depression , and he is trying with you.

How can parents help teenagers get out of depression?

· When raising a teenager, avoid punishment and humiliation. Try to fix in his memory the positive aspects of good behavior. Constant punishment and humiliation can cause a child to feel inferior and worthless. nine0003

Let your child make mistakes. Overprotection of him and making decisions for him will turn the child into an insecure person.

· Give your child a sense of freedom. He can't always do what you want him to do.

· Do not force your child to follow your example and follow in your footsteps through life. Do not try to turn your child into a young you.

· If you see that the child is depressed, take the time to talk to him and listen to him. Even if this problem seems insignificant from your point of view, remember that at the age of a child, it can seem like the end of the world. Don't underestimate his feelings! nine0003

· Try to avoid moralizing. Instead, listen to the child, perhaps you can better understand the causes of his emotional problems.

Dear parents!

If you can't get through to your child

· and you do not leave the feeling of anxiety,

If a teenager's depression does not go away within two weeks

and, in addition, there are other symptoms of depression,

then immediately seek help from a specialist. Or at least call the hotline.

#333333;"> Helpline "Life Line":

#333333;">(34643) 3-51-55 (from 08:00 to 16:00)
(34643) 3-48-03 (from 16:00 to 08:00)
(34643) 3-48-03 (from 17:00 to 08:00)

#333333;"> nine0003

"Telephone of Trust" In the Khanty-Mansiysk Autonomous Okrug - Yugra

8-800-101-1212 (from 08.00 to 20.00 hours)

8-800-101-1200 (from 20.00 to 08. 00 hours)

Unified all-Russian "Hotline" for minors

8-800-2000-122 ( around the clock)

Calls to all phones are free and anonymous

(Material prepared by KU KHMAO - Yugra "PNB named after the Holy Martyr Elizabeth") nine0003

A teenager in depression: advice from a psychologist on how to avoid trouble

Parents of teenagers often pay attention to the fact that their children suddenly change: until recently, a cheerful child loses interest in studies, friends, and life in general. He is not happy with everything. The son or daughter looks tired, refuses to eat. Lose weight or, conversely, gain weight. Many tend to attribute this to a transitional age, but it is important not to miss the onset of depression. How to recognize it and sound the alarm in time, says Elena Sizikova, a psychologist at the Kutuzovsky family center. nine0006

— What symptoms should alert parents?

- Sleep disturbance - insomnia or drowsiness. The child may complain of difficulty concentrating. Experience feelings of worthlessness and guilt (often unfounded). Sometimes depression in children manifests itself in behavior - hyperactivity, enuresis, school failure. The teenager is restless, obnoxious, denies everything. It comes to antisocial or aggressive behavior. May become sullen, avoid family contact. Or vice versa - to seem too emotional, sensitive, especially with peers. He does not care about his appearance, his performance at school. nine0003

— Why is this condition dangerous?

- It is often accompanied by obsessive thoughts about death, suicidal intentions or attempts. A teenager in this state can start using alcohol and drugs. Depression in a teenager should not be underestimated: it can lead to serious, dangerous, even irreparable consequences.

- How to prevent this? What to do if symptoms of depression appear?

- If you know or suspect that your child is thinking about death or is a member of destructive groups in social networks, then you should urgently seek help from a psychologist. For example, to one of the family centers in Moscow. It's hard to do it on your own. nine0003

If we are talking about the prevention of teenage depression, then it is important to understand that adolescence is a very difficult, conflicting age. It is impossible to avoid conflict situations. Yes, and you don't need to. The most important thing is to try to create such a psychological climate in the family so that the teenager feels supported, knows that he is heard and considered.

- Easy to say, but how can parents create such an atmosphere?

- There are several methods: active emotional support for a child in a state of depression and encouragement of his positive aspirations. This will help ease the situation. It is possible and necessary to teach a teenager to socialize and overcome stress - psychologists will also help here. Another method is to expand the time perspective and self-understanding. nine0003

- You said that conflicts should not be avoided, and a positive atmosphere cannot be created in a short time. How to behave when conflict is inevitable?

- Express your fears and concerns to the teenager clearly so that he can understand them. Bring a teenager to a frank conversation to find out what is happening to him. He must know that he will be listened to without criticism and condemnation. An adult needs to show his willingness to listen and understand, which does not mean forgiveness at all. It simply creates a solid foundation on which to build further relationships. A teenager needs his parents to listen to him, but not give advice until he himself asks them about it. It is difficult to come to terms with this, but parents need to accept and understand: a teenager does not have to follow the advice of elders at all. He makes his choice. nine0003

Only with this approach is it possible to have a meaningful dialogue between two equal people - an adult and a teenager. Only on such a basis can constructive communication and behavior be built.



If you hear

Be sure to say

Never say

"I hate studying, class.

Learn more