When sad becomes something more

When sad becomes something more: What every parent needs to know about childhood depression

Seeing your child struggle with sadness can be heartbreaking. But knowing whether they’re facing typical tough feelings or something deeper — like clinical depression — can feel confusing and scary. You’re not alone in that.

Here’s the good news: childhood depression is common, highly treatable, and something you can help your child through. The key is knowing what to look for and getting support early.

Before anything else: safety first

If your child has talked about suicide, hinted at wanting to hurt themself, or shown concerning behavior, get help immediately. Call or text 988, or chat with a trained counselor at 988lifeline.org. If you’re worried they may be in immediate danger, call 911 right away.

Why depression happens in kids

Depression isn’t about being “dramatic” or “too sensitive.” It’s a real medical condition shaped by biology, life experiences, and the way a child thinks and feels.

A child’s risk increases when they’re dealing with:

• Family history of depression
  
  

• Family conflict or instability
  
  

• Trauma, grief, or early adverse experiences
  
  

• Challenges at school or with friends
  
  

• Gender dysphoria or identifying as LGBTQ+
  
  

• Previous depression or anxiety
  
  

• Learning disabilities, ADHD, or behavior disorders
  
  

• Chronic illness

Depression is complicated but treatable. You don’t have to figure it out alone.

Signs your child may be dealing with depression

Kids show depression differently from adults, and many don’t have the words to explain what’s going on. Instead, their feelings show up in their behavior.

Watch for:

Loss of interest

Suddenly calling favorite friends or activities “boring”

Eating changes

Not hungry at all, or eating constantly

Sleep changes

Trouble falling asleep, staying asleep, oversleeping, or new naps

Slowing down or speeding up

Fidgeting, pacing, or seeming sluggish and low-energy

Feeling worthless

Quick self-blame, harsh self-criticism, or refusing new things for fear of failing

Struggling to focus

Trouble making decisions, paying attention, or completing tasks

School changes

Falling grades, unfinished assignments, or losing interest in once-loved subjects

If something feels “off,” trust your instincts. You know your child better than anyone.

When to get support

Wondering whether it’s sadness or depression? Why not talk it through instead of waiting for it to get worse?

Talk to your child’s pediatrician or a mental health professional as soon as you notice a meaningful shift in mood, behavior, friendships, or school performance.

Opening the conversation early helps your child feel seen, and allows you to step in before things escalate.