10 Warning Signs of Depression in Teens 

10 Warning Signs of Depression in Teens 

Mental health issues have gained significant attention in today's fast-paced and interconnected world. Among these, depression is a condition that affects millions of people worldwide, cutting across age, gender, and socio-economic boundaries. Particularly alarming is the increasing prevalence of teenage depression. The adolescent years, already marked by numerous physical and emotional changes, can be further complicated by the onset of this debilitating mental health disorder. 

Definition of Depression

Depression, often referred to as major depressive disorder (MDD), is a serious mental health condition characterized by persistent feelings of sadness, loss of interest or pleasure in daily activities, changes in appetite and sleep patterns, fatigue, feelings of worthlessness or guilt, difficulty concentrating, and recurrent thoughts of death or suicide. These symptoms significantly impair an individual's ability to function and negatively impact their overall well-being.

Depression affects the brain's neurochemistry, altering the balance of neurotransmitters such as serotonin, norepinephrine, and dopamine, which play crucial roles in regulating mood, motivation, and pleasure. The causes of depression are multifactorial, including genetic predisposition, chemical imbalances, hormonal changes, life events (such as trauma, loss, or chronic stress), and certain medical conditions.

Rise in Depression Among Teenagers

In recent years, numerous studies have indicated a troubling rise in teen depression. According to the World Health Organization (WHO), depression is now among the leading causes of illness and disability worldwide among individuals aged 10 to 19 years. This highlights the urgent need for understanding and addressing this concerning trend.

Several factors contribute to the rise in teenage depression. The advent of social media and the digital age has introduced new challenges, including cyberbullying, social comparison, and constant connectivity, which can exacerbate feelings of isolation, inadequacy, and anxiety.  Academic pressures, family conflicts, substance abuse, and a lack of coping mechanisms also contribute to the increased vulnerability of teenagers to depression.

Moreover, the COVID-19 pandemic has further intensified the mental health crisis among teenagers. The disruptions in routines, social isolation, and uncertainties about the future have magnified stressors and amplified feelings of anxiety and teenage depression. A study published in JAMA Pediatrics in 2021 found a significant increase in depressive symptoms among teenagers during the pandemic, with prevalence rates reaching 25%.

Common Symptoms of Teenage Depression

Depression symptoms can vary in severity, but changes in your teen's emotions and behavior may include the examples below.

Emotional Changes:

  • Be alert for emotional changes, such as:

  • Feelings of sadness, which can include crying spells for no apparent reason

  • Frustration or feelings of anger, even over small matters

  • Feeling hopeless or empty

  • Irritable or angry/annoyed mood

  • Loss of interest or pleasure in usual activities

  • Loss of interest in, or conflict with, family and friends

  • Low self-esteem

  • Feelings of worthlessness or guilt

  • Fixation on past failures or exaggerated self-blame or self-criticism

  • Extreme sensitivity to rejection or failure, and the need for excessive reassurance

  • Trouble thinking, concentrating, making decisions, and remembering things

  • Ongoing sense that life and the future are grim and bleak

  • Frequent thoughts of death, dying, or suicide

Behavioral Changes:

  • Watch for changes in behavior, such as:

  • Tiredness and loss of energy

  • Insomnia or sleeping too much

  • Changes in appetite - decreased appetite and weight loss, or increased cravings for food and weight gain

  • Use of alcohol or drugs

  • Agitation or restlessness - for example, pacing, hand-wringing, or an inability to sit still

  • Slowed thinking, speaking, or body movements

  • Frequent complaints of unexplained body aches and headaches, which may include frequent visits to the school nurse

  • Social isolation

  • Poor school performance or frequent absences from school

  • Less attention to personal hygiene or appearance

  • Angry outbursts, disruptive or risky behavior, or other acting-out behaviors

  • Self-harm — for example, cutting or burning

  • Making a suicide plan or a suicide attempt

It is important to note that not all teenagers will exhibit all these symptoms, and the severity and duration of symptoms can vary. The lists above are common symptoms but not exhaustive.  If you suspect that a teenager may be experiencing depression, it is crucial to seek professional help and support from a mental health practitioner or a healthcare provider.

Possible Causes of Teenage Depression

The causes of teenage depression are complex and can involve a combination of biological, genetic, environmental, and psychological factors. Here are some possible causes of teenage depression:

  1. Biological factors: Certain imbalances in brain chemicals called neurotransmitters, such as serotonin, norepinephrine, and dopamine, can contribute to depression. Hormonal changes during adolescence may also play a role.

  2. Genetics: Teenagers with a family history of depression are more likely to experience depression themselves. There is evidence to suggest that certain genes may make individuals more susceptible to developing depression.

  3. Environmental factors: Various environmental factors can contribute to teenage depression, including:

    • Stressful life events: Traumatic experiences, such as the loss of a loved one, divorce, abuse, or bullying, can trigger or worsen depression in teenagers.

    • Academic and peer pressure: High expectations, intense academic workload, social isolation, or difficulty fitting in with peers can contribute to depressive symptoms.

    • Family dynamics: Conflict, unstable family relationships, or a lack of emotional support within the family can increase the risk of depression.

    • Substance abuse: Teenagers who abuse drugs or alcohol are more susceptible to depression. Substance abuse can both be a cause and a consequence of teen depression.

  4. Psychological factors: Certain psychological factors can make teenagers more vulnerable to depression:

    • Low self-esteem: Negative self-perception, feelings of inadequacy, or poor body image can contribute to depressive symptoms.

    • Negative thinking patterns: Teenagers who tend to have negative thoughts, pessimistic outlooks, or a tendency to ruminate on negative experiences may be more prone to depression.

    • Coping skills: Lack of healthy coping mechanisms to deal with stress, emotions, and difficult life situations can increase the risk of developing depression.

    • Learning disabilities or attention deficit hyperactivity disorder (ADHD)

It's important to note that these factors may interact and influence each other, and not all teenagers who experience these factors will develop depression. The individual experience of teen depression can vary, and a comprehensive assessment by a mental health professional is necessary to determine the specific causes and appropriate treatment for each person.

Recognizing Ten Warning Signs

Adolescent suicide is the second leading cause of death, following accidents, among youth and young adults in the U.S. It is estimated that 500,000 teens attempt suicide every year with 5,000 succeeding. These are epidemic numbers.  Four out of five teens who attempt suicide have given clear warnings signs which could include:

  1. Suicide threats, direct and indirect (talking or joking about committing suicide)

  2. Obsession with death which might include speaking positively about death or romanticizing dying (“If I died, people might love me more”) or saying things like, “I’d be better off dead,” “I wish I could disappear forever,” or “There’s no way out”

  3. Poems, essays, and drawings that refer to death, dying, or suicide

  4. Giving away belongings

  5. Irrational, reckless, or bizarre behavior possibly resulting in having a lot of accidents resulting in injury

  6. A dramatic change in personality or appearance

  7. Severe drop in school performance

  8. Marked change in eating or sleeping patterns

  9. Seeking out weapons, pills, or other ways to commit suicide

  10. Saying goodbye to friends and family as if for the last time

Pay attention to these warning signs as they should be taken seriously!  Immediate help could save a young life.


Depression is a complex mental health disorder that poses significant challenges to the well-being and development of teenagers. The alarming rise in teens with depression demands urgent attention from parents, educators, and healthcare professionals. By fostering open conversations, promoting mental health awareness, and providing access to appropriate support and interventions, we can work towards a future where teenagers are better equipped to navigate their formative years' emotional ups and downs. 

If you notice your teen is struggling with the symptoms of depression discussed above, please reach out to Heritage Counseling & Consulting at 214-363-2345 for information on meeting with one of our clinicians who can provide guidance on how to work through teenage depression.  Together, we can strive for a world where mental health receives the attention it deserves, and teenagers are empowered to lead fulfilling and mentally resilient lives.


  • https://www.mayoclinic.org/diseases-conditions/teen-depression/symptoms-causes/syc-20350985

  • https://medlineplus.gov/teendepression.html

  • https://www.mhanational.org/depression-teens-0

  • https://www.helpguide.org/articles/depression/parents-guide-to-teen-depression.htm

  • https://symptommedia.com/major-depressive-disorder-dsm-5/

  • Racine N, McArthur BA, Cooke JE, Eirich R, Zhu J, Madigan S. Global Prevalence of Depressive and Anxiety Symptoms in Children and Adolescents During COVID-19: A Meta-analysis. JAMA Pediatr. 2021 Nov 1;175(11):1142-1150. doi: 10.1001/jamapediatrics.2021.2482. PMID: 34369987; PMCID: PMC8353576.

  • https://www.who.int/news-room/fact-sheets/detail/adolescent-mental-health