Depression in adolescence.

Depressive illness in adolescence is common. It can also be life-threatening, disabling, chronic, recurrent and occasionally it can progress to a bipolar disorder. Regrettably, the diagnosis is often missed. The features of depression in this age group are generally similar to those in adults but there are potential differences. Engaging the patient and assessing safety are key components of the first interview. Treatment options for the GP include psychological and pharmacological approaches. The evidence for the effectiveness of antidepressants is not as compelling as in depressed adults. When antidepressants are indicated, the newer antidepressants are preferable. Knowing when to refer to specialist agencies is an important aspect of management.