I also have to mention that I would be *extremely* cautious about using psychostimulants in children with depressive symptoms, as there is some data finding an increase in suicidality. The main thing, especially when trying meds, is that she needs to be monitored very, very closely by an experienced child/adolescent psychiatrist who has taken an exhaustive diagnostic history.
One of the huge challenges in children is that depressed ones often look ADHD (with either/both inattentive and hyperactive symptoms), and those with ADHD often become depressed because of the stress of managing. You really need an experienced and astute diagnostician when you have both, to tease out cause/effect/comorbidity.
Last edited by aeh; 08/28/16 07:50 PM. Reason: syntax
